As property owner, I hereby request the Holland Police Department check the following residence and property:
Address: ____________________________________________________________
House Color: ______________________ Type: ________________________________
Alarm Company: _________________________________
(If Applicable)
Phone Number: _________________________________
(If Applicable)
Start Date: __________________ Time: _______________
End Date: __________________ Time: _______________
The following have keys to my home:
Name: ______________________________ Phone Number: _____________________
Name: ______________________________ Phone Number: _____________________
Printed Name: __________________________________________________________
Signature: ____________________________________ Date: _________________
I may be contacted at the following telephone number(s):
Contact Number(s): ______________________________________________________
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