Residential Landlord-Tenant Intake Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Preferred Contact Method *EmailPhoneNo PreferenceMarital StatusSingleMarriedSeparatedDivorcedWidowedAre you currently employed?YesNoHow were you referred to us? *Friend or family memberDowns LawAnother Law OfficeOnline search or lawyer directory websiteBillboard, bus stop, phone book, newspaper, or other physical advertisementRadio or TV advertisementBar associationOtherIf we end up consulting you in this matter, will you be the person who pays the consultation fees?YesNoPlease list the opposing party(ies) in your matter, if applicable. (Your Landlord or Tenant's name)If a corporation is involved, please state the company name as well as the names of any principal owners or managers of the corporation.Please describe your Landlord/Tenant matter.This is just a brief summary and it is not required to list all the facts or issues related to your case in this section. You can also attach a word document or .pdf if that is more convenient.Has the landlord made demand for possession? *YesNoNot SureThis is most commonly done by either attaching a demand notice to the premise front door and mailing a copy to the tenant, or personally handing a copy of the demand to a person living within the premises.Have you received any certified mail from the landlord? *YesNoN/AAre you an active duty member of the military? *YesNoAre you current on your rent payments? *YesNoN/APlease attach any documents relevant to your case (summary of the case, copy of the lease, rent ledger, demand notice, contracts, agreements, text messages, emails, etc.) Please attach .pdf files. Click or drag a file to this area to upload. ACKNOWLEDGEMENT AND ACCEPTANCEI acknowledge that I have read and hereby accept the below privacy policy regarding use of my personal information.Privacy Policy: All information received from a client is strictly confidential. We take every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 128-bit SSL encryption.
