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XXXXXXXXo[X` hp x (#%'0*,.8135@8:<H?AXo  _  &k%XXX,   J&f%%&kJSiJ&fBeranLawOfficeKJSiԀ#K&w %K#KX* X %K&wԀWXv X XKX*Suite112,5625OSt.,Lincoln,NE68510Phone:4667110FAX:4661950 #W&f% XWXvN##K&w %%W&fn#Ԁ  X   X,XffN&w % %K&wNX* X %N&wyX?X XNX*Client:  %%P%  Ѐ   `     h      p     ZIP x %%P% 5 Contact:   `  Phone:򀀀 h     Cell: p   #NX* XXyX?#yX?X XNX*#y&<%XyX?#yX?X%y&<  FAX x #y&<%XyX?#yX?X%y&<#NX* XXyX?#yX?X XNX*%%P%#y&<%XyX?0# L ff M(43U  ** THISINFORMATIONMUSTBEPROVIDEDBEFOREEVICTIONPROCESSISCOMMENCED **  3 u2   1  .3  ԀOwnerofProperty:%%P%    2   2  .3  ԀOwner'slegalstatus:checkone򀀀CORPORATION򀀀PARTNERSHIP򀀀INDIVIDUAL(S)򀀀LLC   2   3  .3  ԀIfownerisanentity,indicatestateoforganization?%%P% #  2   4  .3  ԀPropertyAddress: `     h      p Apt#     x ZIP%%P% 7  2   5  .3  ԀAuthorizedtenantname(s): %%P% K  2   6  .3  ԀSocialSecurityNumber(s):  %%P% _ 2   7  .3  ԀOtheroccupant(s): `  %%P% s 2   8  .3  ԀCosigner(s): `    %%P% / 2   9  .3  ԀCosigner(s)address:   %%P% C 2   10  .3  ԀLease:checkone(򀀀)Oral(򀀀)Written,numberofmonths p   DATE:%%P% W 2   11  .3  ԀNotice:checkone(򀀀)3day(򀀀)Other h      p   DATE:%%P% k 2   12  .3  ԀSpecifymonthsrentnotpaid:  %%P%   2   13  .3  ԀRent:  Monthlyrate:    h     TotalOwing:     x %%P% " 2   14  .3  ԀHousing:  Subsidyrate:    h     TotalOwing:    %%P% $ 2   15  .3  ԀLatecharge:Monthlyrate:    h     TotalOwing:  %%P% & 2   16  .3  ԀOther:(specify) `     h     TotalOwing:  %%P% '( 2   17  .3  ԀDamages:(specify) `     h     TotalOwing:  %%P% ;* 2   18  .3  ԀPerdiemrent(Monthlyrent30)   h     SecurityDeposit:  %%P% O, 2   19  .3  ԀTenant'semployer:%%P% c . 2   20  .3  ԀComments:%%P% w0 2   21  .3  ԀTypeofservicerequested:checkone h (򀀀)Personal/residential  (򀀀)mail&posting  32 2   22  .3  ԀSecuritybuildingorotherentryinstructions:%%P% !G4 %%P%@%%P% y%y&<IherebyauthorizetheBeranLawOfficetoproceedwiththeabovementionedevictioncase.#y&<%y#  $'"9 ! !lXX,XF` hpx (#%'0*,.8135@8:<H?Xl  F    `     h     %%P% Date  F    `     h     Authorizedsignature  ''%= @T T Attachcopiesofthenoticesandleasestothisreferral%%P% (&? y4%y&<FOROFFICEUSEONLY! )s'@  #y&<%y4#yy'%y&<OurFileNo:  #y&<%yy'#yy'%y&<  `  CaseNumber: h      p TrialDate:   x  󀀀%%P% *(B DE F   Notice `  ORG0   h Served   p   Resetfor: x   (#  @(# 󀀀%%P%%% +)D SS F   _Garn_Ԁ `  EL0   h Outon   p   Resetfor: x   (#  @(# 󀀀%%P%%% ,y*F WR F   _Garn_Ԁ `  Appear h _Agrmt_Ԁ     p Damages:   x  󀀀%%P% -f+H TC F   Other `  _Xwrit_0   h _Jdgmt_Ԁ     p   ContTo: x   (# 󀀀%%P%%% .S,J #y&<%yy'#y4%y&<[`:X,X` hpx%'0*,.8135@8:<H?X,XFXxX`LastrevisedMarch2006 #y&<%y4"#  /@-L XXX3X,XX,X` %X3   yw%y&<BeranLawOffice  EvictionReferralSheetInstruction   #y&<%ywL$#@$yX?X%y&<Tohelpusexpeditethefilingofyourevictioncase,pleaseusethereferralformprovidedbyour D office.Wemakethefilingofnewevictionmattersapriority,andmakeeveryefforttogetacase   filedthenextbusinessdayafterwereceiveit.Werelyontheaccuracyofthereferralformsto   preparethedocuments.Notusingareferralformoromittingkeyinformationmayjeopardizethe L  successofourcaseandmaydelaythefiling. Pleasetypeorprinttheinformation.   