22 Affidavit of Damages – Pasco County, Florida

The “Affidavit of Damages” form from Pasco County, Florida, is a legal document used in the county court of the Sixth Judicial Circuit for cases involving landlord-tenant disputes. It is specifically employed when a landlord claims that a tenant owes unpaid rent and possibly other damages. The affidavit must be filled out by the landlord or the landlord’s agent, indicating their relationship to the case and attesting to the damages under oath.

This form also requires the filer to certify that a copy of the affidavit has been communicated to the defendant, ensuring that the defendant is informed of the claims against them.

Here is a step-by-step guide on how to fill out this form:

Step 1: Case and Party Information

• Case No.: Enter the case number as assigned by the court.
• Section: If applicable, enter the court section number.
• Plaintiff(s): Enter the name of the landlord filing the affidavit.

• Defendant(s): Enter the name of the tenant from whom damages are being claimed.

Step 2: Affiant’s Statement

• Check the appropriate box to indicate whether you are the plaintiff or the plaintiff’s agent. This person must be authorized to make the affidavit on behalf of the plaintiff.

Step 3: Details of Rental Agreement and Damages

• Rental Amount: Enter the agreed-upon amount of rent, e.g., “$1,200.”
• Term of Rental Payments: Specify the frequency of rental payments (e.g., monthly, weekly).
• Date of Failed Payment: Enter the date on which the tenant failed to make the specified rent payment.
• Past Due Rent Amount: Enter the total amount of rent that is past due.
• Other Damages: If applicable, enter the amount of other damages claimed, separate from past due rent.

Step 4: Verification and Notarization

• After filling out the necessary fields, the affidavit needs to be signed in the presence of a notary public. The affidavit will contain a section where the notary will verify the identity of the signer.
• Notary Public Section: This will be completed by the notary, who will record their name, commission number, and the expiration date of their commission. They will also note the method of identification used for the signer.

Step 5: Service of Affidavit

• Certification of Delivery: At the bottom of the form, certify the method by which you delivered a copy of the affidavit to the defendant (e.g., mailed, telefaxed, and mailed, or hand delivered).

Additional Information

• Name, Address, Phone Number: Provide your contact information or the information of the person assisting in filling out the form, if applicable.

Final Steps

• Review: Double-check all information for accuracy.
• Sign and Date: The plaintiff or the plaintiff’s agent must sign and date the form in the presence of the notary.

When filling out the “Affidavit of Damages” form for cases in Pasco County, Florida, it is important to ensure that you have all the necessary documentation and figures on hand. This includes copies of rental agreements and payment records. If you have any doubts about how to fill out the form correctly or the legal implications of the entries, it is recommended that you consult with a legal professional. This guide is designed to assist you in accurately completing the form.