PACKAGE FEE: $3.15
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KEN BURKE, C.P.A.
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
PINELLAS COUNTY, FLORIDA
www.mypinellasclerk.org
04/2021
09/2020
EJECTMENT
FILING FEE:
SUMMONS ISSUANCE FEE:
COPIES REQUIRED:
ADDITIONAL COSTS:
SERVICE FEE:
$400.00
$10.00 per summons
Originals to the Clerk.
1 Set of copies for service.
1 Set of copies for your records.
$3.50 per Acknowledgement
(If you do not have your signature
notarized in the required spaces prior to
filing, the Deputy Clerk can do this for
you. Please DO NOT SIGN until a
notary or Deputy Clerk instructs you to
do so.)
You must contact a private process
server, or persons allowed to do service,
in the county where service is to be
done to obtain their service fees. You
can get a list of local process servers
from the sheriff by accessing a link
through our website at
www.MyPinellasClerk.org
SELF HELP CENTER
The Self Help Centers are the result of a collaborative effort between the Clerk’s Office, the Sixth Judicial Circuit,
the Community Law Program and the Clearwater Bar Association.
The purpose of the Clerk's Legal Self Help Centersis to assist citizensrepresenting
themselves in court (sometimes referred to as pro se persons) who do NOT have a private attorney.
Citizens who represent themselves in court and do not already have a private attorney representing them, can
now get affordable legal assistance.
OUR SERVICES INC
LUDE:
• Schedule an appointment to consult with an attorney for a minimum of $15.00*
(Attorneys may assist with Family Law, Small Claims and Landlord/Tenant matters ONLY.)
• Purchase forms and packets for the civil court actions listed above
• Have documents notarized
• Make copies
Open Monday through Friday from 8:30 a.m. until 4:30 p.m.:
•
The Clearwater Self Help Center
The New Courthouse
315 Court Street
Clearwater, FL 33756
Phone: (727) 464-5150
Fax: (727) 453-3423
o Appointments may be scheduled for Wednesday,
Thursday and/or Friday.
o A Spanish interpreter provided by the
Hispanic Outreach Center is available by
appointment at the Clearwater location
•
The St. Petersburg Self Help
Center
The St. Petersburg Judicial Building
545 First Avenue North, Room 103
St Petersburg, FL 33701
Phone: (727) 582-7941
Fax: (727) 582-7945
o Appointments may be scheduled for
Monday, Wednesday, and/or Friday.
• The North County Branch Self Help Center
29582 U.S. 19 North
Clearwater, FL 33761
Phone: (727) 464-5150
Fax: (727) 453-3423
o Attorney appointments may be scheduled
for Tuesday only at this office.
Self Help Center Now Offering Online Scheduling of attorney consultation appointments for pro se litigants
that do not already have an att
orney. To schedule an appointment online using a credit card, please visit
www.mypinellasclerk.org
and click on the SELF HELP CENTER link in the top menu.
*Attorney appointments may only be scheduled for a minimum of 15 minutes to a maximum of one hour. All appointments must be
scheduled in 15-minute increments, i.e., 15, 30, 45 or 60 minutes at a rate of $1 (one dollar) per minute, therefore payments will be $15, $30,
$45 or $60 accordingly.
Attorney consultation fees must be paid when the appointment time is scheduled. Payments must be by cash, check, money order or credit card.
Refunds will not be issued for missed appointments.
Ken Burke, CPA
Clerk of the Circuit Court
& Comptroller
Pinellas County, Florida
Revised 10/2020
COMPLAINT FOR EJECTMENT
When should this packet be used?
Ejectment is used to remove a person(s) who occupies your real property, and incorrectly
claims title to that property
The property is located in Pinellas County
The person(s) occupying the property are not tenants
Example – You legally purchase a piece of property from the owner and record the deed.
The former owner then sells the same property again to someone else. The other person is
residing in the property and claims that they own it because they bought it from the former
owner.
If your situation does not meet the criteria listed above, ejectment may not be the appropriate
action, and you should review the information on eviction and unlawful detainer. This packet
does not constitute legal advice. If you have questions you may want to contact an Attorney.
