IN THE COUNTY COURT OF POLK COUNTY, FLORIDA CIVIL DIVISION _____________________________ Name CASE NO. _____________________ _____________________________ Address _____________________________ City, State, Zip Code Phone Number _____________________________ vs. _____________________________ Name Plaintiff, _____________________________ Address _____________________________ City, State, Zip Code Phone Number _____________________________ Defendant. EVICTION SUMMONS/RESIDENTIAL PLEASE READ CAREFULLY You are being sued by the Plaintiff to require you to move out of the place where you are living for the reasons given in the attached Complaint. You are entitled to a trial to determine whether you can be required to move, but you MUST do ALL of the things listed below. You must do them within five (5) days (not including, Saturday, Sunday, or any legal holiday observed by the Clerk of the Court) after the date these papers were given to you or to a person who lives with you or were posted at your home. THE THINGS YOU MUST DO ARE AS FOLLOWS: 1. Write down the reason(s) why you think you should not be forced to move. The written reason(s) must be given to the Clerk of the Court at one of the following locations: Polk County Courthouse, 255 N. Broadway, Drawer CC-12, P. O. Box 9000, Bartow, FL 33831 Lakeland Government Center, 930 E. Parker St., Room 240, Lakeland, FL 33801 Northeast Polk County Government Center, 3425 Lake Alfred Road - #7 Gill Jones Center, Winter Haven, FL 33881 2. Mail or give a copy of your written reason(s) to: ___________________________________ Plaintiff/Plaintiff's Attorney ____________________________________ ____________________________________ Address 3. Pay to the Clerk of the Court the amount of rent that the attached complaint claims to be due and any rent that becomes due until the lawsuit is over. A handling fee of 3% of the first $500.00 then 1.5% thereafter will be charged by the Clerk and you must pay by cash, money order, or cashier's check ONLY. If you believe that the amount claimed in the complaint is incorrect, you should file with the Clerk of the Court a motion to have the court determine the amount to be paid. If you file a motion, you must attach to the motion any documents supporting your position and mail or give a copy of the motion to the plaintiff/plaintiff's attorney. 4. If you file a motion to have the court determine the amount of rent to be paid to the Clerk of the Court, you must immediately contact the office of the judge to whom the case is assigned to schedule a hearing to decide what amount should be paid to the Clerk of the Court while the lawsuit is pending. American LegalNet, Inc. www.FormsWorkFlow.com IF YOU DO NOT DO ALL OF THE THINGS SPECIFIED ABOVE WITHIN 5 WORKING DAYS AFTER THE DATE THAT THESE PAPERS WERE GIVEN TO YOU OR TO A PERSON WHO LIVES WITH YOU OR WERE POSTED AT YOUR HOME, YOU MAY BE EVICTED WITHOUT A HEARING OR FURTHER NOTICE. 5. If the attached complaint also contains a claim for money damages (such as unpaid rent), you must respond to that claim separately. You must write down the reasons why you believe that you do not owe the money claimed. The written reasons must be given to the Clerk of the Court at the address specified in paragraph (1) above, and you must mail or give a copy of your written reasons to the plaintiff/plaintiff's attorney at the address specified in paragraph (2) above. This must be done within 20 days after the date these papers were given to you or to a person who lives with you. This obligation is separate from the requirement of answering the claim for eviction within 5 working days after these papers were given to you or to a person who lives with you or were posted at your home. THE STATE OF FLORIDA: To Each Sheriff of the State: You are commanded to serve this summons and a copy of the complaint in this lawsuit on the above-named Defendant. DATED this _____ day of __________________, _________. STACY M. BUTTERFIELD Clerk of the Circuit Court By____________________________ Deputy Clerk American LegalNet, Inc. www.FormsWorkFlow.com