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LANDLORD INTAKE FORM

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LANDLORD TELEPHONE NUMBER

LANDLORD NAME AND LAST NAME

LANDLORD STREET ADDRESS

LANDLORD CITY

LANDLORD STATE

LANDLORD ZIP CODE

LANDLORD EMAIL ADDRESS

TENANT NAME AND LAST NAME

TENANT PROPERTY COMPLETE ADDRESS, WITH CITY, STATE, COUNTY, ZIP CODE

MUST BE EXACTLY HOW IT IS ON COMPLAINT UD-100

DAILY RENT

monthly rent devide by 30 (same as on Comlaint #14)

DATE COMPLAINT WAS FILED

LOOK AT DATE STAMPED ON COMPLAINT

JUDGMENT DATE

LOOK AT THE DATE STAMPED ON JUDGMENT

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