_________________________________________________________________________________________Plaintiff ___ say ____ that Defendant __________________________________________________________________________________ has ever since the ___________day of __________________________ 20____, and does still, unlawfully and forcibly detain, from the Plaintiff ____ possession of the following described premises, to-wit: Situated in the _______________________ of ______________________________, County of ___________________________________, and State of _______, and known as _______________________________________________________________________________________________________
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That said Defendant ___ entered upon said premises as tenant of the Plaintiff _____ under (2) _____________________________ ___________________________________________________________________________________ the term of which expired at the time herein first mentioned (3) __________________________________________________________________________

and from that time the said Defendant ___ has unlawfully and forcibly held over ____ h ____ said term.

On the ______day of ____________________ 20______, the Plaintiff ___ upon the said Defendant ____ as required by law, notice in writing, to leave said premises.

Second cause of action:
Plaintiff ____ for ___ h ___ second cause of action states that the Defendant ___ is indebted to said Plaintiff ____in the sum of
$ ________ as rent for the above described premises for the period from _______________________ ____, to _________________20_____, on a rental basis of $ _____________________________ per month (4) _____________________ ______________________________________________________________________________________________________

Plaintiff- asks Process and Restitution and judgment for $____________________________________________ and costs of this action.

Dated this _________day of ________________________ 20____

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The State of _________s, __________________________________________________________________County, ss.

__________________________________________________________________________________________being duly sworn says that he (5) _____________________________________ the plaintiff ____ in the within entitled action and that the facts stated in the foregoing Complaint are within h _____ personal knowledge and are true as he verily believes.

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Sworn to before me and signed in my presence this ___________day of ________________________ 20_________

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5. Insert, if so, "One of," or "agent of," or attorney of."