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TELEPHONE: (912) 652-7224 ∙ FACSIMILE : (912) 652-7229 [email protected] 133 MONTGOMERY STREET, ROOM 501 SAVANNAH, GEORGIA 31401
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_________________________________________ ______________Plaintiff Case Number
Versus
____________________________________________
____________________________________________Defendant
DISTRESS WARRANT AFFIDAVIT
Personally appeared before the undersigned judicial officer ________________________________ who on oath says
that she/he is (the agent for) the owner of the premises known as _________________________________________
that ________________________________ the tenant of said premises; that said tenant is indebted to
said Plaintiff in the sum of $______________ as rent; and/or that said tenant is about to remove his goods and chattels
from said rented premises without the payment of rent.
Sworn to and Subscribed before me by the Affiant this _____ day of _________________ 20___.
AffiantJudge, State Court of Chatham County, Georgia
SUMMONS
TO: ___________________________________________Pursuant to Law, you are hereby notified to be in the Clerk's Office, State Court of Chatham County, Suite 308Chatham County Courthouse, on ____________________, 20___, to answer in writing (“...on a day certainnot less than five (5) nor more than seven (7) days from the actual date of service.” O.C.G.A. 44-7-72) or toanswer orally at said time, and to set forth whatever legal or equitable defense or any counter claim you mayhave to this distress warrant proceeding.
This day of , 20 .Judge, State Court of Chatham County, Georgia
CLEAR FORM 11. Distress Warrant Affidavit 09-05
In The State Court of Chatham County, Georgia
www.statecourt.org · Ph (912) 652-7224 · FAX (912) 652-7229 · [email protected]