Date:
Tenant Name:
Address:
Unit Number:
City, State, Zip:
Daytime Phone:
Cell/Other Phone:
Email:
Permission to Enter:
Yes
No
Detailed description of the problem (please provide as much information as possible so the correct vendor is sent):
Have we been to your unit to take care of this problem before? If so approximately when?
Ballard Realty Inc.
1700 NW Market Street • Seattle, Washington 98107
Management: (206) 784-4813,
e-mail
• Sales: (206) 784-2482,
e-mail