Ejectment is a circuit court lawsuit filed pursuant to Florida Statute Chapter 66, to request that
another person leave your property when they incorrectly claim title to that property.
READ ALL OF THE INFORMATION AND INSTRUCTIONS BEFORE COMPLETING THE FORMS AND
SUBMITTING THEM FOR FILING.
DO NOT SIGN ANY DOCUMENTS THAT REQUIRE A NOTARY OR DEPUTY CLERK SIGNATURE
UNTIL YOU ARE IN FRONT OF THE NOTARY OR DEPUTY CLERK.
RETAIN COPIES OF ALL FORMS FILED FOR YOU YOUR OWN RECORDS.
DOCUMENTS MUST BE LEGIBLE, TYPE WRITTEN OR LEGIBLY HANDWRITTEN IN BLACK OR BLUE
INK.
It is important to remember that a delay can occur as a result of any errors on your
paperwork.
EJECTMENT FILING CHECKLIST
STEP ONE – FILE CASE WITH CLERK
To file an Ejectment case, you may file the following forms along with the filing fee and any
service fees, if applicable, with the Clerk’s office.
_____ Complaint for Ejectment
(1) Original filed with the Clerk and (1) set of copies for each Defendant to be served
_____ Civil Cover Sheet
_____ Affidavit of Military Status
_____ Summons
(1) Original and (1) copy for each Defendant to be served
STEP TWO – OBTAIN JUDGMENT
20 days after service on the Defendant(s):
The Defendant(s) DID NOT respond, you may file the following forms:
_____ Motion for Clerk’s Default
_____ Motion for Default Judgment
_____ Final Judgment
(1) Original, (1) copy for each Plaintiff and (1) copy for each Defendant along with
preaddressed stamped envelopes for each party
OR
The Defendant(s) DID respond, you may file the following forms:
_____ Notice of Hearing
(It is your responsibility to contact the Judicial Assistant of the Judge assigned to your
case, to set a hearing date. Once you have set your hearing, complete the notice of
hearing and make copies. File the original with the clerk and send a copy to each of the
defendants.)
_____ Final Judgment – Bring to the hearing
(1) Original, (1) copy for each Plaintiff and (1) copy for each Defendant along with
preaddressed stamped envelopes for each party
If the Judge grants your complaint, a Final Judgment will be signed.
STEP THREE – OBTAIN WRIT OF POSSESSION
If the Defendant(s) refuses to leave the property after the Final Judgment has been signed,
you may file a Writ of Possession and have it issued by the Clerk, allowing the Sheriff’s
department to remove them from the property.
_____ Writ of Possession
Payment Options for Writ of Possession:
$90.00 Check or money order payable to the Pinellas County Sheriff’s Office
o Submitted to the Clerk along with the Writ of Possession
$90.00 Credit or Debit payment – PLC #8384 ($3.00 service fee applies)
o online at www.GovPayNow.com
o by phone at 1-888-604-7888
Additional Forms, if applicable
_____ Disclosure form Nonlawyer
This form should only be used if a nonlawyer assists you in completing any forms. The
nonlawyer must complete the Disclosure form and both of you are to sign it prior to the
nonlawyer assisting you with any forms.
_____ Notice of Voluntary Dismissals
If you decide not to proceed with your case prior to a judgment being entered, you
should file a Notice of Voluntary Dismissal
THIS DOES NOT CONSTITUTE LEGAL ADVICE. Civil court information
and forms provided by the Pinellas County Clerk of the Circuit Court
should be considered informational only, and may not be applicable
in every situation. The information is not intended to be used as legal
advice. Specific guidance as to how to proceed with filing or
answering a lawsuit and questions about your particular situation
should be directed to a qualified attorney.
10/2020
Revised by the Clerk 11-2020
Quick Reference Guide to Completing
Ejectment Forms Prior to Filing
Complaint for Ejectment from Real Property:
• Fill in party names in the space provided (the plaintiff is the party initiating this action and
the defendant is the party against whom the case is initiated)
• Read each line and fill in the appropriate responses
• Date and sign in the space provided and print or type your name, address and telephone
number
• Attach a chain of title to the complaint. A chain of title traces the historical transfer of
ownership from the original owner to the present owner.
