12770 – Landlord Case Information Statement (LCIS) – New Jersey

The 12770 – Landlord Case Information Statement (LCIS) is a comprehensive form utilized by the New Jersey Judiciary’s Civil Practice Division for documenting essential details in landlord-tenant disputes. This form, reissued by Directive #15-23 in August 2023, is required for initiating legal actions related to tenancy issues. This form ensures that all relevant information is systematically captured and aids in the efficient processing of landlord-tenant cases within the New Jersey legal framework.

Filling out this form is crucial for correctly documenting the details of a landlord-tenant dispute in New Jersey. Follow these steps to ensure accurate completion:

Caption and Venue

1. • Caption: Enter the name of the case.
   • County of Venue: Specify the county where the case will be heard.
   • Docket Number: If available, enter the docket number assigned to the case.

Plaintiff/Landlord Information

1. • Name of Plaintiff/Landlord: Provide your full name.
   • Email Address: Enter a valid email address for correspondence.
   • Home/Office Phone: Provide your phone number(s).
   • Cell Phone: Enter your mobile number if applicable.

Attorney Information (if applicable)

1. • Attorney Name: Provide the name of your attorney.
   • Firm Name: Enter the law firm’s name, if applicable.
   • Email Address: Provide your attorney’s email address.
   • Office Phone: Enter your attorney’s office phone number.
   • Cell Phone: Provide your attorney’s mobile number, if applicable.
   • Attorney/Plaintiff Mailing Address: Enter the mailing address for receiving documents.

Defendant/Tenant Information

1. • Name of Defendant(s)/Tenant(s): Enter the full name(s) of the tenant(s).
   • Email Address: Provide the tenant’s email address if known.
   • Daytime Phone: Enter the tenant’s daytime phone number.
   • Cell Phone: Provide the tenant’s mobile number if known.

Rental Property Information

1. • Rental Property Address: Provide the full address of the rental property.
   • Municipal Code: Enter the municipal code of the rental property location.
   • Rental Property Is Owner Occupied: Check “Yes” or “No”.

Tenancy and Cause of Action

1. • Type of Tenancy: Select either “Residential” or “Commercial”.
   • Cause of Action: Check all applicable reasons (Non-Payment, Other (Holdover/For Cause)).
   • Holdover Causes of Action: Refer to Side 2 of the form and enter the corresponding numbers for the applicable holdover causes.

Subsidized Housing

1. • If the rental property is subsidized, select the appropriate type(s): Public Housing, Section 8 Voucher, Section 8 HAP Contract, or Other Subsidy Program.
   • Attach any required notices for Holdover, Public Housing, and/or Subsidized Housing.
   • Confirm if the rental property is not covered under the Federal CARES Act by checking the appropriate box.
   • Indicate if the tenancy is subject to a municipal rent control ordinance.

Financial Information

1. • Total number of months of unpaid rent: Enter the total number of months for which rent is unpaid.
   • First month of unpaid rent: Provide the month and year of the first unpaid rent.
   • Amount due and owing: Enter the total amount of unpaid rent.

Certification

1. • Signature: Sign the form to certify that the information provided is accurate.
   • Print Attorney/Plaintiff Name: Print your name clearly.
   • Date: Enter the date when you are signing the form.

Additional Notes

• Ensure all personal identifiers are redacted from any attached documents according to Rule 1:38-7(b).
• Check all applicable boxes and provide detailed information where required to avoid any delays or rejections.

By carefully following these steps, you can ensure that the LCIS is filled out correctly, facilitating the smooth processing of your landlord-tenant case in New Jersey.