Est. 2007
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Non-payment New Matter Submission Form

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

Upload file/tenant ledger (optional)

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. Are there any lease renewals?  
a. If so, do you have a copy of the latest renewal?
(if yes, please email or fax)
7. 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, 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. Do any school age children reside at the subject premises?  
13. Is the unit:  
14. If residential, is the unit(check all those that apply):

15. Breakdown of rent non-payment & applicable late fees:
Month-Year Rent Amount Late Fee

16. Additional information to be considered (if applicable):
17. Are there any known pets in the unit, if so please describe and please provide occupant’s phone number (if known):
18. How did you find us?