All other forms:
• Fill in the names of the Plaintiff(s) and Defendant(s)
• Read each line and select and/or fill in the appropriate responses.
• Date and sign in the space provided and print or type your name, address and telephone
number
o If required, date and sign in the presence of a Notary Public or Deputy Clerk.
Ejectment Packet Form #1
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,1$1')253,1(//$6&2817<)/25,'$
Reference No: ______________________ UCN: 5220___ CA____________XXCICI
__________________________
Plaintiff(s)
vs.
___________________________
Defendant(s)
&203/$,17)25(-(&70(17)5205($/(67$7(
COMES NOW, the Plaintiff(s), ______________________________________, sues
Defendant(s), ___________________________________________ and states as follows:
1. This is an action to recover possession of real property located in Pinellas County, Florida.
2. The Defendant(s) is in possession of the following real property in the County:
________________________________________________________________________
(Describe property, i.e. address or legal description)
to which Plaintiff(s) claims title as shown by the attached statement of Plaintiff’s chain of title.
3. Defendant(s) refuses to deliver possession of the property to Plaintiff(s) or pay Plaintiff(s) the
profits from it.
1RWH$VWDWHPHQWRI3ODLQWLII¶VFKDLQRIWLWOHPXVWEHDWWDFKHG
:+(5()25(Plaintiff(s) demands judgment for possession of the property and damages
against Defendant(s).
Date: __________________
Signature of Plaintiff(s)
Print Name:
Address:
City, State, Zip:
Telephone No:
(Form 1.997 Civil Rules of Procedure 9/2020)
CIRCUIT COURT, PINELLAS COUNTY, FLORIDA
CIVIL DIVISION
CIVIL COVER SHEET
FORM 1.997 The civil cover sheet and the information contained herein neither replace nor supplement the filing and
service of pleadings or other papers as required by law. This form shall be filed by the plaintiff or petitioner for the use of
the Clerk of Court for the purpose of reporting judicial workload data pursuant to Florida Statutes section 25.075. (See
instructions for completion.)
I. CASE STYLE
Plaintiff _________________________________
________________________________________
Vs.
Defendant _______________________________
________________________________________
Case No.:
Section:
II. AMOUNT OF CLAIM: Please indicate the estimated amount of the claim rounded to the nearest dollar. The estimated
amount of the claim is requested for data collection and clerical processing purposes only. The amount of the claim
shall not be used for any other purpose.
$8,000 or less
$50,001 - $75,000
$8,001 - $30,000
$75,001 - $100,000
$30,001 - $50,000
Over $100,000
III. TYPE OF CASE (If the case fits more than one type of case, select the most definitive category.)
If the most descriptive label is a subcategory (is indented under a broader category),
place an x in both the main category and subcategory boxes.
Condominium
Contracts and indebtedness
Eviction/Delinquent Tenant
Eminent domain
Auto negligence
Negligence—other
Business governance
Business torts
Environmental/Toxic tort
Third party indemnification
Construction defect
Mass tort
Negligent security
Nursing home negligence
Premises liability—commercial
Premises liability—residential
Products liability
Real property/Mortgage foreclosure
Commercial foreclosure $0 - $50,000
Commercial foreclosure $50,001 - $249,999
Commercial foreclosure $250,000 or more
Homestead residential foreclosure $0 - $50,000
Homestead residential foreclosure $50,001 - $249,999
Homestead residential foreclosure $250,000 or more
Non-homestead residential foreclosure $0 - $50,000
Non-homestead residential foreclosure $50,001 - $249,999
Non-homestead residential foreclosure $250,000 or more
Other real property actions $0 - $50,000
Other real property actions $50,001 - $249,999
Other real property actions $250,000 or more
Professional malpractice
Malpractice—business
Malpractice—medical
Malpractice—other professional
(Form 1.997 Civil Rules of Procedure 9/2020)
Other
Antitrust/Trade regulation
Business transactions
Constitutional challenge—statute or ordinance
Constitutional challenge—proposed amendment
Corporate trusts
Discrimination—employment or other
Insurance claims
Intellectual property
Libel/Slander
Shareholder derivative action
Securities litigation
Trade secrets
Trust litigation
County Civil
Civil
Real property/Mortgage foreclosure
Replevins
Evictions
Residential Evictions
Non-residential Evictions
Other Civil (non-monetary)
III. REMEDIES SOUGHT (check all that apply):
monetary;
nonmonetary declaratory or injunctive relief;
punitive
IV. NUMBER OF CAUSES OF ACTION: [ ]
(specify)
