Uninhabitable Conditions Form by Ax2YAZF

VIEWS: 8 PAGES: 2

									 Uninhabitable conditions at __________________________________
                                                           (address)



Item #_____
    Where it is        What is it      When did it start    How does it impact living


   Told landlord   Landlord response      Repaired         Cost               Evidence


Item #_____
    Where it is        What is it      When did it start    How does it impact living


   Told landlord   Landlord response      Repaired         Cost               Evidence


Item #_____
    Where it is        What is it      When did it start    How does it impact living


   Told landlord   Landlord response      Repaired         Cost               Evidence


Item #_____
    Where it is        What is it      When did it start    How does it impact living


   Told landlord   Landlord response      Repaired         Cost               Evidence


Item #_____
    Where it is        What is it      When did it start    How does it impact living


   Told landlord   Landlord response      Repaired         Cost               Evidence


Item #_____
    Where it is        What is it      When did it start    How does it impact living


   Told landlord   Landlord response      Repaired         Cost               Evidence


Item #_____
    Where it is        What is it      When did it start    How does it impact living
   Told landlord   Landlord response   Repaired   Cost   Evidence



Notes:

								
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