Est. 2007

Non-payment New Matter Submission Form - WITH UPLOAD TENANT LEDGER OPTION

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. Phone Number:
5. Do you have a copy of the original lease?
(if yes, please be sure to email or fax)
6. Was there ever a written lease renewal?  
a. If so, do you have a copy of the latest renewal?
(if yes, please email or fax)
7. If you do not have a copy of the original lease or latest renewal, please list the names of all occupants residing at the subject unit (only list people 18 years old and older):
8. If you do not know names of particular occupants in question 7 above, please list those people below via sex and age (example: male, 26; female, 22):
9. Full address of unit you are seeking to regain possession of including unit (if you are seeking to recover a room, please be sure to note):
10. How old is the oldest occupant of the unit?  
11. Is any occupant suffering from any physical or mental disability?  
12. Is the unit:  
13. If residential, is the unit(check all those that apply):

14. Breakdown of payments & applicable late fees due:
Month-Year Rent Amount Late Fee

15. Additional information to be considered (if applicable):
16. Are there any known pets in the unit, if so please describe and please provide occupant’s phone number (if known):