V. IS THIS CASE A CLASS ACTION LAWSUIT?
yes
no
VI. HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?
no
yes If “yes,” list all related cases by name, case number, and court.
VII. IS JURY TRIAL DEMANDED IN COMPLAINT?
yes
no
I CERTIFY that the information I have provided in this cover sheet is accurate to the best of my knowledge and belief.
Signature Fla. Bar #
Attorney or party (Bar # if attorney)
(type or print name) Date
Fla. R. Civ. Pro. Form 1.920 rev. Mar. 2021
IN THE COUNTY COURT OF THE SIXTH JUDICIAL CIRCUIT
IN AND FOR PINELLAS COUNTY, FLORIDA
Case No.___________________
____________________________________
Plaintiff(s)
v.
____________________________________
Defendant(s)
SUMMONS
(PERSONAL SERVICE ON A NATURAL PERSON)
THE STATE OF FLORIDA:
To each Sheriff of the State:
YOU ARE COMMANDED to serve this summons and a copy of the complaint or petition in this
action on:
Defendant: ________________________
Address __________________________
City, State, Zip _____________________
TO THE DEFENDANT(S):
YOU ARE REQUIRED to mail or take a copy of your WRITTEN ANSWER AND
DEFENSES to the attached COMPLAINT or PETITION to Plaintiff or Plaintiff's attorney
whose name and address is_______________________________________________________
_____________________________________________________________________________,
within 20 DAYS after service of this summons on you, exclusive of the day of service, AND to file
the original of the defenses with the CLERK OF THE CIRCUIT COURT, 315 Court Street,
Room 170, Clearwater, Florida 33756, either before service on Plaintiff or Plaintiff’s attorney or
immediately thereafter. If you fail to do so, a default will be entered against you for the relief
demanded in the complaint or petition.
DATED on ___________________
KEN BURKE, CPA
Pinellas County Clerk of the Circuit Court
315 Court Street, Room 170
Clearwater, FL 33756
(727) 464-7000
BY: __________________________________
As Deputy Clerk
IMPORTANT
A lawsuit has been filed against you. You have 20 calendar days after this summons is served
on you to file a written response to the attached complaint with the clerk of this court. A phone call
Fla. R. Civ. Pro. Form 1.920 rev. Mar. 2021
will not protect you. Your written response, including the case number given above and the names of
the parties, must be filed if you want the court to hear your side of the case. If you do not file your
response on time, you may lose the case, and your wages, money, and property may thereafter be
taken without further warning from the court. There are other legal requirements. You may want to
call an attorney right away. If you do not know an attorney, you may call an attorney referral service
or a legal aid office (listed in the phone book).
If you choose to file a written response yourself, at the same time you file your written
response to the court you must also mail or take a copy of your written response to the
Plaintiff/Plaintiff’s Attorney.
If you are a person with a disability who needs any accommodation in order
to participate in this proceeding, you are entitled, at no cost to you, to the
provision of certain assistance. Please contact:
Pinellas County Office of Human Rights
400 S. Ft. Harrison Ave., Ste. 500
Clearwater, FL 33756
Phone: 727.464.4062 V/TDD
Or 711 for the hearing impaired
Contact should be initiated at least 7 days before your scheduled court
appearance, or immediately upon receiving this notification if the time before the
scheduled appearance is less than 7 days; if you are hearing or voice impaired,
call 711.
