Approved, SCAO
Original - Court 1st copy - Tenant 2nd copy - Mailing 3rd copy - Landlord
STATE OF MICHIGAN JUDICIAL DISTRICT
Court address
COMPLAINT NONPAYMENT OF RENT Landlord - Tenant
CASE NO.
Court telephone no.
Plaintiff name(s), address(es), and telephone no(s).
Defendant name(s) and address(es)
v
Plaintiff's attorney, bar no., address, and telephone no.
The plaintiff states: 1. Attached to this complaint is a copy of the lease or occupancy agreement, if any, under which possession is claimed, and a copy of the notice to quit or demand for possession showing when and how it was served. 2. The owner of the property described in the attached demand for possession is: Name (type or print) 3. The defendant is in possession of the following portion of the property:
4. The plaintiff has a right to possession of the property for nonpayment of rent: a. Rental rate: $ per b. Payable on: c. Rent is paid through
Date
Day or date
d. Total rent due now is $
e. Other money is due: $ for and due by 5. (If applicable.) The tenancy involves housing operated by or under rules of a governmental unit. The rule or law under which the tenancy is ended is . 6. (Must be checked unless modified by lease.) The plaintiff declares that this residential property was kept fit for the use intended, and has been kept in reasonable repair during the term of the lease. 7. The defendant has not complied with the demands made. 8. The plaintiff asks for a judgment of possession and costs and asks the court to issue an order to evict the occupants. 9. A jury trial is demanded. 10. There is no other pending or resolved civil action arising out of the same transaction or occurrence alleged in this complaint. 11. A civil action between these parties or other parties arising out of the transaction or occurrence alleged in this complaint has been previously filed in Court. The docket number and assigned judge are: The action remains is no longer pending.
SUPPLEMENTAL COMPLAINT 12. (If applicable.) Complaint is made and judgment is sought for money damages against the defendant as follows: Rent owing as set out in paragraph 4 above, plus additional rent at the rate of $ per until judgment, plus costs. Damages claimed:
Date DC 102a (3/09)
Plaintiff/Attorney signature
COMPLAINT, NONPAYMENT OF RENT, Landlord - Tenant
MCR 2.113(C), MCR 4.201(B)