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Red asterisk * Denotes a REQUIRED field or response.
Name of person completing this form: *
Phone of person completing this form: *
Email of person completing this form: *
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Name of the "Owner" of the rental property (the person on the deed) *
Name of the "Landlord" (on lease) if different than the Owner
Rental property information (check ALL that apply) *

This is a commercial rental property This is a residential rental property The property is a single-family home The property is an apartment The owner of this property IS NOT a resident of Arizona The property was built before 1978 The property has a pool or access to a community pool

List each Tenant's: name, age, social security number, date of birth (if known)
Tenants" marital status *

There is only 1 tenant. That tenant IS NOT married There is only 1 tenant. That tenant IS married There is only 1 tenant. I don"t know if s/he is married. The 2 named tenants are married to each other The 2 named tenants ARE NOT married to each other 1 or more tenant is married to someone who DOES NOT occupy the property 2 or more adults occupy the property, but I don"t know if they are single, married to each other, or married to someone else

Are any of the tenants in the military or in the reserves? *

Yes No I don"t know
Name of other Occupants (anyone who did not sign the lease)
If you have any type of "relationship" with one or more tenant or occupant, provide details.

Why do you wish to evict this tenant(s)? (click ALL that apply) *

Nonpayment of rent Material noncompliance Health & safety violation Material and irreparable breach ("immediate eviction")
How much rent is currently owed? (show your calculations) *
Describe the: (1) material noncompliance, (2) health & safety violation, (3) material and irreparable breach, and/or (4) other breach.

I HAVE accepted a partial rent payment this month *

Yes No
Did you have the tenant sign a "Partial Payment Agreement"? *

Yes No
Upload a copy of the "Partial Payment Agreement." If you can"t upload, then fax to 602-255-0431 OR email to Carlton@CaslerLawOffice.com OR Carl@Casler.com
Tell me: (1) how much you accepted, (2) how much was due, and (3) when you received the partial payment.

I HAVE entered into an agreement to sell the rental property to one or more of the tenants *

Yes No
Provide details
I HAVE entered into some type of agreement with one or more of the tenants (besides the lease) Examples: - Buying something from a tenant. - Hiring (and paying) a tenant to perform services. - Some other agreement where you pay money to a tenant. *

Yes No
Provide details

Alternate/Additional Address. If one or more tenant has given you written notice (either in the lease or by sending you a letter) of any address OTHER THAN the rental property address, where they want notices sent, provide that address here:

Have you already served the tenant(s) with a written notice? *

Yes No
Upload a copy here. If you can"t upload, then fax to 602-255-0431 OR email to Carlton@CaslerLawOffice.com

Do you have a written and signed lease with the tenants? *

Yes No
If you have not already sent me a SIGNED and LEGIBLE copy of the lease, then upload a copy here. If you can"t upload, then fax to 602-255-0431 OR email to Carlton@CaslerLawOffice.com
Add "special instructions," if any:
Questions, comments or anything else you want to tell me:
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