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TENANT REQUEST FOR MAINTENANCE DATE : _________________________ TENANT : _____________________________________ PHONE # : ____________ LOCATION : ____________________________________ APARTMENT # : ______ DATE / TIME REPORTED : _______________________ TO : __________________ NATURE OF COMPLAINT : [ ] Electrical [ ] Heating/AC [ ] Appliances [ ] Plumbing [ ] Interior [ ] Exterior [ ] Other : _________________________________________________ BRIEFLY DESCRIBE PROBLEM, AND DATE AND TIME WHEN FIRST NOTICED. _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
Signature : __________________________ Date : __________________
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