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Nature of Problem - Please be specific and tell us EXACTLY what has happened and what needs to be repaired.
If request involves an appliance or equipment please enter in space below: Make Model and Serial # (If not an appliance put a description of item to be repaired (Ex: Door handle Cabinet Ceiling fan etc.)
Tenant Initials - By initialing the box below and submitting this form I agree that any maintenance or repair necessary as a result of negligence by tenant and/or guest shall be billed to tenant and/or deducted from security deposit. This also serves as notice of entry by Broker/Agent and/or contractor within the next 72 hours to inspect and/or repair the rental property.