Rent Security Complaint Form Page 2
Download a blank fillable Rent Security Complaint Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Rent Security Complaint Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
27.
(a) DATE YOU MOVED INTO APARTMENT:
(b) DATE YOU MOVED OUT OF APARTMENT (if applicable):
(c) TERM OF FIRST LEASE:
to
8.
YOUR APARTMENT IS: (
) Rent Controlled
(
) Rent Stabilized
9.
Date you complained to the landlord:
Person contacted:
By phone:
Letter:
In person:
Other:
10.
Have there been any court proceedings regarding your rent security deposit? (
) Yes (
) No
Has there been any other litigation concerning your apartment? If so, briefly summarize the issues.
11.
If the building has changed landlords during your residence, please list them in order, starting with first. Use your recollection or
your own records (such as rent checks or receipts) to prepare the list. Feel free to add a page if more space is needed.
LANDLORD'S NAME, ADDRESS
PERIOD OF OWNERSHIP
MANAGING AGENT'S NAME,
FROM -- TO
AND TELEPHONE NUMBER
ADDRESS & TELEPHONE NUMBER
12.
Indicate the amount of interest, if any, you have received on your security deposit and the period involved.
SPACE FOR ADDITIONAL INFORMATION, ANSWERS OR COMMENTS:
IMPORTANT: In order to resolve your complaint, we may send a copy of this form to the parties you have named.
In filing this complaint, I understand that the Attorney General is not my private attorney, but represents the public in enforcing laws
designed to protect the public from misleading or unlawful business practices. I also understand that if I have any questions concerning my
legal rights or responsibilities, I should contact a private attorney. I have no objection to the contents of this complaint being forwarded to
the landlord the complaint is directed against. The above complaint is true and accurate to the best of my knowledge.
I also understand that any false statements made in this complaint are punishable as a Class A Misdemeanor under Section 175.30 and/or
Section 210.45 of the Penal Law.
DATE:
TENANT'S SIGNATURE:
CFB003NYC - (rev. 10/12)
2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal