IN THE STATE COURT OF G W I N N E T T COUNTY STATE OF G E O R G I A Plaintiff's Name, Address & Phone No.) VS. Defendant's D I S P O S S E S S O R Y PROCEEDING CASE NO. N a m e and Address Personally appeared the u n d e r s i g n e d a f f i a n t who on oath says that he is (owner), (attorney at law), (agent for plaintiff herein), and thaU Defendant is in p o s s e s s i o n as t e n a n t of premises a t - t h e address as stated above, in G w i n n e t t County, the property of said plaintiff. FURTHER: (Mark an "X" in the a p p r o p r i a t e s p a c e s below) A. That tenant fails to pay the r e n t w h i c h is now past due: b. That tenant holds the p r e m i s e s over and b e y o n d the term for w h i c h they were rented o r l e a s e d to him; C. T h a t tenant is a tenant at s u f f e r a n c e ; d. e° T h a t plaintiff is e n t i t l e d to r e c o v e r any and all rent that m a y come due until this action is finally concluded. Plaintiff d e s i r e s and has d e m a n d e d p o s s e s s i o n of the premises and Defendant has failed and refused to d e l i v e r said possession. WHEREFORE, P l a i n t i f f DEMANDS: (a) p o s s e s s i o n of the premises; (b) past due rent of $ (c) rent accruing up to the d a t e of j u d q m e n t or vacancy at the rate of $ per (d) Sworn to and subscribed before me, day of this D e p u t y Clerk, State Court Attorney/Affiant Name Address P h o n e No. Georgia Bar No. 2001 © American LegalNet, Inc.