Welcome to Smith & Associates

CASE INTAKE

General description of case (pick one) :

Pay rent or quit
Thirty day notice
Commercial
Cure breach or quit
Thirty day notice from tenant

Property Address
City		Zip/Postal Code

Tenants' Names (Over 18, who signed lease, now in possession):

First Name

Last Name

Middle Initial

First Name

Last Name

Middle Initial

Any of the above in military?

Yes
No

Type of rental agreement:

Written
Verbal
Lease
Month-to-Month

Date notice served

Personal

Sub

Post/Mail

Nonpayment of rent (if applicable):

Balance Due $

What month?

Before submitting double-check the names, dates and the precise amount of rent.