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Fill and Sign the This Letter is to Provide You with Notice of the Failure of My Heating System Which Failure Form

Fill and Sign the This Letter is to Provide You with Notice of the Failure of My Heating System Which Failure Form

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[Date] [Landlord’s Name] [Landlord’s Address]Re: Failure of heating system – request immediate repairDear : [Landlord’s Name]I am your tenant at the following premises: My phone: [Address of premises]This letter is to provide you with notice of the failure of my heating system, which failure occurred on the ____ day of ________________, 20____. The heater does not work and/or is in an unsafe condition. The leased dwelling has been severely compromised by the failure of the heater, and I request you repair same immediately. I am expressly reserving all rights and remedies to which I am entitled under our Lease Agreement and applicable law.Please call me about this situation immediately. Sincerely,Tenant: ______________________________________ Date: _________________ [signature] Proof of Delivery This Notice delivered to Landlord or Landlord’s authorized agent:[ ] by personal delivery [ ] certified/registered mail, return receipt requested[ ] other form of notice pursuant to Lease Agreement: Signed: ______________________________________ Date: __________________________

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