IN THE COUNTY COURT OF THE EIGHTH JUDICIAL CIRCUIT, IN AND FOR ALACHUA COUNTY, FLORIDA 201 East University Avenue - Post Office Box 600 Gainesville Florida 32602 (352) 374-3636 Case No.: Plaintiff Address City, State Zip Code Phone -vsDefendant Defendant Address Address City, State Zip Code City, State Zip Code Phone Phone STATEMENT OF CLAIM FOR RETURN OF PROPERTY Plaintiff sues defendant and says: 1. This is an action for the return of stolen or misappropriated property pursuant to section 539.001, Florida Statutes. 2. Plaintiff is the owner of the following described property: . 3. The described property was stolen or otherwise misappropriated from plaintiff on or about ___________. A copy of the law enforcement report outlining the theft/ misappropriation is attached and incorporated into this statement of claim. 4. The described property is currently in the possession of defendant and is located at a pawnshop as defined in section 539.001, Florida Statutes, the address of which is: . 5. The plaintiff has complied with the procedural requirements of section 539.001, Florida Statutes. Small Claims - Pawnbroker claim2006.doc American LegalNet, Inc. www.USCourtForms.com Specifically, plaintiff notified the pawnbroker of plaintiff’s claim to the property: by certified mail, return receipt requested, OR in person evidenced by a signed receipt. The notice contains a complete and accurate description of the purchased or pledged goods and was accompanied by a legible copy of the police report regarding the theft or misappropriate of the property. No resolution between plaintiff and defendant pawnbroker could be reached within 10 days after the delivery of the notice. WHEREFORE, the plaintiff demands judgment for the return of the property. Plaintiff further asks this Court to award plaintiff the costs of this action, including reasonable attorneys’ fees. Plaintiff (signature) Name State of Florida County of Alachua The foregoing was acknowledged before me on _________________, _____________ by . Personally known by me Produced Identification/Type: (SEAL) Deputy Clerk or Notary Public Note to Clerk of Court and to Sheriff: Pursuant to section 539.001(15), Florida Statutes, filing fees and service fees shall be waived. Waiver does not require the filing of an affidavit of insolvency. Small Claims - Pawnbroker claim2006.doc American LegalNet, Inc. www.USCourtForms.com