In The State Court of Chatham County, Georgia ____________________________________________ ____________________________________________ Plaintiff Vs Case Number Defendant DISPOSSESSORY WARRANT AFFIDAVIT IN PERSON BEFORE ME CAME _________________________________________________, Who on oath says that he is the authorized agent for the owner of the following property __________________________________________________________ ___________________________________________________; that the above defendant is in possession as tenant of such building and premises, the property of ____________________________________________________________that said tenant: ( ) Fails to pay rent now due on said building and premises. ( ) is now indebted to the owner in the sum of ________________________________________($______________ . ( ) is holding said building and premises over and beyond the term for which the same was rented or leased. ( ) is holding and occupying said building and premises at will or sufferance. That the owner has demanded possession of said building and premises but the same has been refused by said tenant; and that deponent makes this affidavit that a warrant may issue for the removal of said tenant from said house and premises. Sworn to and subscribed before me this, _____day of____________________, 20___. ____________________________________________________ Printed Name ____________________________________________________ Address ____________________________________________________ Affiant's Signature _________________________________________________ Judge/Deputy Clerk, State Court of Chatham County, Georgia SUMMONS TO: __________________________________________________________Pursuant to Law, you are hereby commanded and required to be in the STATE COURT OF CHATHAM COUNTY, to answer either orally or in writing within seven (7) days from the date of actual service unless the seventh day is a Saturday, Sunday or legal holiday in which case the answer may be made on the next day which is not a Saturday, Sunday, or legal holiday, and to set forth whatever legal or equitable defense or counterclaim you may have to this DISPOSSESSORY proceeding. If you do not answer within seven (7) days, a writ of possession will be issued against you. NOTE: That is seven (7) days from the date you are served with this Warrant and Summons. Your last possible date to answer is ________________, 20__ . This ________ day of ____________________, 20___. __________________________________________________ CLEAR FORM Judge, State Court of Chatham County, Georgia 9. Dispossessory warrant 09-05 American LegalNet, Inc. www.FormsWorkFlow.com