Criminal Trespass Authorization

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By completing this form and submitting it to the Portland (Maine) Police Department, I am hereby representing that:

A. I have experienced problems with individuals trespassing and sometimes engaging in illegal activity on or in the immediate vicinity of the property listed below (the "Property"). These individuals do not reside, nor are they conducting legal business on the Property.

B. In an attempt to minimize the negative effects this nuisance issue may cause, I am hereby requesting the Portland Police Department’s assistance with identifying and removing any individual(s) found on the Property that are not legitimately there.

B. I understand that this letter may be used as evidence for court proceedings for the crime of Criminal Trespass (M.S.R.A. 17-A § 402).

C. I understand that this authorization shall remain valid until revoked in writing (Portland Police Department, 109 Middle Street, Portland, ME 04101) or rendered void due to a change in ownership or management.

D. I hereby represent that I or my company listed below are either: (i) the legal owner; or (ii) the authorized property manager of the Property listed below.

E. I hereby represent that I fully understand that printing my name below constitutes a legal signature and may be interpreted as such by a Court of law.

Email *

Please list the address or addresses (number and street) of the property in the City of Portland, Maine that you wish this Criminal Trespass Authorization form to apply to. *

Please indicate your name *

If you are not the owner of the property, please indicate the entity (individual or company) that manages the property address(es) listed above. If this is not applicable, please enter "N/A." *

I hereby certify that I am either the owner or the property manager of the property/properties listed in the section above. (PLEASE SELECT ONE) *

Owner

Property Manager

Please provide your phone number. *

Please provide your physical address. *

Please sign this form by typing your full name below. Entry of your full name hereby constitutes your legal signature. *

Send me a copy of my responses.

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