IN AND FOR THE COUNTY COURT, FOURTH JUDICIAL CIRCUIT,
IN AND FOR CLAY COUNTY, FLORIDA
CASE NO.:
DIVISION:
PLAINTIFF
DEFENDANT
EVICTION COMPLAINT
COUNT I
1. This is an action to evict a tenant from real property in Clay County, Florida.
2. Plaintiff is the owner of the following described real property in Clay County, Florida.
3. Yes No There is a rental agreement between the parties.
The lease started on and ends on .
IF THERE IS A RENTAL AGREEMENT, A COPY MUST BE ATTACHED HEREIN.
IF THIS ACTION IS BEING FILED BECAUSE OF NONPAYMENT OF RENT:
4. Tenant failed to pay rent due on: . The amount due was: .
5. Yes No Plaintiff served Defendant with a notice on
to pay rent or deliver possession of the property, but Defendant refuses to do either.
A COPY OF THE NOTICE MUST BE ATTACHED HEREIN.
6. Yes
No Plaintiff has received a CDC declaration from Defendant.
IF A CDC DECLARATION HAS BEEN RECEIVED, IT MUST BE ATTACHED HEREIN.
7. A CDC AFFIDAVIT FROM PLAINTIFF MUST BE ATTACHED HEREIN.
IF THIS ACTION IS BEING FILED FOR A REASON OTHER THAN NONPAYMENT
OF RENT:
8. State the reason the eviction is being filed.
9. Yes No Plaintiff served Defendant with a notice on
to surrender possession of the property.
A COPY OF THE NOTICE MUST BE ATTACHED HEREIN.
WHEREFORE, Plaintiff demands judgment for possession of said property.
