Eash Law, P.C.
114 South Main Street
Middlebury, IN 46540
(574) 825-9665
Please fill out the information below and hit submit. By submitting the following you agree that EASH LAW, P.C. will begin the process of drafting an eviction and you will be responsible for all charges to your account. By submitting you also agree to allow Graber Law Firm, P.C., or Eash Law, P.C. to store an electronic signature for you and sign the documents on your behalf.
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What is the name of the tenant(s) who you are evicting? (Please list names as John Doe and Jane Doe)
What is the street address for the rental unit you wish to regain possession over?
What is the city, state and zip code for the rental unit you wish to regain possession over?
What is the reason you are evicting the tenant(s)?
Failure to Pay Rent
Damage to Property
Failure to follow terms of lease agreement
Failure to leave property after being given proper notice from owner
What is the total dollar value of debt owed to you as of today's date? (Please fill in number such as $3,599.25)
If successful in this action, do you wish to pursue a judgment for damages against the tenant(s)?
Yes
No
Do you have a signed lease agreement from the tenant? If so, please upload a copy here.
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Do you have an account ledger for the tenant showing past payment history or lack thereof? If so, please upload here.
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Have you sent the tenant a notice to quit? If so, please upload a copy here.
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What is the date of the last payment made by the tenant(s)?
What was the amount of the last payment made by the tenant(s)?
When was the notice to quit delivered?
What is the amount of rent due on this rental unit per month?
Have you offered the tenant(s) information on how to attain rental assistance from the government prior to filing your notice to quit?
Yes
No
Do you have any additional information to provide to the court regarding the eviction of the tenant(s)?