If you cannot afford an attorney, you may be eligible for free legal assistance by contacting
Bay Area Legal Aid line at (800) 625-2257; Community Law Program (south Pinellas County
residents only) at (727) 582-7402; or Gulfcoast Legal Services at (727) 821-0726. If you do not
qualify for free legal assistance or do not know an attorney, you may make an appointment to speak
with an attorney for $1.00 per minute in 15 minute increments at the Self Help Center online @
https://www.mypinellasclerk.org/selfhelp or by contacting (727) 464-5150 for north Pinellas County
residents or (727) 582-7941 for south Pinellas County residents. You may also contact the Clearwater
Bar Attorney Referral Service at (727) 461-4880; the St. Petersburg Bar Association Lawyer Referral
Service at https://www.stpetebar.com/page/findanatty; or the Florida Bar Attorney Referral Service
at (800) 342-8011.
IMPORTANTE
Usted ha sido demandado legalmente. Tiene 20 dias, contados a partir del recibo de esta
notificacion, para contestar la demanda adjunta, por escrito, y presentarla ante este tribunal. Una
llamada telefonica no lo protegera. Si usted desea que el tribunal considere su defensa, debe presentar
su respuesta por escrito, incluyendo el numero del caso y los nombres de las partes interesadas. Si
usted no contesta la demanda a tiempo, pudiese perder el caso y podria ser despojado de sus ingresos
y propiedades, o privado de sus derechos, sin previo aviso del tribunal. Existen otros requisitos
legales. Si lo desea, puede usted consultar a un abogado inmediatamente. Si no conoce a un abogado,
puede llamar a una de las oficinas de asistencia legal que aparecen en la guia telefonica.
Fla. R. Civ. Pro. Form 1.920 rev. Mar. 2021
Si desea responder a la demanda por su cuenta, al mismo tiempo en que presenta su respuesta
ante el tribunal, debera usted enviar por correo o entregar una copia de su respuesta a la persona
denominada abajo como “Plaintiff/Plaintiff’s Attorney” (Demandante o Abogado del Demandante).
Si usted es una persona minusválida que necesita algún acomodamiento
para poder participar en este procedimiento, usted tiene derecho, sin tener gastos
propios, a que se le provea cierta ayuda. Tenga la amabilidad de ponerse en
contacto con
Pinellas County Office of Human Rights
400 S. Ft. Harrison Ave., Ste. 500
Clearwater, FL 33756
Phone: 727.464.4062 V/TDD
O 711 para personas con discapacidad del oído o de la voz
por lo menos 7 días antes de la cita fijada para su comparecencia en los
tribunales, o inmediatamente después de recibir esta notificación si el tiempo
antes de la comparecencia que se ha programado es menos de 7 días; si usted tiene
discapacitación del oído o de la voz, llame al 711.
IMPORTANT
Des poursuites judiciares ont ete entreprises contre vous. Vous avez 20 jours consecu-tifs a
partir de la date de l’assignation de cette citation pour deposer une reponse ecrite a la plainte cijointe
aupres de ce tribunal. Un simple coup de telephone est insuffisant pour vous proteger. Vous etes
obliges de deposer votre reponse ecrite, avec mention du numero de dossier ci-dessus et du nom des
parties nommees ici, si vous souhaitez que le tribunal entende votre cause. Si vous ne deposez pas
votre reponse ecrite dans le relai requis, vous risquez de perdre la cause ainsi que votre salaire, votre
argent, et vos biens peuvent etre saisis par la suite, sans aucun preavis ulterieur du tribunal. Il y a
d’autres obligations juridiques et vous pouvez requerir les services immediats d’un avocat. Si vous
ne connaissez pas d’avocat, vous pourriez telephoner a un service de reference d’avocats ou a un
bureau d’assistance juridique (figurant a l’annuaire de telephones).
Si vous choisissez de deposer vous-meme une reponse ecrite, il vous faudra egale-ment, en
meme temps que cette formalite, faire parvenir ou expedier une copie de votre reponse ecrite au
“Plaintiff/Plaintiff’s Attorney” (Plaignant ou a son avocat) nomme ci-dessous.
