Eviction Intake Form
Name of Landlord
*
First Name
Last Name
How is the Landlord Vesting Title?
Individual
Trust
LLC
Corporation
Landlord Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Landlord Phone Number
*
Please enter a valid phone number.
Landlord Email
example@example.com
How many Tenants are in the property?
Name of Tenant
First Name
Last Name
Name of Tenant #2
First Name
Last Name
Name of Tenant #3
First Name
Last Name
Name of Tenant #4
First Name
Last Name
Name of Tenant #5
First Name
Last Name
Property Address to EVICT
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Unit number
Property Types
Studio Rooms
Single House
Condo
Townhouse
Multi-Homes
Vacation Homes
Cabin type
Reason(s) for Eviction?
*
Nonpayment of Rent
Termination of Tenancy
Lease Violation (Smoking, vandalism, keeping illegal animals, subletting, etc.)
Tenant(s) Committing Felony
Multiple Noise Complaints
Damage to Property
Foreclosure Hold Over (Previous owner lost the home to foreclosure)
NEW OWNER purchased home with tenants living in there
Unclear
Other
Has the tenant(s) been served an Eviction Notice?
Please Select
Yes
No
Which Was the Type of Notice Served?
Please Select
3 days notice to PAY or QUIT
3 day notice to QUIT
3 day notice to PERFORM COVENANT or QUIT
30 day notice to QUIT
60 day notice to QUIT
Upload Notice Served by Landlord or Property Manager
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How many months past due?
Which Months is Tenant Delinquent?
January
February
March
April
May
June
July
Augt
Sept
Oct
Nov
Dec
Past Due Amount (ONLY RENT)
Type of Rental Agreement
Please Select
Lease Agreement WRITTEN Agreement
Month to Month WRITTEN Agreement
Month to Month VERBAL Agreement
No Agreement - Squatters
Upload Rental Agreement
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Any additional information
Submit
Should be Empty: