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Community Relations

700 Parkwood Ave Charlotte, NC 28205

704-336-2903

Landlord-Tenant Dispute referral form

Tenant Name

Tenant Address

Landlord Name

Landlord Address

Date of inspection (CODE VIOLATIONS ONLY)

Date Picker

Date referred (CODE VIOLATIONS ONLY)

Date Picker

The Landlord-Tenant Relations program is looking for referrals in the following three free service areas. Which type of referral are you requesting (check all that apply)?

The Landlord-Tenant Relations program is looking for referrals in the following three free service areas. Which type of referral are you requesting (check all that apply)?

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