Free dc102b.pmd - Michigan


File Size: 30.0 kB
Pages: 1
Date: June 11, 2009
File Format: PDF
State: Michigan
Category: Landlord & Tenant
Author: GentilozziT
Word Count: 390 Words, 2,346 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://courts.michigan.gov/scao/courtforms/landlord-tenantlandcontract/dc102b.pdf

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Approved, SCAO

Original - Court 1st copy - Tenant 2nd copy - Mailing 3rd copy - Landlord

STATE OF MICHIGAN JUDICIAL DISTRICT
Court address

COMPLAINT HEALTH HAZARD, INJURY TO PREMISES 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 notice to quit 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 because the defendant has caused a serious and continuing health hazard or an extensive and continuing physical injury to the premises:
State the exact nature and extent of the hazard or injury, and state the period of time that it has continued.

5. (If applicable.) The tenancy involves regulated housing operated by or under rules of a governmental unit. The rule or law under which the tenancy is ended is . 6. (If applicable.) 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 and has not moved. 8. The plaintiff asks for a judgment of possession and costs and asks the court to issue an order to evict the occupants. 9. The plaintiff demands a jury trial. 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:

Date

Plaintiff/Attorney signature

DC 102b (3/09)

COMPLAINT, HEALTH HAZARD, INJURY TO PREMISES, Landlord - Tenant

MCR 2.113(C), MCR 4.201(B)