Affidavit of Damages – Pinellas County Florida

The “Affidavit of Damages” form is a legal document used in Pinellas County, Florida, primarily within landlord-tenant disputes related to unpaid rent and other damages in eviction cases. This form allows a landlord (or their agent) to formally declare the amount owed by the tenant under oath before a notary public. The affidavit details the monthly rent agreement, the date since which the tenant has failed to make payments, and the total amount due including past due rent and any additional claimed damages.

The document requires the landlord to check whether they are the plaintiff or the plaintiff’s agent, and state that the information provided is based on their personal knowledge. It must be signed and sworn in the presence of a notary, who will confirm the identity of the signer either through personal knowledge or by verifying identification documents. The affidavit also includes sections for detailing the method by which a copy of this document was served to the tenant, whether by mail, fax, or hand delivery, along with the tenant’s address. Additionally, the form is pre-approved under specific Florida legal rules and includes placeholders for the landlord’s and tenant’s names, the case number, and other relevant details to be filled out as required.

Here is a guide to help you correctly fill out this form for Pinellas County, Florida. This form is used primarily in landlord-tenant disputes related to eviction cases:

Fill in Court Information

• County Name: Enter the name of the county where the court case is filed (e.g., Pinellas).
• Case No.: Enter the case number assigned by the Clerk of the Court.

Enter Party Names

• Landlord’s Name: Write the full legal name of the landlord filing the affidavit.
• Tenant’s Name: Write the full legal name of the tenant being evicted.

Affidavit Details

• Check the appropriate box to indicate if you are the plaintiff (landlord) or the plaintiff’s agent.
• Affirm that the affidavit is based on your personal knowledge.

Describe the Rental Agreement

• Rental Amount: Enter the amount of rent agreed upon.
• Payment Period: Specify the payment period (e.g., weekly, monthly).

State Rent Delinquency

• Enter the date since which the tenant has failed to pay the rent.

Calculate Total Amount Owed

• Past Due Rent Amount: Enter the total amount of rent past due.
• If applicable, enter any other amounts owed by the tenant as alleged in the complaint.

Signature and Notarization

• Sign the affidavit in the presence of a notary.
• The notary will verify your identity (mention the document used for identification).
• Indicate whether you took an oath or not.

Serve the Affidavit

• Method of Delivery: Check the appropriate box to indicate how the affidavit was served to the tenant (mailed, telefaxed, mailed, or hand delivered).
• Service Address: Provide the address where the affidavit was sent to the tenant.

Notary Information

• The notary public will fill in their name, commission number, and the expiration of their commission.

Additional Information

• If someone helped you complete the form, enter their name, address, and telephone number.

Final Checks

• Ensure all information is accurate and that no required fields are left blank.
• Review the form for any errors or omissions before submission.

This form requires careful attention to detail and must be filled out accurately to ensure its validity in court proceedings. If you are unsure about any part of the form, consider consulting with a legal professional for guidance.