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MAGISTRATE COURT OF COUNTY, GEORGIA DATE FILED CASE NO. Dispossessory vs. or more Defendants) AFFIDAVIT- - Personally appeared the undersigned affiant who on oath says that affiant is the [ ] owner, [ ] attorney at law, [ ] agent for Plaintiff(s) herein, and that Defendant(s) is/are in possession as tenant(s) of premises at the address stated above, in County, the property of said Plaintiff(s). Plaintiff(s) attest(s) that there are no other person(s)/entity(ies) or known occupant(s) with whom Plaintiff(s) has/have a landlord tenant relationship. FURTHER THAT: (check applicable claim(s)): [ ] tenant fails to pay the rent which is now past due; [ ] tenant holds the premises over and beyond the term for which they were rented or leased to tenant; [ ] tenant is a tenant at sufferance; [ ] Other: ; and THAT Plaintiff(s) is/are entitled to recover any and all rent that may come due until this action is finally concluded. Plaintiff(s) desires and has demanded possession of the premises and Defendant(s) has/have failed and refused to deliver said possession. WHEREFORE, Plaintiff(s) demand(s) (a) possession of the premises; (b) past due rent of $; (c) rent accruing up to the date of judgment or vacancy at the rate of $ per day. (Calculate daily rental rate, if seeking rent accruing to date of judgment or vacancy.) (d) Sworn to and subscribed before me, this day of , 20. Affiant [ ] Owner [ ] Attorney at Law [ ] Agent Attesting Official SUMMONS -- To the Sheriff of this County or lawful deputies of the Sheriff -- GREETINGS: The Defendant(s) is/are commanded and required to file an answer to said affidavit in writing or orally in person at the Magistrate Court of County, Georgia on or before the seventh (7th) day after the date of service of this affidavit and summons. If such answer is not made, a Writ of Possession and/or Judgment shall issue as provided by law. Witness the Honorable Chief Magistrate of said Court. This day of , 20 . Magistrate or Deputy Clerk The last possible date to file an answer: American LegalNet, Inc. www.FormsWorkFlow.com