STATE OF NORTH CAROLINA CountyIn The General Court Of JusticeDistrict Court Division - Small Claims File No. COMPLAINT IN EXPEDITEDSUMMARY EJECTMENTVACATION RENTAL AGREEMENT1. þ The rental property that is the subject of the vacation rental agreement is located in the county named above.2. þ The defendant entered into possession of premises described below as a tenant of the plaintiff. CERTIFICATION WHEN COMPLAINT SIGNED BY REAL ESTATE BROKER I certify that I am an agent of the landlord and have actual knowledge of the facts alleged in this Complaint. Name (type or print)Name Of Landlord/Real Estate Broker/Attorney (type or print) SignatureSignature Of Landlord/Real Estate Broker/AttorneyDateDate G.S. 42A-24 Description Of Premises (include location)Description Of Breach 3. þ The plaintiff and defendant entered into a vacation rental agreement for thirty (30) days or less.4. þ The vacation rental agreement conforms to the requirements of the law. þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ complaint.6. þ þ a. þ The tenant held over after the tenancy expired. þ þ b. þ The tenant committed a material breach of the terms of the vacation rental agreement for which þ þ þ þ þ þ c. þ The tenant failed to pay rent as required by the agreement. þ þ d. þ The tenant obtained possession of the property by fraud or misrepresentation.7. þThe plaintiff is entitled to immediate possession.8. þ I demand to be put in possession of the premises.Rate Of RentDate Lease Ended Day Week Monthper$ CountyName And Address Of PlaintiffName And Address Of Defendant 1Name And Address Of Defendant 2CountyTelephone No. Telephone No.Telephone No.Name And Address Of Plaintiff222s Attorney Or AgentAttorney Bar No.CountyVERSUS American LegalNet, Inc. www.FormsWorkFlow.com