Landlords Name as it appears on Lease
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First and last name of First tenant as it appears on the lease
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First and last name of Second Tenant as it appears on the lease. (If more than 2 tenants , you will need to hand write it after printing out.)
Property address (as shown on the lease):
Street Address
Unit Number (if any)
City
State / Province
Postal / Zip Code
Other Known Tenant Addresses (If Applicable) Same property address as listed on the lease:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Move-In date: Month and Day
Move in Year:
Month of Missed Payment :
Year of Missed payment:
Total Lived-Up Back Rent: $
This can be found on the Court information and lived up back rent pdf you just received
Daily Rent Rate: $
This can be found on the Court information and lived up back rent pdf you just received
Tenant's Monthly Rent Amount: $
Government Monthly Contribution (if subsidized): $
Total Rent Amount: $
Check this box if you are seeking only possession of the property and no monetary award after printing out document.
Possession Only
What day was the 3 day notice sent:
What Month was the 3 day notice sent:
What year was the 3 day notice sent:
Your email address:
example@example.com
1st Defendant’s Phone Number:
Please enter a valid phone number.
1st Defendant’s Email Address:
example@example.com
2nd Defendant’s Phone Number:
Please enter a valid phone number.
2nd Defendant’s Email Address:
example@example.com
Owner’s Mailing Address:
Street Address
Unit Number (if any)
City
State / Province
Postal / Zip Code
Landlord's Phone Number
Please enter a valid phone number.
***DO NOT SIGN THE PETITION UNTIL CLERK ASKS YOU TO !!
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