Si vous êtes une personne handicapée qui a besoin de mesures d'adaptation
pour participer à cette procédure, vous avez droit, sans frais pour vous, à une
certaine assistance. Veuillez contacter
Pinellas County Office of Human Rights
400 S. Ft. Harrison Ave., Ste. 500
Clearwater, FL 33756
Phone: 727.464.4062 V/TDD
Ou 711 si vous êtes malentendant ou avez un trouble de la parole
Fla. R. Civ. Pro. Form 1.920 rev. Mar. 2021
au moins 7 jours avant votre comparution prévue au tribunal, ou
immédiatement après avoir reçu cette notification si le délai avant la comparution
prévue est inférieur à 7 jours; si vous êtes malentendant ou avez un trouble de la
parole, appelez le 711.
ENPÒTAN
Pwosedi legal yo te pran kont ou. Ou gen 20 jou konsekitif ki soti nan dat konklizyon sa a
pou ou ranpli yon repons alekri pou plent sa a nan tribinal sa a. Yon apel telefon ki senp se pa ase
pou pwoteje ou. Ou oblije ranpli repons alekri ou a, ak nimewo a dosye pi wo a ak non pati yo ki te
nonmen isit la, si ou vle tribinal la tande ka w la. Si ou pa ranpli repons alekri ou nan rele egzije a, ou
riske pedi koz la ak sale ou, lajan ou, ak pwopriyete ou yo ka mete men sou pita, san okenn lot avi
nan tribinal la. Gen lot obligasyon legal epi ou ka mande sevis imedya yon avoka. Si ou pa konnen
yon avoka, ou ka rele yon sèvis referans avoka oswa yon biwo ed legal (ki nan lis nan anye telefon).
Si ou chwazi pou ou soumet yon repons alekri tet ou, ou pral bezwen tou voye oswa voye yon
kopi repons ekri ou nan fòm sa a an menm tan an tankou fomalite sa a “Avoka Pleyan/ Pwokire a”
(Pleyan oswa avoka li) non anba a.
Si ou se yon moun ki enfim ki bezwen akomodasyon pou w kab patisipe nan
pwosedi sa a, ou gen dwa, san ou pa bezwen peye okenn lajan, pou w jwenn yon
sèten èd. Tanpri kontakte [identify applicable court personnel by name],
Kòdonatris pwogram Lwa Ameriken pou Moun ki Enfim yo nan
Pinellas County Office of Human Rights
400 S. Ft. Harrison Ave., Ste. 500
Clearwater, FL 33756
Phone: 727.464.4062 V/TDD
Ou 711 si ou gen pwoblèm pou w tande byen oswa pou w pale klè
fè sa omwen 7 jou anvan dat ou gen randevou pou parèt nan Tribinal la,
oswa fè sa imedyatman apre ou fin resevwa konvokasyon an si dat ou gen pou w
parèt nan tribinal la mwens pase 7 jou; si ou gen pwoblèm pou w tande byen oswa
pou w pale klè, rele 711.
Ejectment Packet Form #3
IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT
IN AND FOR PINELLAS COUNTY, FLORIDA
Reference No: ______________________
__________________________
Plaintiff(s)
vs.
___________________________
Defendant(s)
NONMILITARY AFFIDAVIT
I, ^IXOOOHJDOQDPH`BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB being sworn, certify that
the following information is true:
[¥ all that apply]
_____ 1. I know of my own personal knowledge that Defendant(s) is not on active duty in the
armed services of the United States.
_____ 2. I have inquired of the armed services of the United States and the U.S. Public Health
Service to determine whether the Defendant(s) is a member of the armed services and am
attaching certificates stating that Defendant(s) is not now in the armed services.
I understand that I am swearing or affirming under oath to the truthfulness of the
claims made in this affidavit and that the punishment for knowingly making a false
statement includes fines and/or imprisonment.
Date: __________________
Signature of Plaintiff(s)
Print Name:
Address:
City, State, Zip:
Telephone No:
STATE OF FLORIDA
COUNTY OF ___________________
Sworn to or affirmed and signed before me on ______________by__________________________.
