30 day service request _____

year end _____

Emergency follow up _____

Other _____

Please use this form to notify Glenlyn homes of any warranty request’s. Excluding specified emergencies, requests for service must be in writing. Fax or mail this form to the Glenlyn homes office. Following it’s receipt, we will notify you with regard’s to an inspection appointment. Inspection appointment’s are scheduled between 7:00 am to 4:0pm, Monday through Friday. 

Name __________________________________ Date __________________

Address _________________________________

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Phone/Work _____________________________

Phone/Work ____________________________                     Closing Date ________________

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Comments

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Homeowner’s signature ________________________________________