Scribd Logo
Upload

Welcome to Scribd!

  • 1K views

    Eviction Fill-Out Form1

    Uploaded by

    api-455118064
    The document contains a 10 question survey about a rental property located at 1021 S. Union Ave in Los Angeles, CA. It asks for details like rent amount, security deposit, move in/out dates, names of adults living there, and any issues experienced or injuries caused by the property's conditions. The questions are seeking information to address problems with the rental.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content

    You might also like

    Eviction Fill-Out Form1

    Uploaded by

    api-455118064
    1K views2 pages
    The document contains a 10 question survey about a rental property located at 1021 S. Union Ave in Los Angeles, CA. It asks for details like rent amount, security deposit, move in/out dates, names of adults living there, and any issues experienced or injuries caused by the property's conditions. The questions are seeking information to address problems with the rental.

    Original Description:

    Original Title

    eviction fill-out form1

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    The document contains a 10 question survey about a rental property located at 1021 S. Union Ave in Los Angeles, CA. It asks for details like rent amount, security deposit, move in/out dates, names of adults living there, and any issues experienced or injuries caused by the property's conditions. The questions are seeking information to address problems with the rental.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    1K views2 pages

    Eviction Fill-Out Form1

    Uploaded by

    api-455118064
    The document contains a 10 question survey about a rental property located at 1021 S. Union Ave in Los Angeles, CA. It asks for details like rent amount, security deposit, move in/out dates, names of adults living there, and any issues experienced or injuries caused by the property's conditions. The questions are seeking information to address problems with the rental.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 2

    FILL OUT EVERY QUESTION

    10 QUESTIONS TOTAL
    1. Property address:1021 s.union ave, LA,ca90015

    2. Move in date: around 6 months ago

    3. Move out date if you are no longer in the property: still living in

    4. Rent $ amount:$800/month including all utilities and wifi service,but wifi


    got cut off

    5. Security deposit $ amount:$200

    6. If you have moved out of the property did you get the security deposit
    back?

    7. Summary of issues experienced with the property in chronological order

    8. Names of all adults (over 18 years old) living in the property with you.
    9. Name of individual / company where you paid rent

    10.Physical & Mental injuries caused by the property’s living conditions

    a. Names & dates of doctors visited.

    b. Names & dates of hospitals visited.

    c. Names & dates of urgent care visited.

    d. Name & dates of medicine taken for illness caused by the property.

    You might also like