Form 5 Complaint For Landlord To Evict Tenants For Failure To Pay Rent Page 5

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5. Plaintiff served Defendant with a notice on
, 20
.to pay the
(insert date of notice)
rent or deliver possession but Defendant refuses to do either. A copy of the notice is attached as Exhibit "B."
WHEREFORE, Plaintiff demands judgment for possession against Defendant.
Signature
Name of Landlord/Property Manager
(Circle one)
Address
City, State, Zip Code
Phone Number
This form was completed
with the assistance of:
Name:
Address:
Telephone Number:

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