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Name:
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Email Address:
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Complete Street Address
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Date Leaving
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Date Returning
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Local Contacts including phone numbers
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Please List area's in the home that
will have lights on.
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Please list any vehicles that will be
on the property, including license plate numbers.
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Will anyone be on the property while
you are gone? (feeding pets, getting mail, lawn care, etc)
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Yes
No
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If Yes, please list names and vehicle
information.
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Any other information
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Your contact information in case of
an emergency
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Dear Resident,
This service in no way guarantees that your property will be safe from
vandalism or burglary, but merely provides the police department with
information on your whereabouts and other pertinent information, should
a crime occur. This service in no way implies that your home will be
checked on a daily basis.
I give the Greenland Police the authority to be on my property and to
take police action as a result of criminal activity. Signature(Please
Type Your Full Name)
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