Affidavit For Summons Of Dispossessory Form

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IN THE MAGISTRATE COURT OF DOUGLAS COUNTY
STATE OF GEORGIA
____________________________________
Plaintiff
___________________________________________________
Street Address
___________________________________________________
City, State and Zip Code
___________________________________________________
Phone Number
VS.
Case Number __________________________________
____________________________________
Defendant
____________________________________
Street Address
____________________________________
City, State and Zip Code
AFFIDAVIT FOR SUMMONS OF DISPOSSESSORY
__________________________________________________,
Personally appeared,
who upon oath says that
he is owner or (attorney, agent, or lessee) for the owner of said premises, and that Defendant is in possession as tenant
of premises at the above address in DOUGLAS COUNTY.
Further Tenant:
(a) fails to pay the rent which is now past due.
(b) Holds the premises over and beyond the term of which they were rented or leased to him or
(c) _______________________________________________________________________________, and that
(d) plaintiff is entitled to recover any and all rent that may come due until this action is finally concluded.
Plaintiff desires and has demanded possession of the premises and Defendant has failed and refused to deliver said
possession.
WHEREFORE, Plaintiff DEMANDS:
(a) possession of the premises;
(b) past due rent of $_____________________________;
(c) rent accruing up to the date of judgment or vacancy at the rate of $______________ per ____________; and
(d) ______________________________________________________________________________________.
Sworn to and subscribed before me,
this ________ day of _______________, 20_____.
_________________________________________
____________________________________
Magistrate/Notary Public/Deputy Clerk
Affiant
SUMMONS
To the Constable of the Magistrate Court or Sheriff or his Deputies of said County.
GREETINGS: The Defendant(s) named herein is/are hereby commanded and required personally or by attorney to ANSWER, either
orally in person at the Magistrate Court Filing Office or in writing, WITHIN SEVEN (7) DAYS from the date of actual service hereof unless
the seventh day is Saturday, Sunday, or legal holiday, in which case the answer may be made on the next day which is not a Saturday, Sunday,
or legal holiday. The date of service is shown on the reverse side of this summons under “Return of Constable or Deputy Sheriff”.
Should you fail to answer within the time required by law, the Plaintiff/Landlord will be entitled to a WRIT OF POSSESSION as
provided by law and judgment shall be granted as prayed for by the Plaintiff herein WITHOUT FURTHER NOTICE TO YOU.
IF YOU ANSWER WITHIN THE TIME PROVIDED BY LAW, as stated above, you or your attorney shall be and appear at a
hearing before the presiding Magistrate of said county on the _________ day of _______________________, 20_____ at ____:_____ ____.M.,
rd
3
FLOOR, MAGISTRATE COURTROOM, DOUGLAS COUNTY COURTHOUSE, 8700 HOSPITAL DRIVE, DOUGLASVILLE,
GEORGIA 30134.
Given under my hand and seal this ________ day of _________________, 20_____.
______________________________________________
Clerk of Magistrate Court

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