INSTRUCTIONS FOR EVICTION COMPLAINT A complaint consists of Count I and Count II. Count I is for the eviction process only, (for possession of the property.) Count II is completed when filing for lost rent, damages, etc. These can be filed for at the same time, but are issued separate summons. If you file for Count II when filing the Eviction, a pre-trial date will be set and you will need to appear at that time along with the defendant for the judge to hear your case. This date is set far enough in advance so that Count I may be completed. The amounts in Count II can be amended if need be after possession of the property is obtained and additional damages are assessed. Once possession is obtained, the landlord may also dismiss Count II if so desired. **If you file for Count I only, there will be NO Pre-trial scheduled. If damages are assessed and Count II wasn't filed at the initial filing of the Eviction, then a Small Claims case will need to be filed as a separate case. Contact the Civil Law Department at (904) 284/269-6302 ext. 6408 if you have any questions regarding completing this form. American LegalNet, Inc. www.FormsWorkflow.com IN THE COUNTY COURT, FOURTH JUDICIAL CIRCUIT, IN AND FOR CLAY COUNTY, FLORIDA CASE NO. DIVISION ______________________________________________ ______________________________________________ ______________________________________________ Plaintiff vs. ______________________________________________ ______________________________________________ ______________________________________________ Defendant EVICTION COMPLAINT COUNT I The Plaintiff sues the Defendant and alleges: 1. This is an action to evict a tenant from real property in Clay County, Florida. 2. Plaintiff is owner of the following described real property in Clay County, Florida: 3. Defendant has possession of said property under an agreement to pay rent of $ payable ______________________________________________________________. A copy of the written rental agreement is attached hereto. 4. Defendant failed to pay rent due ________________________________________________________. 5. Plaintiff served Defendant with notice on __________________________ _ to pay said rent or deliver possession, but Defendant refuses to do either. A copy of the notice is attached hereto. WHEREFORE, Plaintiff demands judgment for possession of said property. COUNT II 1. This is an action for damages that do not exceed the sum of $__________, exclusive of interest and costs. 2. Plaintiff is seeking to recover from the Defendant monies in the amount of $______________ for rent due on the premises known as: ___________________________________________________________________________________ for the period of ________________________________. 3. Plaintiff is also seeking damages for __________________________ in the amount of $____________. WHEREFORE Plaintiff demands judgment in the sum of $______________________________. Plaintiff American LegalNet, Inc. www.FormsWorkflow.com