Summons and POC

Court District*
Court Name*
Case No*
Plaintiff (Your Name)*
Your gender*
- Male
- Female
Your Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Your Email Address
Your Fax No
Your Telephone Number*
Defendant*
The gender of the person you claim from*
- Male
- Female
The address of the person you claim from*
Address of the court*
Street Address City State / Province / Region ZIP / Postal Code Country
Lease Type*
- Written
- Verbal
Date of lease agreement*
Date Format: YYYY slash MM slash DD
Date from which tenant moved in*
Date Format: YYYY slash MM slash DD
Last date of lease*
Date Format: MM slash DD slash YYYY
Rental Property Type*
Address of rental property*
Street Address City State / Province / Region ZIP / Postal Code Country
Monthly rental amount*
Defendant had to pay the water and electricity supply to the Property*
Defendant shall at his own expense and without recourse to the Plaintiff and at all times throughout the lease period maintain the premises in good order and condition and shall not make any alterations or additions thereto without the prior written consent of the Plaintiff*
Rental Months in Arrears*
Rental Amount in Arrears
Water/Electricity Months in Arrears*
Water/Electricity Amount in Arrears