d Pleasefillouttheformascompletelyaspossible.Ifwehavetodigtheinformationoutofthe    lease,applicationandnoticesorphoneyouforadditionalinformation,thefilingofyourcasemay l   bedelayed.Inaccurateinformationmayresultinthecasehavingtoberefiledandyoumaybe 4  chargedadditionalcostsandfees.Iftheprocessserverisunabletolocatethepropertybecause L  ofabadaddressorgainaccessbecauseofasecuritydoorwewillsufferdelaysandadditional   costs(andalotoffrustration).    ClientName: Thenameoftheperson(s)responsibleforpaymentofservicesrendered.  l  BillingAddress: Themailingaddresswhereinvoiceswillbemailed. 4  **Also,includethenameofthecontactperson andtheirphone,cellularphoneandfaxnumbers .  #y&<%XyX?%#yX?X%y&< mdefghijkk(04M oL]^_`abcc(00mdefghijkk "L}"2  1  .3  0    OwnerofProperty .Fillinthenameoftheowner(s)oftheproperty,notownerof < managementcompany(unlessthesame).TheownermustbenamedasPlaintiffonany T evictionlawsuits,aswellasthePropertyManagementCompany/Broker.L},Q(#(#   "L}"2  2  .3  0    IftheOwnerisanentity,organizedinsomemannerpleaseindicate(Inc.,Ptr.,LLC).L}I.Q(#(#   "L}"2  3  .3  0    Iftheownerisorganized,indicatewheretheorganizations homestateis.L}O/Q\(#(#   "L}"2  4  .3  0    Address. Identifythepropertyaddress,apartmentnumber,andzipcode.L}U0Q$t(#(#   "L}"2  5  .3  0    TenantsNames. Identifythefulllegalnameswithmiddlenames/initials,ifknown,ofall  <  authorized  tenants.Thenamesofthecosignersaretobelistedonline7.L}S1Q(#(#   "L}"2  6  .3  0    SocialSecurityNumbers. Listallsocialsecuritynumbersoftenants,ifknown. L}2Q|(#(#   "L}"2  7  .3  0    OtherOccupants. Identifythenames(ifknown)ofallotheroccupants(otherthanminor D children)whoresideinthepremises.Althoughthelegalrighttothepremisesisdoubtful,  \ asamatterofpractice,wenamethemandthenthereisnoquestion.L}3Q$ (#(#   "L}"2  8  .3  0    Cosigner(s). Identifyanyguarantor(s)andcosigners,ifany.L}5Q!(#(#   "L}"2  9  .3  0    CosignerAddress. Listtheaddresswheretheguarantorlives.Otherwisetheprocess d" serverwillnotbeabletoservethesummons.L}6Q, |#(#(#   "L} "2  10  .3  0    Lease. Pleasecheckifyouhaveanoralorawrittenlease,andfillinthedatewhen  D$ occupancycommenced.L}7Q! %(#(#   "L} "2  11  .3  0    Notice. Pleasecheckifyouhavedelivereda3daynotice,orcheckOther,andfillinwhat "& typeofnoticewasdelivered.Youmustindicatethedatethenoticewasmailedor L#' deliveredinhandtothetenant.L}9Q$d((#(#   "L} "2  12  .3  0    SpecifyMonth/Year. Namethemonthsandyear(s)thatrenthasnotbeenpaid.L}:Q$, )(#(#   "L} "2  13  .3  0    Rent. Identifythemonthlyrateofrentandthetotalamountofrentonlythatis % * outstanding.Ifyouarereceivingasubsidy,indicatethetotalofthetenantsportionplus l&!+ thesubsidy.(Thiscanbedoneonline14.)L};Q4'",(#(#   "L} "2  14  .3  0    Housing. Identifythemonthlyrateofanysubsidywhichyoumaybereceivingfromthe 'L#- tenant,andifanyisinarrears,pleaseindicatethatamount.Pleasenotethatasubsidy ($. checkacceptedfromanyhousingorganizationforthemonthoftheevictionmayconstitute )$/ awaiverofyourrighttoevictthetenant,pleasecallmeifyouhaveanyquestions.L}|=QT*%0(#(#   "L}"2  15  .3  0    LateCharge .Pleasefillinthemonthlyrateofyourlatecharges.Ifitisadailyratebe +l&1 suretonoteit,otherwiseweassumethatthelatechargeismonthly.Ifitisacombination, +4'2  indicateitassuchforexample$25.00after5th+$25.00after15th. *Note thattheCourt ,'3 normallyonlyallowsamonthlylatechargeoftenpercent(10%)ofonemonthsrent.  