Register Please complete this registration form if you are desiring to become a new client of our firm or if you're an existing client whose property has had a change in ownership or management. If you do not have all of the necessary information, don't worry. You can scroll all the way to the bottom of the form and click Save and Continue Later and you'll receive an email link to come back when you're ready to finish the form. If you are an existing client looking only to add new users or update existing users and there has not been a change in ownership or management company, please utilize our staff-update form. Or, if you're an existing client and you're needing access to our Client Portal, click the link in the top right for our Client Portal instead. Our website login (Client Portal) is 100% separate from Nationwide. It's an informational area with special items for our clients only. To access this special area we’ve created just for you, you'll need to click "Create Account" so we can grant you access. You'll continue to file evictions through Nationwide as you have been. If you need to add multiple properties, please feel free to use this spreadsheet instead.Management TypeIs your property part of a Multifamily Management Co. (Apartment Community) or do you manage Individual Rental Units for various owners or yourself? If not, please call or email us for more information.Choose OneMultifamily Management Co.Agent for Single Family OwnersOther (Please call us at 704-970-3900)Our firm's focus is to assist large professional management companies and professionally managed multi-housing companies with a minimum of 100 units who use approved leases.Property Type*Tell us a little more about your property type.ApartmentsMobile HomesSenior HousingStudent HousingIs your property Project-Based?*Section 8, Public Housing, or other Community-Wide HUD SubsidyYesNoRequired Documents*Please upload a sample copy of your lease. (File must be in PDF format) Drop files here or Accepted file types: jpg, tif, png, pdf, doc, docx, xls, xlsx, pages, txt, rtf. Please call our office to discuss your eviction needs before you complete this form. (704) 970-3900Management Company Name*This is the company that manages your property, but not necessarily the owner. Please include the full legal name of your on-site management company.Property Name*# of Units*For student housing, be sure to enter the number of total beds rather than the number of apartments. This will give you more accurate statistical reports in the eviction software.# of Properties*Our firm's focus is to assist professionally managed apartment communities and professionally managed multi-housing companies with a minimum of 100 rental units in NC/SC. If you have less than 100 units, please contact Michael Bell via email at email@example.com or by calling (919) 792-1695.Legal Name*This is typically the corporate name for the entity that is the Owner of the Property. Usually an LLC or an LP, this is the name that appears on your property's deed.Property Address*This is the physical location of the property. This is the address that is used to determine in which county your evictions are to be filed. Street Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Do You Have a Different Mailing Address?*This is the address where the sheriff will mail copies of the summons and complaints. This is NOT your billing address.Choose OneYesNoMailing Address*This is the address where the sheriff will mail copies of the summons and complaints. This is NOT your billing address. Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Do You Have a Different Billing Address?*All invoices are sent out via email only, but if you need a specific address or vendor ID to appear on the invoice, please enter it here.Choose OneYesNoBilling Address*All invoices are sent out via email only, but if you need a specific address or vendor ID to appear on the invoice, please enter it here. Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Office Address* Street Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code GA County*In what county does your property file evictions? Don't see your county? Give us a call. We will soon be expanding in Georgia.Choose Your CountyChathamClaytonCobbColumbiaDekalbDouglasForsythFultonGwinnettHallHenryRichmondRockdaleNC County*In what county does your property file evictions?Choose Your CountyAlamanceAlexanderAlleghanyAnsonAsheAveryBeaufortBertieBladenBrunswickBuncombeBurkeCabarrusCaldwellCamdenCarteretCaswellCatawbaChathamCherokeeChowanClayClevelandColumbusCravenCumberlandCurrituckDareDavidsonDavieDuplinDurhamEdgecombeForsythFranklinGastonGatesGrahamGranvilleGreeneGuilfordHalifaxHarnettHaywoodHendersonHertfordHokeHydeIredellJacksonJohnstonJonesLeeLenoirLincolnMaconMadisonMartinMcDowellMecklenburgMitchellMontgomeryMooreNashNew HanoverNorthamptonOnslowOrangePamlicoPasquotankPenderPerquimansPersonPittPolkRandolphRichmondRobesonRockinghamRowanRutherfordSampsonScotlandStanlyStokesSurrySwainTransylvaniaTyrrellUnionVanceWakeWarrenWashingtonWataugaWayneWilkesWilsonYadkinYanceySC County*In what county does your property file evictions?Choose