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*FIRST NAME:
*LAST NAME:
*ADDRESS:
*DAYTIME PHONE:
EVENING PHONE:
*EMAIL:
COMMUNITY:
LOT #:
*DATE CLOSED:
TYPE OF WARRANTY:	30 DAY   11 MONTH   EMERGENCY
PLEASE DESCRIBE THE PROBLEM(S) BELOW AS WELL AS THE LOCATION(S). (for example: the drywall is cracked and the paint is peeling and the left side of closet in master bedroom)
*PROBLEM 1:
*LOCATION 1:
PROBLEM 2:
LOCATION 2:
PROBLEM 3:
LOCATION 3:
PROBLEM 4:
LOCATION 4:
PROBLEM 5:
LOCATION 5:
PROBLEM 6:
LOCATION 6:
PROBLEM 7:
LOCATION 7:
PROBLEM 8:
LOCATION 8:
PROBLEM 9:
LOCATION 9:
PROBLEM 10:
LOCATION 10: