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. TENANT EVICTION COMPLAINT The above named plaintiff sues the above named defendant and alleges: 1. This is an action to evict a tenant from real property in Polk County, Florida. 2. Plaintiff rents to defendant the following described property in said county: ________________________________________________________________________________ ________________________________________________________________________________ 3. Defendant has possession of the property under oral ­ written agreement to pay rent of $____________ payable _________________ on ____________________ of each _________________________. A copy of the written agreement, if any, is attached as Exhibit A. 4. Defendant failed to pay rent due __________________, ________ for a total past rent due of $___________. 5. Plaintiff served defendant with a _____ day NOTICE TO VACATE on ____________________, ______ to: (Check either A or B) ____A. Pay rent or deliver possession, but defendant refuses to do either. Deliver possession for the following reason(s): ____________________________ _________________________________________________________________ _________________________________________________________________, But the defendant has refused. WHEREFORE, plaintiff demands judgment for possession of the property and all costs of this action. Dated this ____ day of __________________, ____. Sworn to and subscribed before me this _____ day of _______________, ____. STACY M. BUTTERFIELD Clerk of the Circuit Court BY: ______________________________ Deputy Clerk ___________________________________ Plaintiff ___Personally Known ___Produced Identification Type of identification presented:__________________________ ____B American LegalNet, Inc. www.FormsWorkFlow.com