Eviction Defense Questionaire

We need this information to delay your eviction. Typical evictions are delayed ~14-90 days

Please fill out fully.Upload a picture of your court document to skip a lot of questions
Eviction Defense Questionaire

LET US DELAY YOUR EVICTION
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Phone Number
Please enter a valid phone number.
Email
example@example.com
How did you hear about us?

Facebook/InstagramGoogle SearchMailerCase ManagerOther
Do you have current eviction case?
Reason for eviction?

Past Due Rent?Lease is expired?Lease violations?Other
What County is the eviction filed?
Eviction Case number
Eviction JP Precinct
Eviction JP Place
Eviction JP Court number
Take Photo of Court Documents
JP County Court Date

MonthDayYear
Date
JP County Court Time

Hour Minutes

AM/PM Option
Upload Court Summons (recommended)

Cancelof
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Have you applied for Rental Relief or Help?

YesNoYes, Other Rent Relief ProgramsOther
Have you been approved for rent relief or still pending?

ApprovedPaidHave already paid outLandlord refusing payment
How did you receive your Eviction Notice?

Tapped to my front door.Tapped inside my front door.Handed by Constable or Landlord.MailOther
Signed date

MonthDayYear
Date
Signature

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