IN THE CIRCUIT COURT, EIGHTEENTH JUDICIAL CIRCUIT, BREVARD COUNTY, FLORIDA
DIVISION: CIVIL
CASE NUMBER: 05 -
PLAINTIFF - (name/address/city/state/zip)
-
-
-XXXX-XX
CLOCK IN
DEFENDANT - (name/address/city/state/zip)
STATEMENT OF CLAIM IN REPLEVIN
Before me personally appeared the undersigned who being by me first duly sworn says that he is the
ATTORNEY FOR PLAINTIFF, that said Plaintiff is lawfully entitled to
PLAINTIFF
AGENT FOR PLAINTIFF
possession of the hereinafter described property, because
The Plaintiff is the owner thereof
The Plaintiff is entitled to possession thereof upon the Defendant’s default in a certain written
instrument, a copy of which is attached hereto
Said property being described as:
If the above merchandise is not in the possession of the Defendant, the Defendant being in default of said written
instrument, the Plaintiff prays the Court to enter a Judgment against the said Defendant in the amount of $
plus cost of this suit.
That the true value of said property is $
; that said property has not been taken for any tax
assessment or fine levied by virtue of any law of the State of Florida, not seized under any execution or attachment
against the goods and chattels of said Plaintiff liable to execution, or in the Defendant’s possession by virtue of a writ of
Replevin sued out by said Defendant. The above named Defendant has possession of the above described personal
property and detains the same from said Plaintiff in the County of Brevard, State of Florida. Wherefore, Plaintiff prays for
the Court to issue an Order to Show Cause why a Writ of Replevin should not be issued.
Sworn to and subscribed before me this
Deputy Clerk/Notary Public
day of
, 20
.
Plaintiff / Plaintiff’s Agent / Plaintiff’s Attorney
Law 316 / Rev. 01-07-2014
1
STATEMENT OF CLAIM IN REPLEVIN
Page 2
CASE NUMBER: 05 -
-
-
- XXXX-XX
STATE OF FLORIDA – COUNTY OF BREVARD
being duly sworn an oath states the foregoing claim is a just and true
statement of the amount owing by the defendant to the Plaintiff, exclusive of all set-offs and just grounds of defense.
Plaintiff states that the Defendant(s) are not in the Military Service of the United States and that the above action has
been brought in the County of proper venue.
Date
Plaintiff / Attorney / Corporate Agent
SWORN AND SUBSCRIBED TO BEFORE ME THIS
DAY OF
, 20
.
DEPUTY CLERK:
BREVARD COUNTY, FLORIDA
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS
20
, BY
PRODUCED
DAY OF
,
, WHO IS PERSONALLY KNOWN TO ME OR HAS
AS IDENTIFICATION AND WHO
DID
DID NOT TAKE AN
OATH.
NOTARY PUBLIC
Law 316 / Rev. 01-07-2014
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