IN THE COUNTY COURT OF POLK COUNTY, FLORIDA CIVIL DIVISION CASE NO. _________________ _____________________________ Name _____________________________ Address _____________________________ City, State, Zip Code _____________________________ Phone Number Plaintiff, vs. _____________________________ Name _____________________________ Address _____________________________ City, State, Zip Code _____________________________ Phone Number Defendant. CERTIFICATE OF SERVICE REGARDING COMPLAINT FOR EVICTION RESIDENTIAL PROPERTY I HEREBY CERTIFY that a true and correct copy of the Plaintiff's COMPLAINT FOR REMOVAL OF TENANT together with a copy of the SUMMONS have been furnished by mail this _____ day of _________________, ______ to defendant at the address described in the Summons STACY M. BUTTERFIELD Clerk of the Circuit Court By___________________________ Deputy Clerk (S E A L) American LegalNet, Inc. www.FormsWorkflow.com