JEF-056-1 Rev. 6-09 Page 1 of 1 Commonwealth of Kentucky Court of Justice www.courts.ky.gov Case No._____________________ District Court________________________ Petition For & Writ Of Forcible Entry & Detainer Jefferson County_______________________ ________________________________________________________________ PLAINTIFF ________________________________________________________________ ________________________________________________________________ DEFENDANT ________________________________________________________________ Plaintiff claims there is a [ ] written [ ] oral lease between the parties and Defendant has breached that lease agreement. Defendant(s) have breached the lease by not paying rent for the [ ] months of___________________________________________________________________________ or [ ] weeks of_____________________________________________________________________________ in the amount(s) of $_____________________, and have not paid late fee(s) for the [ ] months of___________________________________________________________________________ or [ ] weeks of_____________________________________________________________________________ in the amounts of $___________. Defendant(s) have breached the lease/rental agreement because of the following: _______________________________________________________________________________________________ _______________________________________________________________________________________________. Plaintiff gave Defendant(s) notice to vacate in writing on _____________, 2_______ and Defendant(s) have not vacated. I hereby certify I am the [ ] owner of [ ] attorney for the owner of the above-named property. Signature_______________________________________________________________________________________ Name (print)____________________________________________________________________________________ Address________________________________________________________________________________________ _______________________________________________________________________________________________ SUBSCRIBED AND SWORN TO BEFORE ME THIS ___________ day of ______________________, 2______. ____________________________________________ Deputy Clerk THE COMMONWEALTH OF KENTUCKY to the Sheriff (or Constable) of Jefferson County: WHEREAS Plaintiff has made complaint that on the _______ day of ______________________, ________, the above-named Defendant did [ ] forcibly enter into [ ] forcibly detain from Plaintiff the following: [ ] Defendant's address which the Defendant, tenant of the Plaintiff, refuses to vacate. You are therefore commanded to summon the above-named Defendant to appear _______________________________________________, 2_____ 600 West Jefferson Street, to inquire into this [ ] forcible detainer [ of trial, and to be present at trial with this writ. on at ________________, Courtroom # ________, Hall of Justice, ] forcible entry, giving Defendant at least three (3) days' notice Witness my hand as Judge this ______ day of ______________________, 2________. ____________________________________________ District Judge, Jefferson County THIS IS AN EVICTION NOTICE: You should appear in Court to tell your side of the dispute. This is an important legal paper, do not destroy it. Take it to your lawyer immediately or call the Legal Aid Society at 584-1254, or Kentucky Lawyer Referral Service at 583-1801. American LegalNet, Inc. www.FormsWorkFlow.com