IN THE COUNTY COURT OF THE NINTH JUDICIAL CIRCUIT OF FLORIDA ORANGE COUNTY, FLORIDA Case Number________________ Plaintiff(s) VS Defendant(s) STATEMENT OF CLAIM RENT-ORAL LEASE The above named plaintiff(s) sue(s) the above named defendant(s) for: That the plaintiff(s) let to the defendant(s) a _______________ Rm/Apt/House located in______________ County, Florida, and further described as_____________________________________________________________ Address City State from______________________________ at $_______________ Zip payable Week to Week, Month to Month ________________________ of which rent $___________ are due and Weekly/Monthly unpaid. And Plaintiff(s) claim(s) $_____________ damages, such interest and attorney’s fees and court costs as are lawful. ___________________________ Plaintiff(s) 2000 © American LegalNet, Inc.