Name:
E-mail:
Address:
City:
State/Province:
Country:
Postal Code:
Phone:
1) If not the Landlord, your Relationship to the Landlord.
Relationship:
2) Is the Lease with Tenant Oral or Written? (If written, a copy will be requested)
Type of Lease:
Oral
Written
3) Name of the Landlord exactly as indicated on the Lease.
Landlord Name:
4) Is the Landlord an individual or an entity?
Individual
Entity
5) List the names of all tenants as listed on the lease
6 a) Is the length of the lease specified?
Yes
No
6 b) If yes, please indicate the start and end date.
start
end
7) What is the amount of Rent?
8 a) How frequently is Rent Paid?
Weekly
Bi-weekly
Monthly
8 b) Other
9 a) When is rent due?
1st Day of the Week
1st Day of the Month
9 b) Other
10) What is the Reason for Eviction? Please keep to a minimum.
11) If rent is past due, what is the amount of rent due? (Include rent only, do not include late fees; also, please make amount of rent due relative to rental periods along with a grand total? (example: May 1,000, June 1,000 and July 1,000 for a Total of 3,000)
12 a) Have you started the eviction process?
Yes
No
12 b) If so, what have you done?
13) Have you sent your Tenant any written documents? If yes, please list.
14) Have you sent your Tenant a written 3-Day Notice for Failure to Pay Rent?
Yes
No
15) Have you sent your Tenant a written 7-Day Notice for non-compliance with the Lease?
Yes
No
16) Have you sent your Tenant a written notice terminating the lease?
Yes
No
17) Has the Tenant claimed that you breached the Lease in anyway?
Yes
No
18) Have you received any documents or written notices from the Tenant?
Yes
No
19) Has the Tenant claimed that you needed to make certain repairs to the Property?
Yes
No
20) Has the Tenant paid any rent into the Court Registry?
Yes
No
I don't know
21) Has the Tenant hired an Attorney?
Yes
No
I don't know
22) If the Tenant offers to pay past due rent, would you accept the rent and dismiss the suit?
Yes
No
23) Confirm that you understand that once the Eviction Process has begun, you cannot accept rent from the Tenant if you want to proceed with the Eviction.
I understand and agree.
24) Confirm that you understand that additional attorney’s fees will be owed if a hearing, mediation or trial is required in your case.
I understand and agree.
25) Confirm that you understand that a Sheriff’s fee may be required for a Writ of Possession if the Tenant fails to leave the property after a Final Judgment has been entered. The amount of the fee is determined by, and paid to, the County’s Sheriff’s Office.
I understand and agree.
Additional Comments:
26) By submitting this information you hereby confirm that:
The person requesting this action for eviction is fully authorized to do so;
The landlord has full knowledge of this action for eviction; and
Both individuals grant this Firm the permission obtain, and enforce, a judgment of eviction.