IN THE CIRCUIT/COUNTY COURT OF THE THIRTE ENTH JUDICIAL CIRC UIT OF THE STAT E OF FLOR IDA, IN AND FOR HILLSBOR OUGH COUNTY CI VIL DIV ISI ON CA SE NO. Plaintiff(s): DIVI SION: Address: City: State: Zip Code: Area Code: Telephone Number: VS. Defendant(s) COMPLAI NT (For Tenant Eviction For Other Than Delinquent Rent) Plaintiff(s) ____________________________________________as an individual/corporation/general partner, (circle one) sues Defendant(s) ______________________________________, and alleges: 1. This is an action to evict a tenant from real property in Hillsborough County, Florida. 2. Plaintiff(s) owns/is landlord for the following residential or commercial property: (circle one) (circle one) __________________________ ___________________________________________________________________________ Address (cir cle one) A par tment H ouse M obile Home 3. Defendant(s) has/have possession of said property under a/an oral or written agreement. (circle one) (If written, a copy must be attached.) 4. Plaintiff(s) served Defendant(s) with a written notice on ___________________________, ________. 5. The notice required Defendant(s) to vacate or correct the deficiency. A copy of (circle one) the notice is attached hereto and made a part of the Complaint. 6. The Defendant(s) has/have failed to vacate or correct the deficiency. (circle one) COCV1242(Rev.01-04-2005) (Page 1 of 2)>>>> 27. ONLY APPLIES TO MOBIL E HOME EVICTIONS The above-described property is or is not in a mobile home park of ten or more lots. (circle one) The agreement to pay rent concerns the mobile home & lot or the lot only. (circle one) WHEREFORE, Plaintiff(s) demand(s) judgment for possession of the property against Defendant(s) and costs. Plaintiff S T AT E OF F L ORI DA COUNTY OF HI L L SBORO UGH The foregoing instrument was acknowledged before me this _______ day of ___________________, 20 _____, by _______________________________________who is personally known to me or who has produced _____________________________________ as identification and who did [ ] did not [ ] take an oath. Pat Frank As Clerk of the Court _________________________________________ __________________________________________ As Deputy Clerk Notary Public __________________________________________ Typed or Printed Name Return completed form to: Pat Frank A s Clerk of the Court 800 Twiggs St. 1st Floor P. O. Box 1110 T ampa, Florida 33601 COCV1242(Rev.01-04-2005) (Page 2 of 2)