Eviction Request Form

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Return to
Email
or Fax 1-888-870-0141
Failure to provide complete and accurate information on all forms
may result in an unsuccessful eviction.
Name(s) of owners of the real property _____________________________________________________________
Is there a sub-tenant?
yes
no
Is the tenant a prior owner of the property?
yes
no
Is there an option to purchase?
yes
no
Is the property being sold?
yes
no If so, to whom and the anticipated closing date. _____________
Landlord Contact person name and contact info
NAME____________________________ PHONE Home _____________ Cell _____________
ADDRESS _____________________________________ CITY ________________ ZIP ___________
EMAIL ___________________________________ FAX# _____________ A fax number is required by
law for residential tenancies. If you do not have a fax number see
.
How did you find us?
RHA
Web Search
other
_______________
I have served
I want your firm to serve
TYPE OF NOTICE:
Pay or Vacate
Terminate Tenancy (month-to-month)
Comply or Vacate
IS THERE A LOCKED ENTRANCE TO (NOT IN, JUST TO) THE FRONT DOOR OF THE UNIT?
YES
NO
__________
If so, please provide a key or code.
DOES THIS TENANCY INVOLVE A PURCHASE?
YES
NO
ARE THE BUILDING AND UNIT PROPERLY MARKED?
YES
NO
i.e. – Can a sheriff's deputy locate it without guesswork? (They won't guess. You will start over.)
ARE ANY OF THE RESIDENTS IN THE MILITARY?
YES
NO
Monthly rent $_____________ due on the _______ day of the month
Late Charge: $______________on the _______ day of the month and $______ per day thereafter
$ __________
TOTAL CLAIMED ON 3DAY
TENANCY IS:
Month to Month
Lease - last day of lease is ______________
Section 8?
NO.
YES. If yes: Section 8 contact ____________________ tenant’s portion of rent $_______
__________
____________________________________________
Total rent owing $
Itemize by month:
__________
____________________________________________
Late Charges of $
Itemize by month:
Has tenant complained about conditions of the premises? If so, describe in detail.
____________________________________________________________________________________
Address of Rental Property – This MUST be accurate. Ex: 101 Main Street NE
is NOT
the same as 101 NE
Main Street, nor is 101 NE Main Court. Even a slight error in the address may necessitate the entire process
being repeated at your expense.
__________
Address _____________________________________[street address],
[city] Washington
_______
__________
[zip code]
Unit number if there is one.
(If the tenant rents only a bedroom, mother-in-law
apartment, etc., arbitrarily assign a unit number to the tenant’s room.)

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