Small Claims Eviction Complaint Template
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SMALL CLAIMS EVICTION COMPLAINT
SUPERIOR COURT
CAUSE NO.
-__________-SC-___________
Plaintiff requests service by:
Sheriff of _____________________ County
Certified mail
Plaintiff 1 ___________________________________
Plaintiff 2 ___________________________________
vs.
Address Line 1 _______________________________
Defendant 1__________________________________
Address Line 2 _______________________________
Address Line 1 ________________________________
City ___________________ State ___ Zip _________
Address Line 2 ________________________________
Telephone ___________________________________
City __________________ State ____ Zip__________
Telephone ___________________________________
If Plaintiff is represented by an attorney:
Attorney ____________________________________
Attorney Number _____________________________
Defendant 2__________________________________
Address Line 1 _______________________________
Address Line 1 ________________________________
Address Line 2 _______________________________
Address Line 2 ________________________________
City ___________________ State ___ Zip _________
City __________________ State ____ Zip__________
Telephone ___________________________________
Telephone ___________________________________
CLERK’S NOTICE OF CLAIM TO DEFENDANT FOR EVICTION, RENT DUE, AND DAMAGES
You (The Defendant) have been sued by the Plaintiff whose name appears above. You must appear in
Superior Court
in person or by your attorney for BOTH of the following hearings:
eviction trial: _______________________________________ to contest the claim for eviction or back rent; and
damage trial: _______________________________________ to contest the claim for damages. The Plaintiff
claims that you rented the property located at: ______________________________________________________
(copy of written lease, if any, is attached). The Plaintiff seeks possession of that property and requests your
eviction from that property, claiming that:
your rent is past due in the amount of $_____________; and/or
you have violated the rental agreement as
follows:__________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________.
The Plaintiff demands immediate possession of the above property and judgment against the Defendant(s)
for $__________________, plus other damages to be determined, plus interest from the date of
________________________, 20___, at the rate of ____%, and the Court costs of this action.
Dated: ________________________, 20___.
____________________________________________
Plaintiff’s or attorney’s signature
(attorney must sign if an attorney is representing Plaintiff)
(See important information on reverse side)
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