IN THE COUNTY COURT OF THE FOURTH JUDICIAL CIRCUIT,
IN AND FOR CLAY COUNTY, FLORIDA
,
Plaintiff(s),
CASE NO.:
vs. DIVISION:
,
Defendant(s).
/
STATEMENT OF CLAIM FOR REPLEVIN
Plaintiff(s), sues Defendant(s) , and
alleges:
1. This is an action to recover possession of personal property.
2. The description of the property is:
3. To Plaintiff’s best knowledge, information, and belief the value of the property is $ and its
location is
4. Plaintiff is the owner of the claimed property of is entitled to possession of it by virtue of the following
source of title, or right of possession:
(If interest is based on a written instrument a copy is attached)
5. The property cannot be released by the defendant without a court order, or the property is wrongfully
detained by the defendant who obtained possession by:
6. To Plaintiff’s best knowledge, information, and belief, defendant detains property because:
7. The property has not been taken for any tax, assessment, or fine pursuant to law, nor has it been taken
under an execution or attachment against plaintiff’s property, or if so taken, it is by law exempt from such
taking by the following reference to the exemption law relied upon:
8. Written demand for return of the property was provided to Defendant and [if Defendant is not a
municipality] also to the Department of Financial Services at least 90 days prior to the filing of this
Complaint. Section 768.28(6)(a), Florida Statutes. A copy of the demand is attached hereto.
9. The property is not contraband, was not the fruit of criminal activity, and is not being held for some
evidentiary purposes.
10. The property came into possession of Defendant on or about .
11. Plaintiff has legal right to possess the property and is not subject to any legal prohibition against such
possession.
Pursuant to section 92.525, Florida Statutes, under penalties of perjury, I declare that I have read the foregoing
Statement of Claim and the facts stated in it are true.
Plaintiff
