IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF POLK Case No. ________________ RESIDENTIAL EVICTION COMPLAINT PLAINTIFF (Landlord or Agent): DEFENDANT (Tenants/Occupants): ___________________________________ ___________________________________ ___________________________________ ___________________________________ Address: ___________________________ VS. Address: ___________________________ City: _______________________________ City: _______________________________ State: ________ Zip: __________________ State: ________ Zip: __________________ Telephone: ________________________ _ Telephone: ________________________ Defendant’s Social Security number ________________________ (Optional information for purposes of identification. 1. Tenants are in possession of the dwelling unit, premises or rental property described above or located at: _____________________________________________________________________________ Street Address City State Zip 2. 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 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 in a month-to-month tenancy or without stated cause in a week-to-week tenancy. ORS 90.405, 90.427(1), or 90.392(5).  20-day notice for a repeat violation. ORS 90.630(4).  30-day or 180-day notice without stated cause in a month-to-month tenancy. ORS 90.427(2) or 90.429.  30-day notice with stated cause. ORS 90.630, 90.632, or 90.392.  Other notice _______________________________________________________________  No notice (explain) __________________________________________________________ A COPY OF THE NOTICE RELIED UPON, IF ANY, IS ATTACHED 3. If the landlord uses an attorney, the case goes to trial and the landlord wins in court, the landlord can collect attorney fees from the defendant pursuant to ORS 90.255 and 105.137(3). Landlord requests judgment for possession of the premises, court costs, disbursements and attorney fees. I certify that the allegations in this complaint are true to the best of my knowledge. ____________ ___________________________________________ Date Signature of Plaintiff or Agent Certified to be a true and correct copy of the original on file. Trial Court Administrator Date: ____________ (SEAL) By ____________________________________________________ Judicial Services Specialist Revised 01/2008;PLK04/08 American LegalNet, Inc. www.FormsWorkFlow.com