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BALLANTRAE, LLC WARRANTY WORK REQUEST Use this form for ‘non-emergency’ items. Ballantrae/C.M. Kitchens employees cannot accept verbal requests.

TO: Ballantrae, LLC Name: _ _ _ _ Ballantrae Circle

Telephone/Fax: (770) 781-8055 Email: notheisL@bellsouth.net DATE: Telephone:

Street Address

Best time to call you

__ a.m ___p.m.

Please contact the Ballantrae homeowner to make an appointment to correct the following condition(s): page # from Homeowners handbook must be on form for each item listed. Please use for more than one item if possible. ____________________________________________________________________________ ____________________________________________________________________________ _______________________ _________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Appointment is scheduled for date:_________________time:_____________ The above work has been completed satisfactorily. Homeowner Signature

Service Technician Signature

Date

Date

Ballantrae, LLC 2418 South Clement Drive Cumming, Georgia 30041


Warranty Work Request