Puckett & Redford P.L.L.C.

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Eviction Intake Form

PLEASE START EVICTION PROCEDURES:

Name of Apartment Complex:

manager:
phone:
email:

Name of Tenant(s):

	First:	MI:	Last:	DOB:	SSN:
Person (1)
Person (2)
Person (3)
Person (4)
Person (5)

please check rental agreement or application and include middle initial, date of birth, and SSN of ALL ADULTS

Tenant Address:

street:
city/zip:

901 5th Avenue, Suite 800
Seattle, WA 98164
(p) 206.386.4800
(f) 206.233.8166
(e) info@puckettredford.com

Email Directory:

•  Randy Redford, Attorney
•  Mike Walsh, Attorney
•  Lauren Novack, Attorney
•  Traci Nash, Office Mngr.
•  Bree Nelson, Paralegal
•  David Bockenkamp, Paralegal
•  Gwen McCall, Paralegal
•  Laura Schwager, Paralegal
•  Tami Larican, Accounting
•  Mallory Muna, Office Asst.

ARE ANY OF THE RESIDENTS IN THE MILITARY OR DEPENDANTS?

yes no

TYPE OF NOTICE:

3 Day Pay or Vacate
10 Day Comply
14 Day Pay or Vacate (Public Housing)

3 Day to Quit for Possession without Permission
3 Day Nuisance, Waste, Illegal Use/Drugs
20 Day Terminate

NOTICE SERVED ON:

NOTICE SERVED BY:

Handing a copy personally to the Resident
Handing a copy personally to someone who answered the door and mailing a copy
After knocking and recieving no response, posting a copy on the door and mailing a copy

TENANCY IS:

Month-to-Month
Lease - last day of lease is:

tax credit
Section 8 - Market Rent is:
tenant's portion:

FINANCIALS:
Base monthly rent:
due on the:	day of the month
Late Charge:
charged on:	day of the month

Other charges:
parking:
util:
Other:
description:

Total rent owing:
current:
past due:

Late charges:

as of:

Other charges:

fee for notice:
TOTAL DUE:

RELATED DOCUMENTS: (optional uploads, but we will need copies of these documents before we can proceed)

(copy of notice)

(copy of lease)

(copy of application)

(payment history)

206.386.4800
901 5th Ave, Suite 800
Seattle, WA 98164