J DF 150 7/18 MOTION FOR ORDE R TO REMOVE UNAUTHORIZED PERSON(S) County Court District Court of County, Colorado Court Address: Plaintiff(s)/Petitioner(s): and Defendant(s)/Respondent(s): COURT USE ONLY Attorney or Party Without Attorney (Name and Address) : Phone Number: E - mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom VERIFIED MOTION FOR ORDER TO REMOVE UNAUTHORIZED PERSON ( S ) 1. The undersigned owner, or authorized agent of the owner, of the residential premises located at (Address) (City) (State) (Zip code) Requests that the court hold a hearing within one court day and that the court enter a Temporary M andatory I njunction and issue a Writ of Restitution ordering that the person or persons currently occupying the residential premises be removed from the premises and ordered not to return to the premises for a period of fourteen days. 2. The undersigned owner or authorized agent her e by represents and declares under penalty of perjury that : (Initial each declaration ) The declarant is the owner of the premises or the authorized agent of the owner of the premises; An unauthorized person or persons have entered and are remaining unlawfully on the premises; Neither the owner nor an authorized agent of the owner has ever had a written or oral agreement with the unauthorized person or persons regarding use of the premises: Neither the owner nor an autho rized agent of the owner is related to the unauthorized person or persons; Neither the owner nor an authorized agent of the owner has ever accepted money or anything of value from the unauthorized person or persons regarding the prem ises; The declarant has demanded that the unauthorized person or persons vacate the premises but they have not done so ; The declarant has informed the unauthorized person or persons that he or she is going to court to request a T emporary M andatory I njunction restoring the owner to possession and shall deliver a copy of this Verified Motion for Order to Remove Unauthorized P erson ( s ) form to the unaut horized person or persons. American LegalNet, Inc. www.FormsWorkFlow.com J DF 150 7/18 MOTION FOR ORDE R TO REMOVE UNAUTHORIZED PERSON(S) 3. Additional comments or statement that the premises has been altered or damaged: (This section is optional) By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form. VERIFICATION I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the day of , , at (date) (month) (year) (city or other location, and state OR country (printed name of Plaintiff/Petitioner) Signature of Plaintiff/Petitioner CERTIFICATE OF SERVICE I certify that on (date) a tru e and accurate copy of this VERIFIED MOTION FOR ORDER TO REMOVE UNAUTHORIZED PERSON(S) was served on the o ther party by: Personal service under C.R.C.P. 4. or Posting a copy in a visible place upon the premises located at: Signature American LegalNet, Inc. www.FormsWorkFlow.com