Occupancy Account Eviction Directions: this form must be filled out in its entirety! Please write “N/A” if unknownName, Email, Phone # and Address of the Owner, Apartment Complex, or Rental Agency:Name and Current Address of the Tenant:Social Security Number of Tenant: Tenants Employment, Address and Phone Number:Number Amount of Rent Due:Pays Thru: Late Charges: Rate of Rental: Date of Initial Occupancy: MM slash DD slash YYYY Do You Have a Lease? Yes No (PLEASE INCLUDE A COPY) If No, Have You Sent Written Notice? Yes No (PLEASE INCLUDE A COPY) IMPORTANT: In the event we are unable to obtain personal service of process after three (3) separate attempts at serving the tenant, do you authorize us to POST FOR POSSESSION? Yes No (Posting the door gets a court date faster, but does not guarantee a monetary judgment) Δ
