IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF JACKSON PLAINTIFF-LANDLORD: Name Case No: _________________ Name RESIDENTIAL EVICTION Street City / State / ZIP Phone DEFENDANT-TENANT: Name Name Street City / State / ZIP Phone County County COMPLAINT Filing fee at ORS 105.130 1. Defendant-Tenants are in possession of the dwelling unit, premises, or rental property described above or located at: Street City State ZIP 2. IF NOTICE HAS BEEN GIVEN, A COPY IS ATTACHED 3. Plaintiff-Landlord is entitled to possession of the property because of: 24-hour notice for personal injury, substantial damage, extremely outrageous act, or unlawful occupant. (ORS 90.396 or 90.403) 24-hour or 48-hour notice for violation of a drug or alcohol program. (ORS 90.398) 24-hour notice for perpetrating domestic violence, sexual assault or stalking. (ORS 90.445) 72-hour or 144-hour notice for nonpayment of rent. (ORS 90.394) 7-day notice with stated cause in a week-to-week tenancy. (ORS 90.392 (6)) 10-day notice for a pet violation, a repeat violation with stated cause, or without stated cause in a week-to-week tenancy. (ORS 90.392 (5), 90.405 or 90.427 (2)) 20-day notice for a repeat violation. (ORS 90.630 (4)) FED ­ Complaint - Page 1 of 2 eForm (8/2012) Public FED Residential Complaint Jackson Case No: 12/21/12 American LegalNet, Inc. www.FormsWorkFlow.com 30-day, 60-day, or 180-day notice without stated cause in a month-to-month tenancy. (ORS 90.427 (3) or (4) or (ORS 90.429) 30-day notice with stated cause. (ORS 90.392, 90.630 or 90.632) Notice to bona fide tenants after foreclosure sale or termination of fixed-term tenancy after foreclosure sale. (ORS 86.755(6)(c)) Other notice No notice (explain) 4. Plaintiff-Landlord requests judgment for possession of the premises, court costs, disbursements and lawyer fees (if any, under ORS 90.255 and 105.137 (3)). Certificate of Document Preparation. Check all that apply: I chose this form for myself and completed it without paid help. A legal help organization helped me choose or complete this form, but I did not pay money to anyone. I paid (or will pay) for help choosing, completing, or reviewing this form. Tut selected and completed this form and I did not pay anyone to review the completed form I certify that the allegations and factual assertions in this complaint are true to the best of my knowledge. Dated Signature of Plaintiff (landlord or agent) Address of Plaintiff Name of Plaintiff (printed) Phone Number FED ­ Complaint - Page 2 of 2 eForm (8/2012) Public FED Residential Complaint Jackson Case No: 12/21/12 American LegalNet, Inc. www.FormsWorkFlow.com