IN THE COUNTY COURT OF THE NINTH JUDICIAL CIRCUIT OF FLORIDA, ORANGE COUNTY, FLORIDA CASE NUMBER _________________ DIV._____________ LANDLORD/TENANT STIPULATION Whereas the landlord has filed an action for eviction, the landlord and tenant make the following agreement: ( ) The defendant(s), ___________________________________, agrees to pay the plaintiff, __________________ ______________________________________________, $ _______________ back rent/fees plus $____________ court costs for a total of $__________________. This amount covers all money due through _________________, 20 ____. This amount is payable as follows: $________________ shall be paid to the plaintiff from the court registry. $________________ shall be paid on or before _______________________, 20 ____. Subsequent payments in the amount of $______________ per week/month shall be made to the plaintiff beginning ____________________, 20 ____, and thereafter on [ _____________ of each week] [ the _______ day of each month] until the total amount due is paid in full. "Payment" means receipt by the landlord and shall be by cashier's check or money order. This payment schedule is for past due amounts only and does not relieve the tenant from continuing to make other payments due under the lease. If, at any time prior to dismissal of this action, the plaintiff files a sworn affidavit that any payment under this stipulation or due under the current lease has not been made, the court may proceed to enter a judgment for possession and for the amount of back rent and costs stated in the affidavit with no notice to the defendant. Payments shall be sent to: (Remember: payments must be received by the due date) ___________________ ______________________________________________________________________________________ ( ) The defendant(s) agree(s) to vacate the premises no later than 5:00pm on _________________________. Upon the filing of an affidavit by the plaintiff stating that the defendant has failed to vacate by that time, a final judgment for possession will be entered by the court with no further notice to the defendant. ( ) Other agreement(s) _______________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ Damages alleged after the tenant has vacated the premises may be determined at a later mediation/hearing. Distribution of security deposit, if any, shall be determined at that time. If a final judgment has not been entered herein by _____________________________ (90 days after the time for making the last payment provided for back rent herein), this stipulation shall constitute a voluntary dismissal without prejudice of the claim and of the counter-claim, if any, filed herein. _____________________________, 20 _____ PLAINTIFF _________________________________ Daytime Phone _______________________________ PLAINTIFF _________________________________ Daytime Phone _______________________________ DEFENDANT_____________________________ Daytime Phone ____________________________ DEFENDANT ____________________________ Daytime Phone ____________________________ American LegalNet, Inc. www.FormsWorkFlow.com