KITTITAS COUNTY SHERIFF - RESTITUTION INTAKE INFORMATION SHEET
NOTE:
After 3 days of the notice being served to the tenant, the landlord/representative is REQUIRED
to call (509) 962-7525 between the hours of 9:00 AM and 5:00 PM, Monday through Friday to schedule an
eviction. If nothing is scheduled, the Writ will be returned to court on its expiration date. If any part of
this form is not complete, the execution of the Writ may be delayed.
PRINT BILLING INFORMATION BELOW
NAME
PHONE(S):
MAILING
ADDRESS:
CITY
STATE:
ZIP:
PRINT PLAINTIFF/LANDLORD INFORMATION BELOW
PLAINTIFF/
LANDLORD
NAME:
PHONE:
MAILING
ADDRESS:
CITY:
STATE:
ZIP
CONTACT
PERSON:
PHONE:
(PERSON WHO WILL CARRY OUT EVICTION)
HAZARD INFORMATION
KNOWN PETS:
KNOWN WEAPONS, VIOLENT PERSONS, ETC.:
DO ANY TENANTS HAVE DISABILITIES THAT WILL REQUIRE ACCOMMODATION YES NO
IF YES, PLEASE EXPLAIN: (Please include any local, state or federal assistance they may receive and a contact person)
PRINT TENANT INFORMATION BELOW - YOU MUST INCLUDE A BIRTHDATE OR SOCIAL SECURITY NUMBER FOR ALL TENANTS
TENANT NAME: BIRTHDATE/SSN:
TENANT NAME: BIRTHDATE/SSN:
TENANT NAME: BIRTHDATE/SSN:
TENANT NAME: BIRTHDATE/SSN:
ADDRESS OF PREMISES
TO BE EVICTED: CITY:
TYPE OF PREMISES:
SINGLE FAMILY RESIDENCE DUPLEX APARTMENT/NAME ________
BUSINESS PROPERTY OTHER MOBILE HOME/PARK NAME ________
IF MOBILE HOME IN PARK, DESCRIBE TRAILER/LOT, LOCATION, ETC.:
SHERIFF’S OFFICE USE ONLY
KCSO Intake Form (filled out completely)
Blank Storage Form (Provided to Tenant for Written Request for Storing Property)
3 Certified copies of Writ of Restitution
3 Certified copies of Order Granting Writ
