Your name or business

Person signing the documents (you or your authorized agent)

Address

Address

City

State   Zip

Phone

Email

You agree that you do have the right to file this eviction

Yes No

LEASE UPLOAD (optional)

If you have a PDF of the lease and 3 Day Notice (if done), you can email it to us by clicking here, or fax it to (904) 531-3003.  This greatly reduces your wait time.  (Please make sure the filename includes the Tenant's last name)

TENANT INFORMATION

1st Tenant's Full Name

2nd Tenant's Full Name

Property Address

Property Address

City

State  Zip

County

Agreed Rent Amount

SelectWEEKLYMONTHLYANNUALLY Rent Due

Day Due (1st, 5th, etc.)

Amount of rent past due

If you are seeking damages and plan to file both a Count I and Count II eviction, enter the total amount you are seeking for unpaid rent, damage, legal fees, etc. (Please contact us for more details about a Count II eviction)

SelectWRITTENORAL Is the lease written or oral?

What payment(s) did the tenant fail to make?

Date of last payment received

Date 3 Day Notice was served (if done)

Click if you believe the tenant(s) must eventually be removed by the Sheriff. Once a Final Judgment for Eviction has been filed, most tenants will leave voluntarily. Sometimes however, it is necessary to have them removed. The Sheriff charges an additional fee for this service, however we do not. Clicking the box does not obligate you in any way, we will simply include information about this process when we contact you.

SPECIAL INSTRUCTIONS / ADDITIONAL INFORMATION

I have read the Disclaimer and Agreement and I agree to all terms and conditions.

If you do not check the Disclaimer and Agreement box, we can NOT process your eviction.  You will have to fill the form out again.

Pushing Submit will begin the eviction.  We will respond within 24 hours.