Please enable JavaScript in your browser to complete this form.Deeded Property Owner(s) *Property Address *FirstLastUnit and ZipcodeFirstLastDo you have a current Rental Registry or Certificate of Compliance from the City of Syracuse for this property? (Check here: https://ips.egov.basgov.com/syracuse/parcelsearch.aspx) *YesNoN/A (Property not in City of Syracuse)Access Code or Key Required for Common Area *Yes - Access Code (Provide door code in Special Notes section)Yes - Physical KeyNoAll Occupant Name(s) *FirstLastTenant NamesFirstLastTenant NamesFirstLastType of Lease *Oral LeaseWritten LeaseSection 8 Assistance? *YesNoLease Start Date *Monthly Rent Amount *Have you applied for and/or received Rent Relief, ERAP or LRAP for this Tenant? *YesNoUnsurePayments in Arrears *FirstLastFirstLastFirstLastFirstLastFirstLastFirstLastFirstLastFirstLastFirstLastFirstLastFirstLastFirstLastChoose One: *I just want the tenant(s) out, do not make a "Pay to Stay" dealYou may make a "Pay to Stay" dealChoose One: *In an effort to speed up the eviction process, I am willing to waive monetary judgment against the Tenant in exchange for an Eviction WarrantI am not willing to waive judgment against the TenantSpecial Notes:Contact Info for Party Submitting Form: *FirstLastCompanyE-Mail Address *Telephone Number *Submit