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Advising Intake Form
Your Information
Name:
*
Phone:
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UCSC Email:
*
You are:
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UCSC Student Tenant
Landlord
UCSC Faculty
UCSC Staff
Other
Other:
Names of Others Involved
Name of Landlord or Property Manager:
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Principal Tenant:
Housemate(s):
Rental Details
Subject Property Address:
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Length of stay (and move out date, if applicable):
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Rent Amount:
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$
Your Portion of Rent:
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$
Deposit Amount:
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$
Your Portion of Deposit:
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$
What kind of rental agreement do you have?:
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Written lease
Written month to month
Verbal
None
If shared housing, how many housemates?:
Primary Issue
What is your primary issue?:
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Security deposit dispute (If yes, answer Security Deposit Dispute Supplemental Questions)
Rental agreement
Maintenance
Communication
Breaking lease
Privacy rights
Housemate vs. housemate
Habitability
30-day notice
3-day notice
Other:
Please describe the circumstances in detail.
Be specific about individuals' actions, rather than describing them with adjectives and adverbs.:
*
What is your question?:
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Word verification:
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