CHARLESTON VILLAGE HOMEOWNERS ASSOCIATION

REQUEST FOR ACTION

NAME ______________________________ TEL: DAY __________________________
ADDRESS ___________________________ NIGHT _____________________________

This form is for your use in reporting routine repairs, maintenance needs, landscape action, etc. to the common areas. Complete and mail this form to R S Fincher at P.O. Box 1117, Apex, NC 27502. R S Fincher works in conjunction with the appropriate committee so your request will be referred when policy decisions are needed.

In the event of an emergency, contact R S Fincher immediately at 362-1460.
DESCRIPTION OF PROBLEM:
___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
ACTION REQUESTED:
___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
Office Use Only

R S Fincher Rec'd Date:_______________ Copy to HOA Pres. Date:_______________

Referred to:____________________________________________ Date:______________

ACTION/RECOMMENDATION BY MANAGEMENT: _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________

WORK ORDER NO:___________ ISSUED TO:___________________ ON ___/___/___

COMMITTEE RECOMMENDATION: _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________

BOARD ACTION: _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________