IN THE COUNTY COURT IN AND FOR DUVAL COUNTY, FLORIDA CASE NUMBER: DIVISION: Name:____________________________________ Address:__________________________________ Telephone:________________________________, Plaintiff VS. Name:___________________________________ Address:__________________________________ Telephone:_________________________________, Defendant Statement of Claim (In Replevin) This is an action in replevin and Plaintiff alleges: 1. That he is the agent of the above named Plaintiff and that Plaintiff is/are lawfully entitled to the possession of the following described personal property located at _____________________________________ ________________________________________________________________ in Duval County Florida, to wit _________________________________________________________________________________________. 2. Defendant came into possession of the above said goods by virtue of ___________________________ _________________________________________________________________________________________. 3. To the best of my knowledge, information and belief the value of the said property is the sum of $________________ , that said property has not been taken for any tax assessment of fine levied by virtue of any law of the State of Florida, nor seized under any execution or attachment against the goods and chattels of said Plaintiff liable to execution and that the above named Defendant has/have possession of the above described personal property and wrongfully detains the same from Plaintiff in the County of Duval, State of American LegalNet, Inc. www.FormsWorkFlow.com Florida. 4. That said Plaintiff is the owner of said personal property and entitled to the possession thereof by virtue of __________________________________________________________________________________ ______________________________________________________that said Defendant in Duval County, Florida wrongfully detains from said Plaintiff said personal property of the value as aforesaid; that said Plaintiff made demand upon said defendant for possession of said personal property prior to the institution of this claim, yet said Defendant continues to wrongfully withhold possession thereof from said Plaintiff for the reason being _____________________________________________________________________________________ _________________________________________________________________________________________. WHEREFORE Plaintiff demands judgment for possession of the property and for damages for the detention of it against defendant. ____________________________ (Print name) ____________________________ (Signature) American LegalNet, Inc. www.FormsWorkFlow.com