Date _____________ Room ____________ Time _____________ Ex Parte __________ Hamilton County Municipal Court James Cissell, Clerk of Courts Hearing __________ Room 115 – Civil Division Plaintiff: _____________________________________ Case No. ____________ Address: _____________________________________ ______________________ Phone: ________ vs. Defendant: ___________________________________ Address: _____________________________________ ______________________ Phone: ________ Complaint Of Rent Escrow I hereby certify that a true copy of the foregoing was sent to all entitled by regular U.S. Mail on ____________________ Signature _______________________ By ___________________ Date ___________________________ Word/S/Rent Escrow 2002 © American LegalNet, Inc.