Landlord, Tenant Forms With Instructions - Alachua County, Florida Page 19
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48COUNT II
Damages
6. This is an action for damages that do not exceed $15,000.
7. Plaintiff restates those allegations contained in paragraphs 1 through 5 above.
8. Defendant owes Plaintiff $ ____________________________ [insert past due rent
amount ] that is due with interest since _______________________________________, 20___
[insert date of last rental payment tenant failed to make].
WHEREFORE, Plaintiff demands judgment for damages 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 No.: (_______)____________________
Approved for use under rule 10-2.1(a) of
the Rules Regulating The Florida Bar
19
Form 5A
The Florida Bar 2010
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