Property Access Authorization Form

Authorization Form for Property Access

Name: ________________________________

Address: ________________________________

City, State, Zip: ________________________________

Phone Number: _________________Email__________

I, _____________________ , the legal and rightful owner of the property listed above, hereby authorize __________________ (and any of his/her personnel) access to said property on __________________ at the following times: ______________.

I understand and accept the possibility that this project will take multiple days and may cause: _______________________________________________________.

I will not be held responsible for any damages made to property or persons that result from the authorized party's access.

Signature _________________________ Date __________

Witness    _________________________ Date __________

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