Provided by Good Neighbor Law
P.O. Box 155
LaSalle, CO 80645
Dear Applicant for usage of my private property,
Please know that because you have made certain requests which involve the Private Property described
as______________________________________________________________and belonging
to_______________________________________ you are hereby considered as an applicant in want of something from me.
State and Federal Constitutions makes clear my right to protect my natural, essential and inalienable rights. Therefore, I have
the right to request your completion of this application, before I will either permit you to proceed, or demand you to stop.
(1) By what standard do you make your request?
(2) Describe the evidence on which your appeal is based.
(3) Have you built in remedy considerations in event your claim is found to be frivolous?
(4) Describe in detail if your request is mandatory or voluntary.
(5) Will you provide a written promise describing your intent to promptly reimburse any monies spent by me in
addressing your request?
(6) Please identify any and all entities that could be construed as working with you on this matter.
(7) Please identify any and all entities you have reason to believe will be financially enriched by pursuing this matter.
(8) Does your budget include a compensation fund in case your actions bring un-necessary harm to me?
(9) Full disclosure of all sources of your funding and expenditures is mandatory.
(10) What is your mission statement?
(11) Make available your personnel and membership rosters.
(12) Do you receive any government support, such as grants etc.? Please define.
(13) Are you aware of anything within your claim which may jeopardize my right of enjoying and defending my life, liberty,
and opportunity to acquire, possess and protect my property?
Any further comments:
Applicant Signature________________________________________
Date___________________