Defendant(s) : ...................................................... File No. STATE OF NORTH CAROLINA In The General Court Of Justice District Court Division-Small Claims County THE PEOPLE OF THE STATE OF NEW YORK TO JUDGMENT IN ACTION FOR SUMMARY EJECTMENT CRIMINAL ACTIVITY This action was tried before the undersigned on the cause stated in the complaint. The record shows that the defendant was given proper notice of the nature of the action and the date, time and location of the trial. FINDINGS The Court finds that: 1. the plaintiff has proved the case by the greater weight of the evidence. 2. the GREETINGS:plaintiff has failed to prove the case by the greater weight of the evidence. was was not present at trial. 3. the defendant(s) 4. the tenant proved an affirmative defense under G.S. 42-64. WE COMMAND YOU, that all business and excuses being 5. Other: laid aside, you and each of you attend before , the Honorable at the Court ORDER located at County is ORDERED that: of It in room (eviction) theon the , defendant(s) named below be removed from at the plaintiff be putthepossession of the at any recessed day of , 20 , and o'clock in in noon, and premises described to testify and give evidence as a witness in this action on the part of the or adjourned date, in the complaint. G.S. 42-63 Name And Address Of Plaintiff Name Of Defendant(s) Ordered Removed County Telephone No. VERSUS (partial eviction) the defendant(s) named below immediately vacate the premises described below, and the defendant(s) namedfailure is barred from returning to the premises described inathe complaint as well and will make you liable to Your below to comply with this subpoena is punishable as contempt of court as the entire complex of the party buildings or behalf thishome park and allissued for a maximum penalty of $50 and all damages sustained and a on whose the mobile subpoena was real property used in connection therewith, including streets, sidewalks as common area that make up the entire premises owned by the plaintiff. Failure to comply with this Order may subject result of your failure to comply.below to contempt or to a charge of a criminal violation. the defendant(s) named Name And Address Of First Defendant Description Of Premises (include location) Name Of Defendant(s) Barred From Premises Witness, Honorable Court in County Telephone No. , one of the Justices of the (conditional eviction) as an express condition of the lease between the landlord and tenant, the defendant/tenant, shall County, day of , 20 not give permission to or invite the person named below to return to or reenter any portion of the entire premises owned by the landlord and if the person named below returns to the defendant's individual rental unit, the defendant/tenant shall notify law enforcement or the landlord immediately upon learning of the return or reentry. The defendant/tenant shall (state other conditions, if any) (Attorney must sign above and type name below) Name Of Person Barred From Premises (may be person named above or someone barred by rules of publicly assisted landlord) Name And Address Of Second Defendant The defendant/tenant shall sign the acknowledgment below. Attorney(s) Other: this action be dismissed with prejudice. plaintiff. defendant. Costs of the action are taxed to the Judgment Announced And Signed In Open Court County Telephone No. Name Of Party Announcing Appeal In Open Court for Date Signature Of Magistrate Office and P.O. Address CERTIFICATION ACKNOWLEDGMENT BY DEFENDANT/TENANT (NOTE: To be used when magistrate does not announce and sign this Judgment in open court at the conclusion of the trial.) I certify that this Judgment has been served on each party named by depositing a copy in a post-paid properly addressed envelope in a post office or official depository under the exclusive care and custody of the United States Postal service. I understand the terms of the conditional eviction against me stated above. I understand that my failure to comply with the Court's order will result in the termination of my lease, and that I will be evicted. Facsimile No.: Name And Address Of Plaintiff's Attorney Or Agent Date Signature Of Magistrate Telephone No.: DateE-Mail Signature Address: Of Tenant Mobile Tel. No.: AOC-CVM-403, Rev. 2/06, © 2006 Administrative Office of the Courts American LegalNet, Inc. www.FormsWorkflow.com