Form 5 - Complaint For Landlord To Evict Tenants Page 2

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IN THE COUNTY COURT, IN AND FOR
JACKSON COUNTY, FLORIDA
[insert name of Landlord]
CASE NO.
Plaintiff,
Vs.
COMPLAINT FOR EVICTION
[insert name of Tenant]
Defendant.
Plaintiff, ________________________ [insert name of Landlord], sues Defendant,
______________________________________[insert name of Tenant] and alleges:
1. This is an action to evict a Tenant from real property in Jackson County, Florida.
2. Plaintiff(s) owns the following described real property in said County: ____________
____________________________________________________________________
[insert legal
or street description of the property including, if applicable, unit number].
3. Defendant(s) has possession of the property under a written/oral (circle one) agreement to pay
rent of $______________________
payable _________________
[insert
[insert rental amount]
terms of rental payments, i.e. weekly, monthly, etc.].
A copy of the written agreement, if any, is
attached as Exhibit “A”.
4. Defendant(s) failed to pay rent due _________________ , 20____
[insert date of payment Tenant
has failed to make.]
5. Plaintiff(s) served Defendant(s) with a notice on ___________________, 20_____
[insert date
of notice],
to pay the rent or deliver possession but the Defendant refuses to do either. A copy of
the notice is attached as Exhibit “B”.
WHEREFORE, Plaintiff demands Judgment for possession of the property against Defendant(s).
Signature
Name of Landlord/Property Manager [circle one]

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