December 15, 2018

Cohen Hurkin Case Intake Sheet


For Current Clients Only

Res/Comm*
Bill To:*
Billing Address:*
City, State Zip*
Phone*
Fax
Email
Landlord (On Lease)*
Tenant*
Tenant #2
Occupant #1
Occupant #2
Tenant Address*
Tenant Apt #*
Tenant Floor
City, State Zip*
Lease Type*
Rent Due On*
Rent Per Month*
Section 8 Portion
Building Rental Status*
If Decontrolled, Why?
Decontrolled Reason Other
Managing Agent*
Managing Agent Address*
  Note for Total Arears: Do not include legal fees, late fees, section 8, etc
Total Arrears*
Extra Charges
  Enter Monthly Arrears Breakdown
Monthly Arrears
Initial Action*

If nothing happens, you omitted required input.
Disclaimer: The Law Offices of Cohen Hurkin Ehrenfeld Pomerantz & Tenenbaum, LLP, provide the information found on this web site for informational purposes only. It is not intended to, and does not, constitute legal advice or a legal opinion. Nor does it create an attorney-client relationship between The Law Office and any viewer of the site. You should not act or rely upon any information that you obtain from this site without first seeking the advice of an attorney regarding the facts of your specific situation. The information on this web site is intended to be accurate and current. We do not promise or warrant, however, that the information that you find here is complete, accurate or up-to-date.
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