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Affidavit for Issuance of a Distress Warrant to Enforce Lien on Tenant's Personal Property with Regard to a Commercial Lease State of ___________________ County of __________________ PERSONALLY appeared before me, the undersigned authority in and for said county and state, ____________________, who, having been being first duty sworn by the undersigned Notary Public, deposes and says: 1. Affiant owns the following-described premises: ______________________________ ____________________________________________________________ (legal description). 2. _________________________, Inc., occupies the described premises as the tenant of affiant, subject to a ________________________ (e.g., a written lease agreement) reserving to affiant rent of $__________, payable as follows: _____________________________ (amount and intervals of rental payments) . 3. Tenant is indebted to affiant in the amount of $____________ for rent on the described premises for the period __________________ (date) to ___________________ (date). This amount is now due and owing Affiant from the Tenant, over and above all lawful offsets and credits due or allowable. 4. Affiant seeks a distress warrant for the removable personal property of the Tenant at the described premises, to secure the payment of rent of $___________ in arrears and unpaid.5. This property, if distrained, can be returned in the same condition in which it was taken. WHEREFORE, Affiant requests that a distress warrant be issued and served on the Tenant at ______________________________________________________________________ (street address, city, county, state, zip code) , in the manner and form provided by law. ___________________________________ Signature of Affiant SWORN to and subscribed before me, this the ______ day of _____________, 20_____. _____________________________ NOTARY PUBLIC My Commission Expires:__________________