Westview Lakes Home Owner Association  

Permission to utilize the association’s ladder                                        

Name:  ___________________________________                                 

Address:  _________________________________                                            

Home Phone:  _____________________________                    

Work Phone:  ______________________________                              

Date Picked Up:  ___________________________                                 

Date Returned:  ____________________________                                  

Condition:  ________________________________                         

Received by:  ______________________________                            

I authorize the association to assess my homeowner fee account the replacement value of $150.00 if the ladder is not returned or is damaged.      

I further understand that I cannot hold Westview Lakes Homeowner’s Association liable for any accidents that might occur as a result of using this ladder.             

Signature:  __________________________