IN THE COUNTY COURT IN AND FOR BAY COUNTY, FLORIDA ______________________________ Plaintiff Case No. _________________ -vs- Division: _________________ _______________________________ Defendant COMPLAINT MOBILE HOME PARK EVICTION (Rent and Damages) Plaintiff _________________________ sues Defendant _______________________________ and alleges. COUNT I 1. This is an action to evict a tenant from a Mobile Home Park in Bay County, Florida, pursuant to 723.061(1)(a), Florida Statutes. 2. Plaintiff owns the following described real property in said County, where is located a Mobile Home Park containing 10 or more mobile home lots; ____________________________________________________________________. (Street address of Rental Property, including Lot number, City, State and Zip) 3. Defendant has possession of the property under a written agreement, copy attached, or oral agreement, to pay rent of $_______________ payable each _________________________. (Amount of Rent) (Monthly, or Weekly) 4. Defendant failed to pay rent due on _____________________________. (Date Defendant failed to pay rent) 5. Plaintiff served Defendant with a notice on __________________________ to pay the rent or deliver possession, but Defendant refuses to do either, a copy of which notice is attached. 6. Defendant owes Plaintiff past due rent of $ _______________ as of ___________________, which continues to accrue at the rate of $_________________ per month, plus court costs. Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com COUNT II 7. This is an action for damages that do not exceed $15,000.00. 8. Plaintiff restates those allegations contained in paragraphs 1 through 6 above. 9. Defendant owes Plaintiff $__________________ that is due with interest since ___________________, for unpaid rent and $ ___________________ for damages to the premises, plus court costs of ______________. Wherefore, Plaintiff demands judgment for damages against Defendant. _______________________________ Plaintiff, Attorney or Agent ________________________________ Address ________________________________ City, State and Zip ________________________________ Phone Number Form 3-c Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com