Your CountyAbbevilleAikenAllendaleAndersonBambergBarnwellBeaufortBerkeleyCalhounCharlestonCherokeeChesterChesterfieldClarendonColletonDarlingtonDillonDorchesterEdgefieldFairfieldFlorenceGeorgetownGreenvilleGreenwoodHamptonHorryJasperKershawLancasterLaurensLeeLexingtonMarionMarlboroMcCormickNewberryOconeeOrangeburgPickensRichlandSaludaSpartanburgSumterUnionWilliamsburgYorkCounty (OLD)In what county does your property file evictions?Precinct/CourtDo you use a third-party invoice processing system? If so, let us know which one:OPSNexusPayables ConnectVendor Café / Yardi P2PIn-HouseWhich Property Management Software do you use?YardiRealPageMRIAppfolioProperty BossRent ManagerBuildiumContact InformationManager's Name*Please be sure to put the Manager's Name here...not the assistant manager or anybody else. If you don't have a manager yet, please enter TBD for both first and last name. First Last Phone*This number will be printed on legal documents for the attorneys and the sheriff to use to contact you. It will also be visible to tenants, so please do not list a personal cell phone.FaxThis number will be printed on legal documents for the attorneys and the sheriff to use to contact you. It will also be visible to tenants, so please do not list a personal cell phone.Email*This is the Manager's Email address. Please don't put anybody else's email address here. If you don't have a manager yet, please put TBD. Billing Contact Information Same as Primary Contact Name* First Last Phone*Email* Do your invoices need to go to a special email address in PDF format? Yes Invoice Email AddressPlease enter the invoice email address Do you need additional user logins?Each member of your team who needs access to the online system should have their own login. Please do not share logins as you are using it to electronically sign legal documents. There is no need to re-list the manager or billing contact that you've already listed above. They will automatically be given a username and password.Additional 1: NameEmail PhoneTitlei.e. Manager, Assistant Manager, Leasing Agent, etc.Additional 2: NameEmail PhoneTitlei.e. Manager, Assistant Manager, Leasing Agent, etc.Additional 3: NameEmail PhoneTitlei.e. Manager, Assistant Manager, Leasing Agent, etc.Regional or District Manager's Name*Regional or District Manager's Email Address* Accounts Payable ContactPlease provide the name of the person in your accounting department who our controller or accounts receivable manager may contact if needed.Accounts Payable PhonePlease provide the phone number to the above accounts payable contact or the general number to your accounting department.Accounts Payable EmailPlease provide the email to the above accounts payable contact or the email that we may use to inquire about unpaid invoices should we not be able to get in touch with the property directly. Lease TypeNAA, AANC, RHS 515, Proprietary, OtherFederal Tax ID Number*NotesIf you have any additional information you would like to share with our team to assist in getting your property set up, please include those notes here. You may also attach support documents below.W9*Please upload a copy of your W-9. Drop files here or Accepted file types: jpg, png, tif, pdf. Real Estate License NumberIf you are an agent for owners, we need to verify that you are registered with the Real Estate Commission. Providing your License Number will expedite this process.Broker-in-Charge (BIC), Property-Manager-In-Charge (PMIC), or Property Manager (PM) Licensure Information*Each state has specific requirements regarding licensure. Please include as much information as you can regarding your BIC, PM, or PMIC licensure. Providing actual license numbers will help expedite the process.Verify* By submitting this registration request, I certify that I am an employee of the above referenced organization and that I have authority to enter into this agreement or to submit it for approval by an authorized agent who does have authority to enter into agreements on behalf of the owner and/or management company. I have proofread all data above and verified its accuracy. Further, I grant permission for Loebsack & Brownlee PLLC to add the email addresses submitted as part of this agreement to the firm's email list to receive important updates and announcements. I understand that I or any other user whose email address is included may unsubscribe from those emails at any time. By submitting this registration form, I am simply requesting to become a client, but I understand that I am not an actual client of the firm until after they approve my registration request and my company fully executes a representation agreement. How did you hear about us?*Please Choose OneApartment AssociationCurrent ClientManagement CompanyNationwide EvictionWord of MouthOtherHow did you hear about us? - Other*If you do not receive a confirmation after completing this form, please check your spam/junk mail.AdministrativeAdministrative NotesSupport*If your property is located in Georgia, we need to see a sample copy of your lease please. Drop files here or PhoneThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.