Cirincione Law Group, PLLC

40 Wall Street, 32nd Floor
New York , NY 10005

7182184406‬

Thank you so much for contacting our law office! Please read the privacy policy below and then fill out this form in its entirety prior to our consultation.

Privacy Policy

All information received from a client is strictly confidential. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 256-bit SSL encryption.

Your Social Security Number and other personal information will only be used in the event that you hire the firm to represent you in your legal matter, and then only when necessary in limited use during the course of your case.

Social Security Numbers are most often used to positively identify parties. Most courts require Social Security Numbers of all parties in a case. Some other examples of how this information may be used include:

initial service
in court orders
in required reports or other documents filed with the State

If you have any questions, please don't hesitate to contact our law office. We look forward to working with you!

Contact information: Communication

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Date of birth

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Upon submission, a copy of this form will be sent to the primary email.

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Preferred Payment Method:

Ex: Zelle, Credit Card, ACH Debit, Check

Preferred Communication Method:

Call, Email, Text Message

Is the unit rent stabilized? If yes, I am unable to take this case.

What is your ultimate goal?

Eviction? Paid Back? Other?

Please list each and every individual on the Deed of the property:

If you are an LLC "Limited Liability Corporation" Are you the authorized member?

If you are not an LLC, please respond: N/A

Does your property have a management company/property manager? If yes, please provide that person/company's name.

What is the full address of the property? Including city and zip code.

What kind of building is your property?

Ex: 1-2 Family Dwelling, 2+ Family Dwelling, etc.

Contact information: Communication

Preferred Payment Method:

Preferred Communication Method:

Is the unit rent stabilized? If yes, I am unable to take this case.

What is your ultimate goal?

Please list each and every individual on the Deed of the property:

If you are an LLC "Limited Liability Corporation" Are you the authorized member?

Does your property have a management company/property manager? If yes, please provide that person/company's name.

What is the full address of the property? Including city and zip code.

What kind of building is your property?

How many apartments are in your building? Including vacancies.

Are you registered with HPD?

If it is 2 family (with no owner/occupant) or greater: Is it registered with HPD?

Are there any violations on your property?

Is it Rent Stabilized or Rent Controlled?

What is the Tenant's Address? (include unit #)

What is the Tenant's Name, and any and all occupants? If you don't know their name, write "Unknown."

Did they have a lease?

What is the rental amount?

When was the last time your Tenant(s) paid rent?

Are your tenants considered Senior Citizens?

Are your tenants in the military or dependent on anyone in the military?

Do you have your tenant's social security number?

Have your tenant(s) applied for ERAP? (Emergency Rental Assistance Program)