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Account Statement Request

Date of Request*
Date of Request
Email*
First Name*
Last Name*
Power Ranch Property Address*
Statement Type*
Please select if you would like a copy of your most recent account statement or if you'd like a ledger report (history of account payments).
1. Current Statement
2. Account Ledger (payment history)
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Electronic Signature

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1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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