Eviction Intake Form

Eviction Intake Form
Name of Landlord*

First NameLast Name
Landlord Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Landlord Phone Number (We will never share, trade, or otherwise sell your personal information such as phone numbers and SMS consent to third parties under any circumstances.)*
Please enter a valid phone number.
Would you like to opt-in for text communications? (By checking this box, you agree to send and receive SMS from Eviction Force.)

YesNo
Landlord Email
example@example.com
Property Address to EVICT:*

Street Address

Street Address Line 2

CityState

Zip Code
Unit/Room/Lot Number (Please Specify Whether it is a Unit, Room, Lot, Etc.)
Number of Bedrooms*
How is the Landlord Vesting Title?

IndividualTrustLLCCorporationOther
Property Types

Studio RoomsSingle HouseCondoTownhouseMulti-HomesVacation HomesCabin TypeOther
Reason(s) for Eviction?*

Nonpayment of RentTermination of TenancyLease Violation (Smoking, Vandalism, Keeping Illegal animals, Subletting, etc.)Tenant(s) Committing FelonyMultiple Noise ComplaintsDamage to PropertyForeclosure Hold Over (Previous Owner Lost the Home to Foreclosure)NEW OWNER purchased home with tenants living in thereUnclearOther
How Many Tenants to Evict Are on the Property? (18 or Older)
Name of Tenant to Evict

First NameLast Name
Name of Tenant #2 to Evict

First NameLast Name
Name of Tenant #3 to Evict

First NameLast Name
Name of Tenant #4 to Evict

First NameLast Name
Name of Tenant #5 to Evict

First NameLast Name
Date Tenant(s) Moved In

MonthDayYear
Date
Has the Tenant(s) Been Served an Eviction Notice?
Which Was the Type of Notice Served?
Upload Notice Served by Landlord or Property Manager

Cancelof
Monthly Rent
Past Due Amount (Only Rent)
How Many Months Past Due?
Which Month(s) is the Tenant Delinquent?

JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
Type of Rental Agreement
Length of Rental Agreement (One Year, 6 Month, Etc):
Upload Rental Agreement

Cancelof
Any additional information?
Should be Empty: