Immediate Free Phone Consultation: (855) Evict-NY

Est. 2007

Holdover New Matter Submission Form

Please fill in the form below and an attorney will contact you shortly:

Upload file/tenant ledger

1. Date:*
2. Contact Person/Client:*
3. E-mail:*
4. Telephone:
5. Tenant(s) and/or Occupant(s) name(s) you are seeking to evict:*
6. What is the tenant's address (with specific apartment or unit number, if applicable):
7. Was there EVER a written lease with anyone listed in question 5 above? Yes  No
a. Was there ever a written lease renewal? Yes  No
8. If you answered "NO" to #7 - was there an ORAL rental agreement? Yes  No
a. What was the term of the agreement (i.e. month-to-month, week-to-week, etc.)?
9. What is the current monthly (or weekly) rent amount?
10. How old is the oldest tenant or occupant (approximate, if nec.)?
11. Is any tenant or occupant suffering from any mental or physical disability?
12. Reason for case: Expired Lease  Behavioral Issues  Other (Please explain)
13. Commercial or Residential Unit: Commercial  Residential
14. If residential, the unit is (checkall those that apply):
Rent Stabilized Rent Controlled Co-op Condo Free Market
Section 8 (NYCHA HPD Other ) Subsidized-Other (please explain below)
15. Breakdown of payments & applicable late fees due:
Month-Year Rent Amount Late Fee

Additional information to be considered (if applicable):

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