COMPLAINT (EJECTMENT, DAMAGES); DECLARATION; EXHIBIT; SUMMONS IN THE DISTRICT COURT OF THE THIRD CIRCUIT DIVISION STATE OF HAWAII Form#3DC57 Reserved for Court Use Civil No. Plaintiff Defendant Filing Party/Attorney Name, Attorney Number, Firm Name (if applicable), Address, and Telephone Number Premises Address: COMPLAINT FOR EJECTMENT 1.This Court has jurisdiction over this matter and venue is proper.2.The premises is located in this division of this Court.3.Plaintiff is the owner or the agent for the owner of the premises.4.G Defendant is in possession of the premises without legal authority or permission.5.If title was obtained through a non-judicial foreclosure action:G Plaintiff did not initiate the non-judicial foreclosure action.G Plaintiff did initiate the non-judicial foreclosure action and acquired title at auction as the highest bidder. Plaintiffasserts that the sale of the property was conducted in a manner that was fair, reasonably diligent, in good faith, and the price at auction was an adequate price. 6.G If a written notice to vacate was given to Defendant a copy is attached.7.The Servicemembers Civil Relief Act, 50 U.S.C. App 247501 may apply to a Defendant who is classified active duty asdefined in the Act. Please check all that apply.G To the best of my knowledge, the Defendant is not a member of the military.G The following Defendant is an active duty member of the military. Name .G I am unable to determine whether the Defendant is an active duty member of the military. Please attach a separatepage indicating what attempts were made to determine Defendant222s military status. SEE PAGE 2 I certify that this is a full, true and correct copy of the original on file in this office. Clerk, District Court of the above Circuit, State of Hawai221i (Rev. 1/23/2018) Page 1 of 2 Form#3DC57 American LegalNet, Inc. www.FormsWorkFlow.com COMPLAINT (continued) Plaintiff is asking the Court for the following: A. A Judgment giving Plaintiff possession of the premises. B. A Writ of Possession directing the Sheriff or serving officer to:1.Remove Defendant from the premises and all persons possessing the premises through Defendant;2.Remove from the premises all personal belongings of Defendant and of any other person; and3.Put Plaintiff in possession of the premises.C. Judgment against Defendant for $ . In addition, the Court may award other damages, court costs, interest, and reasonable attorneys fees, as allowed by statute. Date: Signature of Plaintiff/Attorney: Print/Type Name: DECLARATION I DECLARE UNDER PENALTY OF LAW THAT WHAT IS STATED IN THE COMPLAINT IS TRUE AND CORRECT. Date: Signature of Declarant: Print/Type Name: In accordance with the Americans with Disabilities Act and other applicable state and federal laws, if you require an accommodation for a disability when working with a court program, service, or activity, please contact the at PHONE NO. (808) 961-7629, FAX (808) 961-, or email adarequest@courts.hawaii.gov at least ten (10) working days before your proceeding, hearing, or appointment date. (Rev. 1/23/2018) Page 2 of 2 Form#3DC57 American LegalNet, Inc. www.FormsWorkFlow.com