79 West Monroe Street
Suite 1020
Chicago, Illinois 60603
Phone: (312) 726-0036
Fax: (312) 853-0476

RESIDENTIAL EVICTION DATA SHEET

Client:

Contact Name:

Full Address:

Business Telephone:

Fax:

Home Telephone:

Other Telephone:

Plaintiff:

Tenant:(Name All Over 18 Yr)

Plaintiff Address:

Monthly Rent:

Due Date

Amount Owing:

For Months:

Security Deposit Pd:

Lease Termination Date:

Type of Notice Given:

5 Day
10 Day
30 Day
60 Day
Waiver

Date of Notice:
(Actual Day It Was Served)

Who Served the Notice:

Tenant Working?

Yes
No

Access Info For Sheriff:

Best Time to Serve?

Name/Apt Of Resident Janitor/Tenant:

Easier To Serve On Job?

Yes
No

Work Hours:

Job Info:

Company:

Title:

Address:

Phone:

Supervisor:

Section 8 Tenant?

Tenant Withholding $ For Repairs?

Yes
No

Ok To Drop $ For Possession?

Yes
No

Posting Or Alias If Summons Not Served?

Yes
No

* Please enter the security code shown below:

Captcha Image