Thenfillinlatechargesowingasitappearsonthenoticegiven.L}?Qx(#(#    "L}"2  16  .3  0    Other. Ifthereareanyotherchargeswhichareinthenatureofrentorlatecharges,such @ asgarageorstoragerentalpleaselisthere.L}BQX(#(#   "L}"2  17  .3  0    Damages. Ifthereareknowndamages,pleaseindicate;suchasheatsurcharges,   insufficientfundchecks,maintenancecharges,etc.HavingtheseamountsassistmeifI  havetonegotiatewiththetenantforreinstatementoftheleaseagreement.L}CQ` (#(#   "L}"2  18  .3  0    Perdiemrent. Calculatetheperdiemrateofrent, bydividingthetotalmonthlyrentby ( x 30 andfillinontheblankprovided.Also,indicatethetotalamountofthesecuritydeposit  @ thatyouareholdingforthetenantonthelineprovidedtotheright.*Note,wecannotget    ajudgmentforunpaidsecuritydeposits.L}EQ  (#(#   "L}"2  19  .3  0    TenantsEmployer. Ifknownandverified,pleaseindicatetheTenantsemployer(s),in H   particularsituationswecanservethetenantthesummonsattheemployersaddress `  (additionalcostsmayalsoapply).L}GQ( (#(#   "L}"2  20  .3  0    Comments. Ifthetenanthasmadeanyrumblingsaboutacounterclaim(youhavenot   completedrequestedrepairs,thepremisesdonotmeethousingcodes)orifyouwouldor h  wouldnotreinstatethelease,pleaseindicatethesameonthisline. L}IQ0 (#(#   "L}"2  21  .3  0    Typeofservice. Inordertogetamonetaryjudgmentforrentanddamagesthetenant H  mustbeservedpersonallywiththesummons(personalservice).Ifyoudonotcheckeither  line,Iwillassumethatyoudesirethemailandpostingservice.L}KQ(#(#     0 ` * Ifyouchoosepersonalserviceandthetenantavoidsservice,wewouldhavetoget P thetenantservedbyanalternateservicewhichmayrequirearescheduledtrialdate h andadditionalcourtcostsandattorneyfees.0` (#` (#   0 ` * Ifyoucheckmailandpostingservice,theconstable/sheriffwillattempttomake  personalservicefirst,butontheirthirdattemptiftheyareunabletogetthem p served,theypostitatthepremisesandmailacopytothetenant.Ifthishappens 8 weonlygetjudgmentforrestitutionofthepremise,butnotforrent/damages.P` (#` (#  "L}"2  22  .3  0    Securitybuildingentryinstructions: Itisimperativethatwegivetheconstable/sheriffthe  correctinformationofthepropertytobesurethetenantgetsproperlyserved.ListANY  specialinstructionstohelpinlocatingthetenant.Iftheapartmentnumbersarenotmarked X appropriately,specificentrance,upstairs/downstairs,etc.,theconstable/sheriffwillnotbe  p abletoservethetenant(s),thuscausingdelaysandpossiblymorecosts.L}OPQ8(#(#     0 ` ** Iftheprocessserverisunabletogainentryintothebuilding,theywillnotbe   abletoservethesummonsregardlessofthemethodofservice:personal, x! residential,mailandpost,oralternateservice.@"` (#` (#   0 ` ** Withoutservice,youcannotgetajudgmentforrestitutionofthepremisesnor  X# formoney,youarewastingtheprocessserverstimeandwillbebilledan  $ additionalsheriff/constablefeeaswellasanaliassummonschargeiftheprocess !% serverisunabletogainentry.Moreimportantlyyouwastevaluabletimegetting `"& yourcasetotrial,probablylosing7to14daysintheprocess.(#x'` (#` (#  (TheinformationregardingthetenantisnolongerbeingreportedtoTenantDataServices(_TDS_). % * Clientsareencouragedtoreporttothe_TDS_Ԁorothercreditagency.) H&!+  #y&<%XyX?`+#yw%y&<ItisapleasuretohandlethesemattersforyouandIthankyou,inadvance,for <+&1 yourhelpinmakingourtaskeasier.Thishelpskeepourcostsdown,sothatwe &,v'2 maycontinuetoprovidequickturnaround.#y&<%ywW# #N&w %%y&