MAGISTRATE COURT OF CLAYTON COUNTY STATE OF GEORGIA APPLICATION FOR DISPOSSESSORY WRIT OF POSSESSION ____________________________________________________________ Plaintiff Vs. ____________________________________________________________ Defendant Case No. _________________________________________ Application is hereby made to the Court for the issuance of a Writ of Possession due to: _____ _____ _____ _____ the Defendant failure to file his/her answer, and Plaintiff has NOT accepted any money. the Defendant failing to comply with the Order of this Court dated _________________ , in that payment(s) of $______________ due on _________________ was/ were not made. Court=s Order dated _______________, Writ of Possession shall issue instanter, but shall not be executed prior to ___________________. Other: This _______ day of ____________________________________________ 20 __________. ____________________________________ Plaintiff/Plaintiff=s Attorney STATEMENT OF ACKNOWLEDGMENT OF NOTICE AND WAIVER OF ADDITIONAL NOTICE OF POSSIBLE ISSUANCE OF CITATION AGAINST PLAINTIFF FOR VIOLATION OF CLAYTON COUNTY CODE, IF PERSONAL PROPERTY OF THE DISPOSSESSED TENANT OR DISPOSSESSED MORTGAGOR IS NOT REMOVED FROM THE PROPERTY WITHIN TWENTY-FOUR (24) HOURS Pursuant toCode of Clayton County, Georgia, Section 82-92et. seq., in the event that the plaintiff in a writ of possession proceeding may require the sheriff=s assistance with regard to the removal of the personal property of the dispossessed tenant or dispossessed mortgagor from the premises and onto some portion of plaintiff=s property, a citation for violation of the County=s code may issue against the plaintiff if the personal property is not removed from plaintiff=s property within twenty-four (24) hours of the date and time of the execution of the writ of possession, and the property otherwise is in violation of the county code. The undersigned plaintiff, plaintiff=s attorney, or plaintiff=s authorized agent states under oath that he/she is authorized to act on behalf of plaintiff and hereby acknowledges notice, and waives any additional notice, and acknowledges that a citation for violation of the Code of Clayton County, Georgia, Section 82-92 et. seq., may issue against plaintiff, if the personal property of the dispossessed tenant or dispossessed mortgagor is not removed from plaintiff=s property within twenty-four (24) hours of the date and time of the execution of the writ of possession and the property otherwise is in violation of the county code. Date Plaintiff/Plaintiff=s Attorney/Plaintiff's Authorized Agent Sworn to and subscribed before me, this _________ day of___________________, 20_______. _____________________________________________________________________ Notary Public/ Deputy Court Clerk Application for Writ 2015 American LegalNet, Inc. www.FormsWorkFlow.com