<%@LANGUAGE="JAVASCRIPT"%> <% // *** Edit Operations: declare variables // set the form action variable var MM_editAction = Request.ServerVariables("URL"); if (Request.QueryString) { MM_editAction += "?" + Request.QueryString; } // boolean to abort record edit var MM_abortEdit = false; // query string to execute var MM_editQuery = ""; %> <% // *** Insert Record: set variables if (String(Request("MM_insert")) != "undefined") { var MM_editConnection = MM_connFormData_STRING; var MM_editTable = "webdata"; var MM_editRedirectUrl = "www.paulbernstein.com/thanks.htm"; var MM_fieldsStr = "name|value|tenantname|value|presaddress|value|presaptnbr|value|prescsz|value|homenbr|value|worknbr|value|faxnbr|value|age|value|email|value|presemploy|value|employaddr|value|employcsz|value|landlord|value|bldgaddr|value|bldgcsz|value|bldgunits|value|leasedate|value|begindate|value|enddate|value|rentalamount1st|value|depositamount1st|value|FirstYrRent|value|FirstYrSecDep|value|LeaseRenew|value|begin2nd|value|end2nd|value|rentalamount2nd|value|depositamount2nd|value|SecondYrRent|value|OneCheck|value|SepRentCheck|value|SepSecCheck|value|bankrent|value|banksecurity|value|RecvInterest|value|date1stinterest|value|amount1stinterest|value|addinterestdetails|value|DepositReturned|value|datevacated|value|datekeysreturned|value|daterefunddeposit|value|amtrefunddeposit|value|datecopiesbills|value|Inspect|value|Comments2|value"; var MM_columnsStr = "name|',none,''|tenantname|',none,''|presaddress|',none,''|presaptnbr|',none,''|prescsz|',none,''|homenbr|',none,''|worknbr|',none,''|faxnbr|',none,''|age|',none,''|email|',none,''|presemploy|',none,''|employaddr|',none,''|employcsz|',none,''|landlord|',none,''|bldgaddr|',none,''|bldgcsz|',none,''|bldgunits|',none,''|leasedate|',none,''|begindate|',none,''|enddate|',none,''|rentalamount1st|',none,''|depositamount1st|',none,''|FirstYrRent|',none,''|FirstYrSecDep|',none,''|LeaseRenew|',none,''|begin2nd|',none,''|end2nd|',none,''|rentalamount2nd|',none,''|depositamount2nd|',none,''|SecondYrRent|',none,''|OneCheck|',none,''|SepRentCheck|',none,''|SepSecCheck|',none,''|bankrent|',none,''|banksecurity|',none,''|RecvInterest|',none,''|date1stinterest|',none,''|amount1stinterest|',none,''|addinterestdetails|',none,''|DepositReturned|',none,''|datevacated|',none,''|datekeysreturned|',none,''|daterefunddeposit|',none,''|amtrefunddeposit|',none,''|datecopiesbills|',none,''|Inspect|',none,''|Comments2|',none,''"; // create the MM_fields and MM_columns arrays var MM_fields = MM_fieldsStr.split("|"); var MM_columns = MM_columnsStr.split("|"); // set the form values for (var i=0; i+1 < MM_fields.length; i+=2) { MM_fields[i+1] = String(Request.Form(MM_fields[i])); } // append the query string to the redirect URL if (MM_editRedirectUrl && Request.QueryString && Request.QueryString.length > 0) { MM_editRedirectUrl += ((MM_editRedirectUrl.indexOf('?') == -1)?"?":"&") + Request.QueryString; } } %> <% // *** Insert Record: construct a sql insert statement and execute it if (String(Request("MM_insert")) != "undefined") { // create the sql insert statement var MM_tableValues = "", MM_dbValues = ""; for (var i=0; i+1 < MM_fields.length; i+=2) { var formVal = MM_fields[i+1]; var MM_typesArray = MM_columns[i+1].split(","); var delim = (MM_typesArray[0] != "none") ? MM_typesArray[0] : ""; var altVal = (MM_typesArray[1] != "none") ? MM_typesArray[1] : ""; var emptyVal = (MM_typesArray[2] != "none") ? MM_typesArray[2] : ""; if (formVal == "" || formVal == "undefined") { formVal = emptyVal; } else { if (altVal != "") { formVal = altVal; } else if (delim == "'") { // escape quotes formVal = "'" + formVal.replace(/'/g,"''") + "'"; } else { formVal = delim + formVal + delim; } } MM_tableValues += ((i != 0) ? "," : "") + MM_columns[i]; MM_dbValues += ((i != 0) ? "," : "") + formVal; } MM_editQuery = "insert into " + MM_editTable + " (" + MM_tableValues + ") values (" + MM_dbValues + ")"; if (!MM_abortEdit) { // execute the insert var MM_editCmd = Server.CreateObject('ADODB.Command'); MM_editCmd.ActiveConnection = MM_editConnection; MM_editCmd.CommandText = MM_editQuery; MM_editCmd.Execute(); MM_editCmd.ActiveConnection.Close(); if (MM_editRedirectUrl) { Response.Redirect(MM_editRedirectUrl); } } } %> Paul Bernstein - Tenant Interview Questionaire
Paul Bernstein, Attorney at Law
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Tenant Interview Questionaire

So as to assist in an obligation free analysis of your
situation, please complete the following questionnaire.

Your Name:   (required)

Tenants Names:

Present Street Address:

Present Apartment Number:

Present City, State and Zip:

Phone: Home: Work:

Fax Number: Your Age:

E-Mail Address:   (required)

Employment Information

Present Employer:

Employer Address:

Employer City, State, Zip:

Information about your landlord and the building

Name of your Landlord:

Building Street Address:

Building City, State, Zip:

Number of Units in Building:

Information about your lease - first or only year

Date of your first/only lease: mm/dd/yyyy

Begin Date of first occupancy: mm/dd/yyyy

End Date of first occupancy: mm/dd/yyyy

Monthly Rental Amount:

Security Deposit Amount:

Did you pay your rent by check or money order?

  • Yes No

    • Did you pay your security deposit by check or money order?

  • Yes No

    • Did you renew your lease after the first lease ended?

  • Yes No

    • Information about your lease - second year, if applicable

    Begin Date of Second Occupancy: mm/dd/yyyy

    End Date of Second Occupancy: mm/dd/yyyy

    Monthly Rental in Second Year:

    Security Deposit in Second Year.:

    Did you pay your second year's rent by check or money order?

  • Yes No

    • Information about your security deposit.

    Was the first month's rent and security deposit paid with one check?

  • Yes No

    • Was the first month's rent paid by a separate check?

  • Yes No

    • Was the security deposit paid by a separate check?

  • Yes No

    • What bank account was rent deposited to?

    What bank account was security deposit deposited to?:

    Did you receive interest on your security deposit?

  • Yes No

    • Date of receipt of first interest payment: mm/dd/yyyy

    Amount of interest received on first interest payment.

    Please provide details of additional interest payments:

    Was your security deposit returned?

  • Yes No

    • Date you vacated: Date you returned keys: mm/dd/yyyy

    Date you received refund of security deposit: mm/dd/yyyy

    Amount of Refunded Security Deposit:

    Date received copies of bills: mm/dd/yyyy

    If the full deposit was not refunded, were paid bills
    supporting any alleged deductions provided to you?  Yes No

    Comments:

    Thanks!

    If you experience any difficulties, you may email your response to this form to paulbernstein@yahoo.com

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