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Tenant Information * Name: * E-mail: Best phone number to contact you during business hours:

Property Information * Address: * City: * State: * Zip:

Requested Maintenance Information * What type of maintenance are you requesting? Plumbing Heating/AC Appliance Bathroom(s) Other * Has this problem occured before? Yes No If so, was the repair made? Yes No * Please detail problem:

Property Access Information * Where is the maintenance to be performed? Interior (TMG must have your permission to enter dwelling) Exterior (TMG can complete work without entering dwelling) PTE - Permission to Enter By submitting this request for maintenance, residents authorize the landlord or the landlord's agents to enter the premises without notice at reasonable times for a minimum of three (3) days or until the repairs/maintenance are completed, whichever is less. In the event the repairs/maintenance are in progress and the landlord is making reasonable efforts to complete, tenant hereby authorizes entry at reasonable times in excess of seven days until such repairs/maintenance are completed.