Intake Form | The Eviction Management Company

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Intake Form

Please complete this intake form below if you are ready to get started and wishing to utilize our eviction services. If you prefer to do this over the phone, you may contact us directly at (877) 399-4098.

Full Name *

Name *

First

Last

Company

Lease is in the name of the Company

Yes
No

Address *

Street Address *

Street Address *

City *

State / Province *

Postal / Zip Code *

Country *

Phone Number *

Area Code

Phone Number

Cell Phone Number *

Area Code *

Phone Number *

E-mail *

SECTION TWO: RENTAL PROPERTY DETAILS

Property Address *

Street Address *

Street Address *

City *

State / Province *

Postal / Zip Code *

Country *

Property Type *

Number of Units in Building *

Owner Occupied? *

Tenant1 Name *

First

Last

Tenant2 Name *

First

Last

Tenant Company Name

Management Company Name

Management Company Address

Street Address

Street Address

City

State / Province

Postal / Zip Code

Country *

Management Company Phone Number

Area Code

Phone Number

Tell us about the issue with the Tenant

Tick any that apply *

Non Payment of Rent
Property Damage
Unlawful Occupants
Unauthorized Assignment or Subletting
Destroyed or damaged Property
Lease violation
Unlawfully Holding Over
Need to undertake repairs
Habitability Issues
Drug Dealing at the Property
Not prepared to offer Lease renewal or extension
Tenant refuses rent increase
Other reason

More Details

SECTION THREE: LEASE INFORMATION

Please provide as much information as possible

Type of Lease *

Oral
Written but not signed
Written and signed by Landlord and Tenant

Term of the Lease

Has the initial fixed term expired? *

Date of expiry of initial fixed term *

Month *

Day *

Year *

Rental Amount ($) *

Usual method of rent payment *

I have receipts/invoices for all rent payments

Yes
No

Date of last rent payment *

Month *

Day *

Year *

Move In Date *

Month *

Day *

Year *

SECTION FOUR: EVICTION NOTICE DETAILS

Complete only if you have already sent a final demand/notice

Landlord's Notice to Evict - Tick if you have already served any of the following

3 day notice to pay rent or quit
3 day notice to fix a breach of the lease
30 day notice
60 day notice

Method of Service of Landlord's Notice

Regular Mail
Certified Mail (Delivery requested)
Hand delivered by Landlord
Personal Service
Process Servers
Left at Property (no-one home)
Left at Property (with a tenant)
Left at Property (with someone other than a tenant)
Other

Date of Landlord's Notice

Month *

Day *

Year *

Reason for eviction stated in notice

Non Payment of Rent
Lease Violation
Property Damage
Nuisance
Lease expires and not being offered an extension
Too many people living at the property
Other

Sum Demanded in Notice

Explain how the sum demanded has been calculated

SECTION FIVE: COMPLAINT AND SUMMONS

Complete only if the eviction proceedings have already commenced.

Has the Complaint & Summons been served yet?

Are you aware of any defenses that the Tenant is likely to assert?

Method of service of Complaint and Summons

Date of Service

Month *

Day *

Year *

Amount sued for in Complaint ($)

Tick if any of the following apply

Tenant tendered money since receiving the Notice
Tenant tendered money since receiving the Complaint
Landlord accepted the money Tenant tendered
Landlord refused the money Tenant tendered
Tenant has paid part of the sum sued for
Landlord refused to accept part payment of rent
Landlord seeks to demand penalties for late payment of rent

If you ticked any of the above give further details here

Any additional information regarding your case

Name

Eviction Specialist

Info@EvictionMgmt.co

Main: (877) 399-4098

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