Sworn Complaint Form For Forcible Entry And Detainer
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1PLEASE PRINT LEGIBLY – this is a legal document
08/2013
SWORN COMPLAINT FOR FORCIBLE ENTRY AND DETAINER
Cause Number:_________________
Court Date:___________________
Court Time:_____________, ___.M.
Plaintiff(s):________________________________________________
§
IN THE JUSTICE COURT
(Landlord as Stated in Lease)
VS
§
Defendant(s):_______________________________________________
_______________________________________________
_______________________________________________
________________________________________________
(List all signers on the lease with DL or state ID number)
COMPLAINT: Plaintiff (Landlord) hereby complains of the defendant(s) named above for forcible detainer plaintiff’s premises
located in
to wit:
____________________________________________________________________________________________________
Street Address
Apartment #
City, State, Zip
Phone #
_____________________________________________________________________ Gate Code:_____________________
Unattached property address (ie: Garage or storage building)
SERVICE OF CITATION: Service is requested on defendants by personal service at home or work or by alternative service
under Rule 510.4. If necessary, alternative service is requested under Rule 510.4(c).
GROUNDS FOR EVICTION:
UNPAID RENTS: Defendant(s) failed to pay the following rent which was demanded by Plaintiff and which is still unpaid (use
separate line for each month – DO NOT INCLUDE late fees or other non-rent sums, attach additional page if necessary):
Amount of rent $_______________ due date:____________________ Month:_______________________
Amount of rent $_______________ due date:____________________ Month:_______________________
Amount of rent $_______________ due date:____________________ Month:_______________________
What is monthly rental amount as shown in the lease: $____________________ (do not include non-rent fees or add-ons)
Other grounds for eviction:_______________________________________________________________________________
NOTICE: Written notice to vacate and demand for possession was given on_______________________________________
in the following manner: (Check One)
Certified Mail
Regular Mail
Delivery In Person
Other _____________________________________________________
The lease is (check one):
Oral
Written
HOLDOVER: Defendant(s) are unlawfully holding over since they failed to vacate at the end of the rental term or renewal or
extension period, which was on the _______________day of _________________________, __________.
REQUEST FOR JUDGMENT: Plaintiff prays that defendant(s) be served with a citation and that plaintiff have Judgment
against defendant(s) for:
Possession of the premises, including removal of defendants and defendant’s possessions from premises
Pay rents owed in the amount of $______________________, plus all rents accruing through the date of Judgment.
Pay court costs.
$______________________
Pay reasonable attorney’s fees $______________________.
Plaintiff (Landlord) or authorized agent:____________________________________________________________________
___________________________________________________________________________________________________
Address of Plaintiff
Phone #_________________________
FAX #_________________________
Date___________________________
SUBSCRIBED AND SWORN TO before me this __________ day of __________________________________, 20_______.
_______________________________________________
Clerk of the Court or Notary Public
Evictions MUST be filed in the county and precinct where the property is located. It is
your responsibility to know where to file. Filing fees are non-refundable.
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