This form is intended for landlords.
Please complete the applicable portions of this form. The more thorough job you do now the faster we can help.
Your Name:
_________________________________________________________________
Your Address:
_______________________________________________________________
State &
County where you live
_________________________________________________
Phone Number: ___________________ (office)
____________________ (home)
Fax Number: ______________________
E-mail address: _________________________
If you are a new client - who referred you to our office: _______________________________
If applicable, your company's name, address and contact
information. This would be applicable if the debt is
owed to your company, not to you personally.
Full Name of
your company (if this is a corporation/LLC indicate
state of incorporation)
____________________________________________________________________________________
Company Address:
_______________________________________________________________
State &
County where company does business
_________________________________________________
Phone Number: ___________________ (office)
Fax Number: ______________________
E-mail address: _________________________
Full Name of
your property manager, if any.
____________________________________________________________________________________
Company Address:
_______________________________________________________________
Phone Number: ___________________ (office)
Fax Number: ______________________
E-mail address: _________________________________
Full Name of the Debtor(s) ______________________________________________________________
Bankruptcy Case Number: _______________________ Has the debtor filed other bankruptcies? ( ) yes ( ) no
Check the
appropriate box if any of the following were pending a the
time the bankruptcy was filed:
___ a trustee's sale (fill out top information and
numbers 1, 2 and 3)
___ judicial foreclosure (fill out entire form, except
number 4.)
___ forcible entry and detainer
___ garnishment
If you know,
what you need our firm to do?
___ a motion for relief from the automatic stay
___ a proof of claim
___ objection to Plan of Reorganization
___ objection to discharge
___ general review of bankruptcy issues
___ attend creditor's meeting (341(a))
___ Other -
_____________________________________________________________________
For landlords of
real property: Please provide this
office with the following documents, if they exist:
If the landlord is a company - a signed resolution giving the agent for the company authority to sign the necessary documents to proceed with this legal action. Make sure to identify the person authorized to sign the documents and their position with the company.
Copy of the signed Lease (with recording information, if applicable)
Copy of any assignments or modifications of the Lease (with recording information, if applicable).
Copy of all demand letters for payment, or responses from tenant(s) or their agents, lawyers, etc.
Copy of the forcible entry and detainer and judgment/order, if applicable.
Itemized statement of debt as of the date the bankruptcy was filed.
Copy of letter to your property manager authorizing their release of information to my office.
Retainer of $500
(uncontested motion for relief), plus filing fee of $150.00 = total of
$650.00.
In addition we need the
following information:
Location or address for the property
(include City and zip code):
___________________________________________________________________________________
County where the property is located _____________________________________
Is the property 5 raw land 5 residential property 5 commercial property
Is there a sub-tenant in the property? 5 yes 5 no 5 I do not know
If there a default under the Lease? 5 yes 5 no If so what: _________________________________
Has a forcible entry and detainer been filed? 5 yes 5 no If so what is the court case number: ________
If the tenant is responsible for real property taxes are they current? 5 yes 5 no 5 I do not know
If the tenant is responsible for insurance on the property is that current? 5 yes 5 no 5 I do not know
Name and address of the
current tenants or guarantors, if not the property
address:
________________________________________________________________________
The last payment received (amount, date and
what month that payment was applied to)
________________________________________________________________________
What is the total amount of rent due each month?
_____________________
Fees for maintenance, common areas,
etc _________________________
Fees for legal services paid thus far
$_____________________________
Have you made any oral or written
agreement(s) with regarding to accepting late or partial
payments? If so, what, when and
how?
_________________________________________________________________________
_________________________________________________________________________
Have you received any bad funds from this
tenant in the last 24 months? If so, how often?
_________________________________________________________________________
Any
problems that you know to exist (including litigation):
______________________________________________________________________________
_________________________________________________________________________
Information about the
property manager, if any.
Name:_________________________________, Address_________________________________
Phone: ___________________ Fax: __________________ Account number:
_______________
____ Check here if you are servicing your own loan.
If any litigation,
including forcible entry and detainer is pending, or has completed, we
need information about the attorney.
Name:_________________________________, Address_________________________________
Phone: ___________________ Fax: __________________ Court case number:
_______________
After we receive this information we will prepare documents. We cannot start the process until we have received this information and a retainer of $750.00. The more thorough you are in filling out this information the faster the process can be started.
If this is a motion for relief there will be a 5 day demand letter sent to the Debtor and Debtor's attorney.
VERY IMPORTANT NOTES:
IT IS EXTREMELY IMPORTANT THAT YOU DO NOT TALK TO THE DEBTOR or THEIR ATTORNEY.
IS IS ALSO EXTREMELY IMPORTANT THAT YOU DO NOT ACCEPT ANY MONIES FROM THE DEBTOR WITHOUT FIRST TALKING TO THIS OFFICE.
MAKE SURE TO TALK TO ME ABOUT KEEPING ALL PAYMENTS TO LIEN-HOLDERS CURRENT - THIS MAY OR MAY NOT BE A GOOD IDEA.
MAKE SURE THAT YOU KEEP TRACK OF ALL MONIES YOU SPEND. IF YOU EXPECT TO RECEIVE A REFUND OF THESE MONIES YOU MUST INCLUDE THEM IN THE FIGURES YOU PROVIDE US IN THIS FORM OR A LATER AMENDMENT.