Petition for Eviction Based on Non-Payment of Rent and Money Damages

Case No. ______In the Justice Court of

Douglas County, Nebraska

Precinct _____, Place _____

Your Name

Plaintiff

vs.

Your Tenants Name

Defendant

1.COMPLAINT. Plaintiff files the complaint against the above-named Defendant to evict Defendant from Plaintiff’s premises, which is located in the above precinct and which is described:address of property.

2.SUIT FOR MONEY. RENT and PROPERTY DAMAGE. Plaintiff does seek a judgment for rent.Rent is due on the 5thday of the month. The rent is $650 per month. The Defendant’s rent is not subsidized by the government.Plaintiff seeks judgment for property damage to the interior door of the premises per the CONDITION OF PREMISES section of the lease agreement. Seeking damages for the door and installation at a quoted price of $XXX.

3.SERVICE OF CITATION. Plaintiff requests service of citation on Defendant by personal service at the above described premises. Other addresses of Defendant listed in the written lease agreement are as follows: None.

4.GROUND FOR EVICTION. Defendant has violated the rental agreement between Plaintiff and Defendant dated______and has refused to vacate after Notice to Quit from Plaintiff placed in mailbox and posted on door of premises onThursday, October 12, 2012. The rental agreement violation involved Defendant’s failure to pay the rent for the period beginningthe 5thday of October 2012, and running through the present, which is still due and unpaid.

5.JUDGEMENT REQUESTED. Plaintiff requests judgment for Plaintiff and against Defendant for possession of premises and for issuance of a Writ of Possession, and all court costs. Additionally, Plaintiff requests judgment for the Plaintiff and against Defendant for the following:

a.Rent. If the eviction is based on the breach of an agreement to pay rent, Plaintiff requests judgment for unpaid rent in the amount of$650, as calculated at time of filing, and Plaintiff also seeks judgment for rent accruing from the date of filing and becoming due thereafter.

b.Attorney’s Fees. If Plaintiff decides to engage an attorney, Plaintiff requests judgment for attorney’s fees because a written agreement binding on Defendant contains a provision entitling Plaintiff to attorney’s fees.

c.Post-judgment interest. If Plaintiff is granted a judgment, Plaintiff requests post-judgment interest as allowed by statute or the rental agreement.

The Court may send any notice to Plaintiff via U.S. mail, telephone, or email, as follows:

Your Address

Your Phone Number

Your Email

PLAINTIFF:Your Name

By ______

Signature

______

Printed Name of Person Signing

Subscribe and Sworn to before me on this the ______day of ______2012.

______