IN THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL CIRCUIT IN AND FOR MIAMI-DADE COUNTY, FLORIDA. IN THE COUNTY COURT IN AND FOR MIAMI-DADE COUNTY, FLORIDA. DIVISION CIVIL OTHER CASE NUMBER COMPLAINT FOR REPLEVIN PLAINTIFF(S) VS. DEFENDANT(S) CLOCK IN ATTORNEY BAR NUMBER : ________________________________________ The Plaintiff(s) ____________________________________________________________________________ sues Defendant(s)________________________________________________________________________ and alleges: 1. This is an action to recover possession of personal property. 2. The description of the property is: ______________________________________________________________ __________________________________________________________________________________________________ _______________________________________________________________________________________ . 3. To plaintiff's best knowledge, information and belief the value of the property is $_____________________, and its location is_______________________________________________________________________________ ____________________________________________________________________________________________ . 4. The plaintiff is the owner of the claimed property or is entitled to possession of it by virtue of the following source of title, or right of possession: _____________________________________________________________________________________________ (If interest is based on a written instrument a copy is attached.) 5. The property is wrongfully detained by the defendant who obtained possession by________________________ ____________________________________________________________________________________________ . 6. To plaintiff's best knowledge, information and belief, defendant detains property because: _________________ ____________________________________________________________________________________________ . 7. The property has not been taken for any tax, assessment or fine pursuant to law, nor has it been taken under an execution or attachment against plaintiff's property, or if so taken, that it is by law exempt from such taking by the following reference to the exemption law relied upon: Wherefore plaintiff demands a final judgment of possession and damages against defendant including interest and any costs authorized by law. Affiant states that the defendant(s) is/are not in the military service of the United States. Attorney /Plaintiff Address of Attorney/Plaintiff Telephone No. 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 did / did not take an oath. SWORN TO AND SUBSCRIBED BEFORE ME this _______________ day of __________________________ 20__________. HARVEY RUVIN CLERK OF COURTS CLK/CT 173 REV. 1/09 Signature Attorney's Bar No. Deputy Clerk NOTARY PUBLIC, State of Florida ____________________________ Clerk's web address: www.miami-dadeclerk.com American LegalNet, Inc. www.FormsWorkflow.com