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Request for Services/ Commercial Rent Collection Regarding the Commercial property at: _______________________________________________ Landlord’s Name:
___________________________________________________________________ Landlord’s Address: _______________________________________________________________________________(Correct address exactly as it appears on the lease agreement) Name of the Tenant:
________________________________________________________ Address of the Tenant: ____________________________________________________________ Amount outstanding (How much do they owe?) $_____________________ Due the___________(day) of the month.How many months does this represent? _______________________________________________ What does this amount consist of? ____________________________________________________ (Rent, Taxes, Common area costs, Utilities?)_____________________________________________ Is there a lease in force now? Yes _____ No______ Was there a Lease, now expired? Yes____ No____ what date did it expire? ________________ Does the lease require you to "Give Notice(s)"? Yes ____No__________ Is the Rental, month to month? Yes ______No_______ Have you received any monies this month? _________If yes, How much? ____________________ Who should be contacted for Landlord instructions or reports? _____________________________ Name__________________________________Phone_______________Fax_____________________ Address ________________________________________E-mail______________ Postal code_______ A retainer will be required. We agree to your charges at $85.00 per Hour and as the landlord we will be responsible for these costs and your necessary disbursements. Acknowledged and Signed ____________________________________Title____________________ Note, if you are unsure of the answer to the above questions call the office, or fax copy of the lease with this form.
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Fax to: 604 590-3548