• Summary Ejectment Questionnaire

  • Directions to Complete this Questionnaire

     

    When filling out the questionnaire, there are a number of things we want you to take into consideration:

    1.  Despite the fact you may have discussed some of the things in the questionnaire with us on the telphone, please ensure you still capture everything about your case. Our attorneys and intake people speak with numerous clients throughout the day, so it is impossible to remember the facts and circumstances surrounding our consults;

    2.  When typing in the fields, please ensure you structure the information properly.  For example, do not type in all lower case such as "123 main street," you should type it as "123 Main Street."  While it may seem like common sense, you would be suprised;

    3.  To the extent you know the tenant's full name, please include it.  This will assist in the judgment being rendered against the proper party.  The same holds true for the telephone number, as well as the email address.

  • PLAINTIFF INFORMATION

  • Do you have a form prefill? NOTE: If you are one of our current clients, or have used us in the past, select "Yes."*
  • What is the type of court? NOTE: If this is an appeal, select District. If this is not an appeal, select Magistrate*
  • Did we handle the magistrate/small claims court proceeding?*

  • PROPERTY MANAGER CONTACT INFORMATION

    This will be not only for our office, but also for purposes of the scheduling of the Writ.
  • Is the property owned by an individual landlord, or by a company plaintiff?*
  • Is the mailing address, and contact information, DIFFERENT for the landlord, than it is for the property manager? NOTE: Select "No" if the property manager is employed directly for the company that owns the property.*

  • Plaintiff Information

  • Format: (000) 000-0000.

  • EVICTION PROPERTY INFORMATION

  • Type of Property

  • What type of property is this?*
  • Do you/landlord own the mobile home?*

  • TENANT INFORMATION

  • How many tenants are on the lease? NOTE: This is how many are on the lease agreement itself. If there are individuals in the property who are not on the lease, they are Occupants, not tenants.*

  • TENANT INFORMATION

    Please provide as much contact information about your tenant as possible. If you don't know some of the information, leave it blank
  • Format: (000) 000-0000.
  • Is Tenant 1 an Individual or a Company?
  • Format: (000) 000-0000.
  • Is Tenant 2 an Individual or a Company?
  • Format: (000) 000-0000.
  • Is Tenant 3 an Individual or a Company?
  • Format: (000) 000-0000.
  • Is Tenant 4 an Individual or a Company?

  • TENANT ACTIVE DUTY STATUS

  • Are any of the tenants active duty, or Reserve or National Guard members currently on an Active Duty Status?
  • Is the tenant currently deployed?*

  • LEASE INFORMATION

  • Type Of Lease. NOTE: In North Carolina, a lease does not have to be in writing. It can be an oral agreement between you and the tenant. Additionally, even if the lease is expired, you still have a lease agreement. In North Carolina, an expired lease agreement becomes a month to month lease by default.*
  • Do you have a copy of the lease agreement?*
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  • What type of housing and lease is this? Please only select one.*
  • Date Rent Due. NOTE: This is the previous due date. For example, if you are filling out the form on February 15th, then then due date would be February 1st.*
     / /
  • Rent Collection. When is rent collected?*

  • BASIS FOR EVICTION AND DAMAGES

  • What is the reason you are seeking an eviction? NOTE: You can check more than one box.*

  • NON-PAYMENT OF RENT

  • Have you sent, or given, the tenant a notice of non-payment of rent? Note: This includes both written and verbal notices*
  • Do you have a copy of the notice available? NOTE: You can provide a copy to us later. You will receive an email with a link to upload documents. If you don't have the notice readily available, select "Yes. But I don't have it now" and provide it to us later*
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  • Do you have a rent ledger that you keep? Note: The rent ledger can include bank statements, Venmo, CashApp, or any other documentary evidence that supports the tenant stop making payments*
  • Do you have a copy of the rent ledger available? NOTE: You can provide a copy to us later. You will receive an email with a link to upload documents. If you don't have the documents readily available, select "Yes. But I don't have it now" and provide it to us later*
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  • Do you have late fees SPECIFICALLY WRITTEN into your lease agreement? Note: You cannot charge late fees unless they are specifically written in your lease.*

  • HOLDOVER TENANT

  • Date Lease Ended. NOTE: Only enter a lease expiration date if the current lease has expired, and proper notice has been given, meaning that the tenant was supposed to vacate the property on a certain date, and is still in the property at this time. This will usually apply to a holdover tenancy where proper notice has been given. THIS DOES NOT MEAN THE LEASE HAS ENDED BECAUSE IT EXPIRED, AND PROPER NOTICE HAS NOT BEEN GIVEN. *
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  • Have you sent, provided, a notice of termination or non-renewal to the tenant? Note: This notice can also be verbally given.*
  • What date was the notice or non-renewal provided*
     - -
  • What date was the tenant supposed to vacate the property?*
     - -
  • Do you have a copy of the nonrenewal/termination notice available? NOTE: You can provide a copy to us later. You will receive an email with a link to upload documents. If you don't have the notice readily available, select "Yes. But I don't have it now" and provide it to us later*
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  • Have you accepted ANY MONEY after you informed the tenant of the termination of the lease agreement?*

  • BREACH OF THE LEASE

  • Is one of the breaches of the lease agreement non-payment of rent? NOTE: Non-payment of rent must be specifically identified as a breach of the lease agreement in your lease. This does not mean that the lease simply states that rent is due on the 1st of the month.*
  • Is there another breach of the lease OTHER THAN ,OR IN ADDITION TO, the non-payment of rent, criminal conduct, or holdover tenancy?*
  • Have you sent a notice of the breach to the tenant? Note: This notice can also be verbally given.*
  • Do you have a copy of the breach notice available? NOTE: You can provide a copy to us later. You will receive an email with a link to upload documents. If you don't have the notice readily available, select "Yes. But I don't have it now" and provide it to us later*
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  • Have you accepted ANY MONEY after you informed the tenant of the breach of the lease agreement?*

  • CRIMINAL CONDUCT

  • Did the criminal conduct occur on the property?*
  • Has a police report been filed, or were the police called to the property?*
  • Do you have a copy of the police report? NOTE: You can provide a copy to us later. You will receive an email with a link to upload documents. If you don't have the notice readily available, select "Yes. But I don't have it now" and provide it to us later*
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  • Have you sent, provided a notice of the criminal conduct to the tenant? Note: This notice can also be verbally given.*
  • Do you have a copy of the criminal conduct notice available? NOTE: You can provide a copy to us later. You will receive an email with a link to upload documents. If you don't have the notice readily available, select "Yes. But I don't have it now" and provide it to us later*
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  • Have you accepted ANY MONEY after you informed the tenant of the criminal conduct, or after you became aware of the criminal conduct?*

  • ADDITIONAL MONEY DUE

  • Are there any utility payments due? Add up anything that is not rent or late fees, and is itemized on your ledger as utilities.*
  • Are there any additional monetary damages other than what has already been covered?*

  • STATUS OF COURT FILING

  • Have you already filed the eviction?*
  • Do you have the case file number for the eviction? NOTE: The file number will be on the paperwork you received back from the courthouse*
  • Do you know the court date and time? NOTE: If this is an appeal, this is not the magistrate court date. The date and time is in reference to the district court date. If you know the district court date select "Yes." If you are still waiting on the district court date, select "No."*
  • Court Date*
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  • ADMINISTRATION SECTION

  • Date
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  • SCRA AFFIDAVIT

  • 1.As of the current date: (check one of the following)*
  • 2. Have you received military orders?*
  • 3. Did you use the SCRA website?*
  • Will the SCRA website results be attached?*
  • Should be Empty: