700 Parkwood Road. Charlotte NC, 28203
Full Name of Aggrieved Person (Complainant):
Emergency Contact for Complainant:
Basis for Complaint
Address of the subject property:
Have you filed a complaint with any other business, organization, court, or governmental organization?
I swear or affirm that I have read this complaint (including any attachments) and that it is true to the best of my knowledge information or belief.