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

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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
Total Amount Owing $ NOTE: RTDRS prefers that the actual ledger showing the rent payments be attached to the Statement of Evidence. I am applying for damages for breach of the tenancy agreement for the following reasons (All costs incurred due to the breach, rent is not included in this section): Total Amount Claimed is: $__________________________ I am applying to terminate the tenancy and obtain an Order of possession for the following reasons: The requested possession date is: , 2009. I am applying for compensation for the time the tenant has remained in the premises after they were to have vacated. The amount claimed is $ /day (monthly rent X 12 months / 365 days). Attached as Item “ “ is _____________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Attached as Item “ “ is _____________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Attached as Item “ “ is _____________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ If more space is needed for additional items you may attach another page to this application. Dated this_________ of _____________________, 2009 ____________________________________________ Signature of Landlord/ Landlord’s Agent ________________________________ Please print name
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Landlord's Notice of Hearing for Possession of ... - Service Alberta

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