SUPERIOR COURT OF THE DISTRICT OF COLUMBIA CIVIL DIVISION
LANDLORD AND TENANT BRANCH
510 4th STREET, N.W., Building B, Room #110, Washington, D.C. 20001 Telephone (202) 879-4879
Case No. LTB __________________________
Address (No post office boxes)
Phone Number (if known)
VERIFIED COMPLAINT FOR POSSESSION OF REAL PROPERTY -- FORM 1D
DISTRICT OF COLUMBIA, ss:
_____________________________________________________________________, swear or
(name, address, and phone #)
affirm, under penalties of perjury, that I have knowledge of the facts set forth in this Complaint and that I am:
Plaintiff’s attorney, or
Plaintiff’s agent authorized to make this verification and my relationship to Plaintiff is (
if Plaintiff is a corporation, include your title
is the Landlord or Owner, or
has been appointed Personal Representative of the Estate in case no. _______
and is authorized to take possession of the property, or
is not the Landlord, Owner, or Personal Representative, but has
the right to demand possession because
3. Plaintiff seeks possession of commercial property located at _______________________________________, Washington,
D.C. Property is in possession of Defendant, who holds it without right. Plaintiff seeks possession of property because:
Defendant failed to pay: $ _____________ total amount due to the landlord from _____________ to _____________.
Monthly base rent of $____________ .
Common Area Maintenance (CAM) of $ ____________ (
Utility charges of $ ___________ (
Taxes of $ __________ (
Late fees of $ ________ per month for the months of ______________ to ____________ .
Reasonable attorneys’ fees of $ ___________ to date, pursuant to paragraph ______ of the lease.
Other amount of $___________ for (
Notice to quit has been:
served as required by law, or
I have personally reviewed the lease and Defendant has
expressly waived the right to be served with a notice to quit in paragraph no. ______ on page number _____ of the
Defendant has expressly waived that right in another document (
Defendant failed to vacate the property after expiration of a properly served written
Notice to Quit or
Attach copy of Notice and affidavit of service of the Notice.
1) Content of the Notice:
All of the facts stated in the attached Notice were true at the time the Notice was served, or
Plaintiff relies only on the following facts in the attached Notice, which were true at the time the Notice was
2) Compliance with the Notice:
(complete if applicable)
a. Defendant’s conduct set forth in the Notice breaches the following paragraph number(s) or provision(s) of the
written lease: _____________________________________________________________________________.
b. Of the breaches listed in the attached Notice, Defendant failed to correct/cure the following breaches by the
deadline set forth in the Notice: _______________________________________________________________.
Form 1D Page 1 of 2