IN THE COUNTY COURT OF THE FIFTH JUDICIAL CIRCUIT OF THE STATE OF FLORIDA IN AND FOR HERNANDO COUNTY Case Number: ____________________ _______________________________________________ _______________________________________________ Plaintiff, vs. _______________________________________________ _______________________________________________ Defendant, COMPLAINT FOR EVICTION & DAMAGES Plaintiff(s), _____________________________________________________________________, sues Defendant(s) _____________________________________________________________________, and alleges: Count I ­ Tenant Eviction 1. This is an action to evict a tenant from real property in Hernando County, Florida. 2. Plaintiff(s) own(s) the following described real property in said County with the address of: _______________________________________________________________________________ ______________________________________________________________________________. 3. Defendant(s) has/have possession of the property under a/an (oral/written) agreement to pay rent of $________________ payable ________________ (i.e. monthly, weekly, etc.). A copy of the written agreement, if any, is attached as Exhibit "A". 4. Defendant(s) failed to pay the rent due _____________________, 20__________. 5. Plaintiff(s) served Defendant(s) with a Notice on _____________________, 20__________, to pay the rent or deliver possession but Defendant(s) refuse(s) to do either. A copy of the Notice is attached as Exhibit "B". WHEREFORE, Plaintiff(s) demand(s) judgment for possession of the property against Defendant(s). Count II ­ Damages 1. This is an action for damages that do not exceed $15,000. 2. Plaintiff(s) restates those allegations contained in paragraphs 1 ­ 5 above. 3. Defendant(s) owe(s) Plaintiff(s) $________________ that is due with interest since _____________________, 20__________. COMPLAINT_FOR_EVICT_12312014 American LegalNet, Inc. www.FormsWorkFlow.com Sworn to and subscribed before me this ____ day of ___________________, 20 ____ _____________________________________________ Signature _____________________________________________ Landlord Name ______________________________________________ ______________________________________________ ______________________________________________ Address _____________________________________________ Phone Number ________________________________________ Deputy Clerk or Notary Public (if signed outside of Clerk's office) COMPLAINT_FOR_EVICT_12312014 American LegalNet, Inc. www.FormsWorkFlow.com