__________________________________
NOTARY PUBLIC or DEPUTY CLERK
____________________________________
[Print, type, or stamp commissioned name of notary or clerk.]
_____ Personally known
_____ Produced identification
Type of identification produced ______________________
Ejectment Packet Form #5
,17+(&,5&8,7&28572)7+(6,;7+-8',&,$/&,5&8,7
,1$1')253,1(//$6&2817<)/25,'$
Reference No: ______________________
__________________________
Plaintiff(s)
vs.
___________________________
Defendant(s)
027,21)25&/(5.¶6'()$8/7
Plaintiff(s) asks the clerk to enter a default against ______________________________,
Defendant(s), for failing to respond as required by law to Plaintiff’s Complaint for Ejectment
from Real Estate.
Signature of Plaintiff(s)
Print Name:
Address:
City, State, Zip:
Telephone No:
'()$8/7
A default is entered in this action against the Defendant(s) for ejectment for failure to
respond as required by law.
DATED:
.(1%85.(&3$
Clerk of the Circuit Court
ȱȱ315 Court Street, Room 170
Clearwater, FL 33756
BY: ____________________________
DEPUTY CLERK
Ejectment Packet Form #6
,17+(&,5&8,7&28572)7+(6,;7+-8',&,$/&,5&8,7
,1$1')253,1(//$6&2817<)/25,'$
Reference No: ______________________
___________________________
Plaintiff(s)
vs.
___________________________
Defendant(s)
027,21)25'()$8/7),1$/-8'*0(17(-(&70(17
Plaintiff(s) asks the court to enter a Default Final Judgment against _________________,
Defendant(s), for ejectment, and says:
1. Plaintiff(s) filed a Complaint for Ejectment from Real Estate against
Defendant(s).
2. Defendant(s) has failed to timely file an answer and a Default has been entered by
the Clerk of this Court on the ________ day of _________________, 20_______.
WHEREFORE, Plaintiff(s) asks this Court to enter a Final Judgment for Ejectment
against the Defendant(s).
Date: __________________
Signature of Plaintiff(s)
Print Name:
Address:
City, State, Zip:
Telephone No:
IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT
IN AND FOR PINELLAS COUNTY, FLORIDA
Reference No: ______________________
___________________________
Plaintiff(s)
vs.
___________________________
Defendant(s)
NOTICE OF HEARING
TO: Defendant(s): ____________________________________________________________
There will be a hearing before Judge BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
on ^GDWH` ____________________ at ^WLPH`BBBBBBBBBBBBBBBBBBB, in Room ______________
of the Pinellas County Courthouse located at
on the following issues:
______________________________________________________________________________
______________________________________________________________________________
___________hour(s)/___________ minutes have been reserved for this hearing.
If this matter is resolved, the moving party shall contact the judge’s office to cancel this
hearing.
I certify that a copy of this document was [¥ one only]
mailed faxed and mailed
hand delivered to the person(s) listed below on the ____ day of ______________, 20______.
Defendant: _________________________
Address: ___________________________
City, State, Zip:______________________
Dated: __________________
Signature of Plaintiff(s)
Print Name:
Address:
City, State, Zip:
Telephone No:
Ejectment Packet Form #7
“If you are a person with a disability who needs any accommodation in
order to participate in this proceeding, you are entitled, at no cost to you, to the
provision of certain assistance. Please contact the Human Rights Office,
400 S. Ft. Harrison Ave., Ste. 300, Clearwater, FL 33756, (727) 464-4062
(V/TDD) at least 7 days before your scheduled court appearance, or
immediately upon receiving this notification if the time before the scheduled
appearance is less than 7 days; if you are hearing or voice impaired, call 711.”
Ejectment Packet Form #8
,17+(&,5&8,7&28572)7+(6,;7+-8',&,$/&,5&8,7
,1$1')253,1(//$6&2817<)/25,'$
Reference No: ______________________ UCN: 5220 CA XXCICI
__________________________
Plaintiff(s)
vs.
