Joseph E. Smith Clerk of the Circuit Court St. Lucie County, Florida County Civil division 250 N.W. Country Club Drive Port Saint Lucie, Florida 34986 (772) 785-5880 In the County Court, Nineteenth Judicial Circuit, in and for County of St. Lucie, State of Florida ­ Civil Division Case No. PLAINTIFF, VS DEFENDANT. _____________________________/ STATEMENT OF CLAIM FOR RETURN OF PROPERTY Plaintiff sues Defendant and says: 1. This is an action for return of stolen or misappropriated property pursuant to Section 539.01, Florida Statutes. 2. Plaintiff is the owner of the following described property: ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ____________________________________________________________ 3. The above-described property was stolen or otherwise misappropriated from Plaintiff on or about the ______ day of ____________________________. A copy of the law enforcement report outlining the theft/misappropriation is attached hereto and incorporated into this statement of claim. . 4. The above-described property is currently in the possession of the defendant and is located at a pawnshop as defined in Section 539.001, Florida Statutes, the address of which is _______________________________________________________________________________________ 5. Plaintiff has complied with the procedural requirements of Section 539.001, Florida Statutes. Specifically, Plaintiff notified the pawnbroker of Plaintiff's claim to the property: _______ by certified mail, return receipt requested, OR _______ in person evidenced by a signed receipt The notice contains a complete and accurate description of the purchased or pledged goods and was accompanied by a legible copy of the aforementioned police report regarding the theft or misappropriation or the property. No resolution between Plaintiff and Defendant pawnbroker could be reached within 10 days after delivery of the notice. WHEREFORE, the Plaintiff demands judgment for the return of the property. Plaintiff further asks this court to award Plaintiff the costs of this action, including reasonable attorney's fees. ___________________________________ PLAINTIFF (SIGNATURE) ___________________________________ ___________________________________ ___________________________________ STATE OF FLORIDA COUNTY OF ST. LUCIE The foregoing instrument was acknowledged before me this _______ day of ________________, by ____________________________, who is personally known to me or has produced _____________________________________ as identification and who ____ did/did not ____ take an oath. WITNESS my hand and official seal on ________________________________________. ____________________________________ DEPUTY CLERK / NOTARY PUBLIC Revised 7/18/2013 American LegalNet, Inc. www.FormsWorkFlow.com