www.LexingtonHud.com
1125 SW 12th Avenue
Portland, OR 97205
Phone: (503) 224-9638 Fax:

May 13, 2008

Resident Service Request Form

Please help us help you faster! Let us know if you have a maintenance concern or a question and describe your request in detail. Your request will be addressed as soon as possible.

Resident Name:
Address:
Contact Phone # (with area):
X Ext:
E-Mail:
Pets: Yes No
Pets' special instructions:
Permission is granted to enter my home:
Yes No
Location of Problem:

Service requested:
(please provide a detailed description of request)
 
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