Owner Information
Property Owner's Full Legal Name
Management Company’s Name
Contact Person
Billing Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Telephone No
Email Address
Has the property recently changed Property Management/Ownership or will it during the pendency of this action?
Yes
No
Property Information
Address of Premises
Street Address
City
State / Province / Region
ZIP / Postal Code
Tenant Information
Tenant's Name
Social Security Number
Date of Birth
Co-Tenant's Name
Social Security Number
Date of Birth
Are there unknown persons living in the Premises (John Doe/ Jane Doe)?
Yes
No
Service
Do you want me to post if I am unable to obtain personal service?
Yes
No
posting service = possession ONLY / personal service = money judgment and possession (Please note: if we do not have permission to post, we may not be able to get possession of the property back.)
Amounts Owed by Tenant(s)
What is the monthly amount of rent / fair market rental value?
Rent the Tenant(s) owe
Rent Amount
Month of
Year
Total rent owed
Late Charges
Late Charge Amount
Month of
Year
Total late charges owed
Damages and/or Utilities
* If you are requesting damages, please attach copies of your repair receipts to this Eviction Information Form.
Total Amount Owed
Documents Needed
Do you have a signed Lease Agreement?
Yes
No
If yes, please upload here
Max. file size: 100 MB.
Do you have an updated Payment Ledger?
Yes
No
If yes, please upload here
Max. file size: 100 MB.
Your Payment Ledger MUST match the amounts requested above.
If no, please attach proof tenant has made a past payment (cancelled check, money order, etc).
Max. file size: 100 MB.
Were any notices sent to the tenant?
Yes
No
If yes, please upload here
Max. file size: 100 MB.
Have you filed a police report against the Tenant?
Yes
No
If yes, please attach here
Max. file size: 100 MB.
If this is an Emergency Eviction, please provide a brief description of the incident:
If we obtain a judgment, do you want us to collect the money for you?
Yes
No
*If you answered “Yes” to question 19, please continue to the questions below.
Employment Information
Tenant's Name
Employer's Name
Employer's Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Co-Tenant's Name
Employer's Name
Employer's Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Bank Account Information
Tenant's Name
Name of Tenant's Bank
Bank Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Co-Tenant's Name
Name of Co-Tenant's Bank
Bank Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Documents Needed
Do you have a Rental Application?
Yes
No
If yes, please attach a copy
Max. file size: 100 MB.
Do you have a copy of a Tenant’s check?
Yes
No
If yes please attach a copy
Max. file size: 100 MB.
Final Questions
If I obtain a money judgment, and the above information is outdated, do you want me to search for new employment information and bank account information?
Yes
No
*Attention: There are additional costs involved in running a skip trace (up to $50.00).
Name on credit card
*
First
Last
Payment is due prior to filing any evictions. Your credit card will be billed $467.00. This is the fee for the filing of the case with the court, the court filing fee, the process service fee, and the attorney fee.
Type of credit card
*
Visa
MasterCard
American Express
Discover
Credit card number
*
Credit card billing address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Credit card CSV code
*
3 digit code on back of card or 4 digit code on front of American Express
Credit card expiration date
*
We hereby retain you to commence legal proceedings in the nature of rent and possession against the tenants that we identify from time to time. For each tenant we identify we will provide all information respecting the tenant, identify the property occupied by the tenant, and provide all information respecting unpaid rent, late charges and any additional damages you are to seek. You will file suit in the appropriate court, seeking recovery of possession of the property and recovery of the amounts due from the identified tenant. You are authorized to provide a report of any legal proceedings you undertake on our behalf to McKenna, LLC as our agent. Our agent is authorized to communicate with you respecting any suit you file on our behalf, to provide to you information respecting issues that may arise and to provide you direction respecting trial of a suit, once filed. We understand that we may be required to provide one or more witnesses if a suit proceeds to trial. You have not been engaged to render any other services, including any efforts at collection of a judgment. Any such engagement would require a separate agreement. We acknowledge that communication with unauthorized parties could result in waiver of the attorney-client privilege. We acknowledge that McKenna, LLC, as our agent, may receive communications from you and from us regarding this engagement. We understand and agree that your fees will be based on the number of hours you devote to this engagement, at the rate of $325.00. We will be responsible to pay your fees, which you will invoice to us in care of our agent. We or our agent will advance any filing fee required to bring suit against the tenant. Your fees for filing suit for rent and possession will not exceed $500.00. If trial ensues you will provide your invoice to your agent for additional time and expenses incurred. We may terminate this representation at any time. You may withdraw from this representation for good cause, such as our failure to provide sufficient information for us to carry out your engagement or our failure to pay fees on a timely basis. This is a binding agreement that may not be changed unless in writing signed by you and us.
*
Print Name
Any additional files
Drop files here or
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Max. file size: 100 MB.
