Law Office of Lin Wang
Security Deposit Evaluation Form
Thank you for your interest in our security deposit contingency program. This form is intended solely for consultation purposes. By submitting, you agree to voluntarily provide any additional information that may assist us in evaluating your situation. Submitting this form does not constitute legal advice and does not create an attorney-client relationship. Completion of this form does not guarantee legal representation.
Your Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Are you a tenant seeking the return of your Massachusetts security deposit?
*
Yes
No
Landlord's Name
*
Security Deposit Amount
*
First Month's Rent
*
Did you pay last month's rent upfront? If so, enter the amount here.
Did you receive a receipt with all of the following: (1) name of the bank, (2) address of the bank, (3) amount of the deposit; (4) the account number; and (5) amount of interest payable within 30 days of depositing the money?
*
Yes
No
Unsure
Was your deposit placed in an interest-bearing account?
*
Yes
No
Unsure
Did you receive annual interest on your security deposit?
*
Yes
No
Unsure
When did you move in?
*
-
Month
-
Day
Year
Date
Have you moved out of the property?
*
Yes
No
Did you have a lease?
*
Yes
No
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When did your lease end?
*
-
Month
-
Day
Year
Date
Upload a copy of your lease here:
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When did you move out?
*
-
Month
-
Day
Year
Date
Has it been more than 30 days since you moved out? (Please note: we do not schedule consults until it has been over 30 days since moving out.)
*
Yes
No
Have you received any communication from your landlord about your security deposit since moving out?
*
Yes
No
When did you receive the communication?
It was sent/postmarked within 30 days of the termination of the tenancy
It was sent/postmarked after 30 days of the termination of the tenancy
I have received no communication
Did you move out pursuant to an eviction/court order or agreement for judgment?
*
Yes
No
Did you take photos or videos of the apartment when moving out?
*
Yes
No
Unsure
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Please enter the docket number of the eviction case:
*
Please upload any relevant documents, such as the agreement for judgment:
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Did the communication contain (check all that apply):
*
Itemized damages
Receipts or invoices
Signature under penalty of perjury
Check all that apply:
*
The charges were for normal wear and tear
The charges were for cleaning
I disagree with the deductions
Other
Please explain:
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Have you already reached out to your landlord or demanded the return of the security deposit?
*
Yes, only verbally
Yes, via email or text
Yes, I sent a demand letter
No
Please upload the communications between you and your landlord.
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Please add any information that you think is relevant:
Please upload any other files you think may be relevant:
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How did you find us?
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Should be Empty: