Action request form - Twin-Cities-Condos.com - Apartment rentals in the Twin-Cities area

ACTION REQUEST FORM

This form is to be used when requesting building maintenance/repairs, grounds maintenance, or reporting a violation of the Rules and Regulations. When reporting rule violations, please have a witness sign the form. Please return this form to Keller Properties, Inc., 1895 East County Road E, White Bear Lake, Minnesota, 55110. If you have any questions, please call (651) 777-0120

Name: _______________________________________________ Date: ___________________

Address: _____________________________________________

_____________________________________________

Daytime Phone: _____________________

Evening Phone: _____________________

Type of action requested:

_____ Building Maintenance

_____ Rules Violation

_____ Grounds Maintenance

Describe the action requested. Be specific. Attach any explanatory or pertinent documents.

____________________________________________________________________________

Plaintif’s Signature ___________________

Homeowner’s Signature _______________________________

Witness’s Signature ___________________

……………………………………………………………………………………………………………….

Office Use OnIy

Received by: ___________________________________ Date: _________________

Referred to: __________________________________________________________________

Action taken: _________________________________________________________________