Landlord's Notice of Hearing for Possession of ... - Service Alberta

Landlord’s Statement of Evidence
A copy of the tenancy agreement is (check the appropriate box):
Attached and labelled as Item “A “
There is no written tenancy agreement
Other (specify) .
Termination of the Tenancy (check one of the appropriate boxes below):
The Tenant was served with a Notice of Termination and I am applying to have the termination date
confirmed by the Tenancy Dispute Officer. Complete Sections 1 and 2.
The fixed term tenancy has expired and the Tenant has failed to vacate the premises as of
(enter the date the fixed-term tenancy expired). Complete Section 2 only.
I am applying to terminate the tenancy. (A Notice of Termination has NOT been served on the Tenant)
Complete Section 2 only.
Section 1
The tenant was served with a:
14-day notice of termination for substantial breach
24 hour notice of terminate for significant damage, physical assault or threats to assault the
Landlord and/or other Tenants
Other: Please specify the notice served
Attached and labelled as Item “
“ is the Notice of Termination (most recent notice) that was given to the
tenant by __________________ ________________at am / pm on ,
2009. The Tenant was / is to vacate the premises by , 2009.
The requested possession date is: , 2009.
Section 2
The premises is a residential
House main floor basement suite rooming house
Apartment
Condo/townhouse
Hotel, motel, motor hotel, resort, etc. (longer than 6 months)
Mobile home (tenant does not own the trailer)
Other
Rent per month $ .
Attached and labelled as Item “
charged, paid and owed by the Tenant OR
“ is a statement of account that truly reflects the amounts
The following (Table 1 below) is a statement of account/ledger truly reflecting the amounts charged, paid, and
owed by the Tenant(s).
Table 1:
Table used for rental arrears ONLY; for all other charges please use damages for breach section. Please use
a running total.
Date Item Amount Charged Amount Paid Amount Owing