IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINCOLN Case No: _________________ Plaintiff (Landlord or Agent) v. RESIDENTIAL EVICTION COMPLAINT Filing fee at ORS 105.130 Defendant (Tenant or Occupant) PLAINTIFF-LANDLORD: Name Name Street City / State / ZIP Phone 1. County DEFENDANT-TENANT: Name Name Street (do not use a P.O. Box) City / State / ZIP Phone County 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)) 30-day or 60-day notice without stated cause in a month-to-month tenancy. (ORS 90.427 (3) or (4)) 180-day notice without stated cause in a month-to-month tenancy.(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. Signature of landlord or agent _______________________________________________ Name of landlord or agent (Printed) Date 10/2012 American LegalNet, Inc. www.FormsWorkFlow.com