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  Phil G. Giavasis, Clerk of Court    
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Eviction Complaint
Plaintiff(s)/Landlord(s)
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Defendants(s)/Tenant(s)
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Plaintiff is the owner of Real Estate located at:
(This is the eviction address)
Address:
City:
State:
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Zip:
Is this the address where you want the bailiff to post the complaint?
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Is this the address where the clerk should mail a copy of the summons?
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The defendant occupies the said property pursuant to a:
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How much is the rent per month? $
Plaintiff is entitled to terminate
Defendant's possession of the
said property because:




The titled owner of this real
estate is a:
select

If 1, 2, or 3 is selected above, you may not represent yourself in court
The defendant owes this amount for rent: $
The defendant owes this amount for damages to the property: $
Notice to vacate in statutory form was delivered to defendant on:
This complaint can't be filed until 3 days after the notice has been posted
If alternative service requested please indicate:



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