STATE OF INDIANA ) )SS: COUNTY OF DELAWARE ) THE DELAWARE COUNTY CIRCUIT COURT NO. _____ TERM: CAUSE NO: ____________________________________ ____________________________ ____________________________ ____________________________ Plaintiff VS AFFIDAVIT FOR IMMEDIATE POSSESSION ____________________________ ____________________________ ____________________________ Defendant Comes now___________________________________________ and files with the Clerk of the Delaware Circuit Court # _________, this affidavit and swears that he/she is the sole owner of the property situated at _______________________ ______________________________, now occupied by the defendant, ________________________________________, who is wholly occupying said property without right after having received due notice to vacate said premises. That said premises has a reasonable rental value of ________________________, per __________________ and an estimated value of ______________________, and that the defendant is delinquent in his/her rent in the amount of _________________, having wholly failed and refused to pay rent for the months or weeks of _______________________________. The undersigned swears that he/she is entitled to possession of the property herein above described and that the defendant has unlawfully retained possession thereof. The undersigned swears that unless the defendant is restrained and unless the court holds an immediate hearing that the defendant will do irreparable damage to the property in the form of waste and that it is necessary that an immediate hearing be had in order to protect said premises from irreparable damage. Date: _________________ ____________________________________________________ Plaintiff American LegalNet, Inc. www.FormsWorkflow.com