Dues Form – Please Print This Out and Fill Out then Mail In

WOODLAND HILLS PROPERTY OWNERS ASSOCIATION DUES FOR 2016

(please complete and return to WHPOA, PO Box 161, Hardy AR 72542)

PROPERTY :

Lake front property with a house $200.00 ___________

Lake front property, no house $100.00 ___________

House on property, not lake front……………………………………. $ 75.00 ___________

Unimproved property, no house, not on lake front …………….$ 55.00 ___________

I need to purchase a boat ramp key………………………………….. $ 10.00 ___________

BOAT STICKER(s) 1st boat ……………………………………………..$100.00 ___________

2nd boat $ 50.00 ____________

3rd Boat issued at board’s discretion with proof of ownership and registration.

………………………………………………………………………….3rd boat $ 5.00 ____________

I would like to make a donation to the POA in the amount of …………$ ___________

TOTAL AMOUNT INCLUDED $ ____________

PLEASE PRINT: Property Owners Name__________________________________________________________ Mailing Address ____________________________________________ City_______________________________________State_________________ zip___________

Home phone______________________

cell # ________________________

email address (please print) ______________________________________________________

Property location if no physical address (you can find this on your property tax statement) block _________ lot _________ Addition name_____________________________________

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