Residential / Commercial Eviction - Simone & Blevins

Primary Contact Information

Full Name*

First Last

Phone*

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Client Information

Same As Primary Contact Information

Full Name*

First Last

Phone*

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Tenant / Occupant Information

Number of Occupants Over 18*

Occupant 1*

First Last

Occupant 2*

First Last

Occupant 3*

First Last

Occupant 4*

First Last

Occupant 5*

First Last

Occupant 6*

First Last

Occupant 7*

First Last

Occupant 8*

First Last

Property Address*

Street Address Address Line 2 City State ZIP Code

Unattached Garage / Shed*

Can you access the Garage / Shed?*

Gate*

Yes
No

Gate Code*

I will provide a key / open the gate

General Questions

What type of eviction?*

Residential
Commercial

Have you served a notice?*

Yes
No

I served this notice on*

What kind of Notice was served?*

3 Day Notice to Pay Rent or Quit
3 Day Notice to Perform Covenant or Quit
3 Day Notice to Quit Illegal Acts
30 Day Notice to Quit
60 Day Notice to Quit
60 Day Notice to Quit with Cause
Notice of Abandonment

How did you serve the notice?*

Personal service
Substitute service
Post and mail

What does this mean?
A. Personal service-I handed the notice to one or all adult tenants listed on the notice.

B. Substitute service-I handed the notice to a person of suitable age and discretion that is not a tenant of the premises.

C. There was no one available to accept the notice. I posted the notice in a conspicuous place (on the front door) and mailed it via U.S. mail.

To start your eviction we will need copies of the notice(s) you served, Lease or Rental Agreement, any rent increase, and your rent ledger or records of rent paid to you by your tenant (preferably the last year).

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