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Free Case Review - Renters' Rights

Renters' Rights Main | THE RLTO and other laws

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Required fields are marked with an asterisk (*).

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Free Case Review Information
Reason you are writing/contacting our firm:
*First Name:
*Last Name:
** Daytime Phone:
** Home Phone:
** Cellular Phone:
** At least one phone number is required
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What is the best time to reach you?	daytime (9a-5p) evening (after 5p)
Address:

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Zip:
Referral Source:
If other, please specify:
Apartment Information
Address:

City:
State:
Zip:
Does your landlord live in the building?	No Yes
Does the apartment building have more than 6 units?	Yes No
Landlord Information
Landlord Name:
Address:

City:
State:
Zip:
Rent and Security Deposit Information
Still Living There?	Yes No
If no, when did you move out?
How long have you (or did you) lived in the apartment?
Amount of Rent: $	/Per Month
Month-to-Month Lease?	Yes No
Lease Start/End Dates:	TO
Lease in Writing?	Yes No
Amount of Security Deposit: $
Did you receive the ENTIRE Security Deposit Back?	Yes No N/A
If no, how much was deducted? $
Did you get receipts and/or estimates for amounts deducted for repairs?	Yes No N/A
Did you receive annual interest on your security deposit?	Yes No