Statement Of Claim (Security Deposit) {636}

<document>CLOCK INSTATEMENT OF CLAIM (SECURITY DEPOSIT) IN THE COUNTY COURT IN AND FOR BROWARD COUNTY FLORIDA DIVISION[ ] CIVIL [ ] OTHERVS. DEFENDANT (S) PLAINTIFF (S)CASE NUMBER( )SP ( )CCCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.PLAINTIFF(S), sues defendant , and alleges:There is now due, owing and unpaid from defendant to plaintiff $ , with interest since , 20 , for return of security deposit required on the rental of premises located in Broward County, Florida:Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County of, on the, at or adjourned date, to testify and give evidence as a witness in this action on the part of the, 20noon, and at any recessed in roomo'clock in the day ofYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theHOWARD C. FORMAN, CLERK OF COURTSFurther, that the defendant is not in the Military Service of the United States. This action has been brought in a country in which venue is proper, pursuant to Chapter 47, Florida Statutes. WHEREFORE, plaintiff demands Judgment in the amount of $ plus Court Costs. SWORN TO AND SUBSCRIBED BEFORE ME this day of 20 . NOTARY PUBLIC State of Florida My commission expires:Court in Witness, Honorable, 20 County,day ofBYDEPUTY CLERK(Attorney must sign above and type name below)Attorney/PlaintiffAttorney's Bar No.Attorney(s) forAddress of Attorney/Plaintiff Office and P.O. AddressAttorney/Plaintiff Telephone No.Telephone No.: Facsimile No.: E-Mail Address:)(Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOPY FEE : 699SEARCH FEE : 698FORM.636 REVISED</document>