___________________________
Defendant(s)
),1$/-8'*0(17)25(-(&70(17
This cause having come before the Court on Complaint for Ejectment and it appearing
that the Defendant(s) has been duly served with process, it is hereby:
25'(5('$1'$'-8'*('that the Plaintiff(s), ____________________________,
do have and recover from the Defendant(s), __________________________________________,
possession of the following premises located in Pinellas County, Florida, to wit:
______________________________________________________________________________
(Describe property, i.e. legal description)
The Clerk of Court shall issue the Writ of Possession for the aforesaid premises forthwith.
It is further 25'(5('$1'$'-8'*(' that Plaintiff(s), _____________________,
recover judgment against the Defendant(s), _________________________________________ ,
costs in the amount of $________________, for all of which let execution issue.
'21($1'25'(5(' in Pinellas County, Florida on the _______ day of
______________, 20_______.
________________________________
CIRCUIT COURT JUDGE
cc:
Plaintiff _________________________
Address _________________________
City, State, Zip____________________
Defendant _______________________
Address _________________________
City, State, Zip____________________
Revised by Clerk 11/2020
IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT
IN AND FOR PINELLAS COUNTY, FLORIDA
Case no. ______________________
______________________________
Plaintiff
Vs.
______________________________
Defendant(s)
WRIT OF POSSESSION
THE STATE OF FLORIDA:
TO ALL AND SINGULAR THE SHERIFFS OF THE STATE:
YOU ARE COMMANDED to remove Defendant(s) _____________________________________________
from the following property in Pinellas County, Florida AFTER A 24 HOUR NOTICE HAS BEEN
CONSPICUOUSLY POSTED ON THE PREMISES:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
and to put ____________________________________________________________________________
in full possession thereof.
WITNESS my hand and seal of the Court on ____________ day of ________________________, 20____.
KEN BURKE, CPA
Pinellas County Clerk of the Circuit Court
315 Court Street, Room 170
Clearwater, FL 33756
By: _________________________________
Deputy Clerk
(SEAL)
Plaintiff(s) – or – Attorney(s) Name and Address:
____________________________________
____________________________________
____________________________________
Phone #: _____________________________
Revised by Clerk 11/2020
IN THE CIRCUIT COURT OF THE 6
TH
JUDICIAL CIRCUIT,
IN AND FOR PINELLAS COUNTY, FLORIDA
Reference No: ______________________
______________________________
Plaintiff(s)
vs.
______________________________
Defendant(s)
DISCLOSURE FROM NONLAWYER
______________________________ told me that he/she is a nonlawyer and may not give me legal
advice, cannot tell me what my rights or remedies are, cannot tell me how to testify in court, and cannot
represent me in court.
______________________________ told me that he/she may only type the factual information
provided by me in writing into the blanks on the form. Except for typing, ________________________
may not tell me what to put in the form and may not complete the form for me. However, if using a
form approved by the Supreme Court of Florida, _______________________________ may ask me
factual questions to fill in the blanks on the form and may tell me how to file the form.
(Choose one only)
_____ I can read English.
_____ I cannot read English, but this disclosure was read to me by __________________________ in
{language} ______________________ which I understand.
Dated: ______________________ _____________________________________
Signature of Party
____________________________________
Signature of NONLAWYER
Printed Name: ________________________
Name of Business: _____________________
Address: _____________________________
_____________________________________
Ejectment Packet Form #11
,17+(&,5&8,7&28572)7+(6,;7+-8',&,$/&,5&8,7
,1$1')253,1(//$6&2817<)/25,'$
Reference No: ______________________
__________________________
Plaintiff(s)
vs.
___________________________
Defendant(s)
127,&(2)92/817$5<',60,66$/
Plaintiff(s), __________________________________, in the above styled cause hereby
submit this Notice of Voluntary Dismissal as this cause has been settled between parties.
I certify that a copy of this document was [¥ RQHonly]
mailed faxed and mailed
hand delivered to the person(s) listed below on the ____ day of ______________, 20______.
Defendant:_________________________
Address:___________________________
City, State, Zip: _____________________
Dated: __________________
Signature of Plaintiff(s)
Print Name:
Address:
City, State, Zip:
Telephone No:
