Fill and Sign the On the Civil Sidespecial Rules for Summary Ejectment Form

STATE OF NORTH CAROLINA County In The General Court Of Justice District Court Division - Small Claims File No. COMPLAINT IN EXPEDITED SUMMARY EJECTMENT VACATION RENTAL AGREEMENT 1. The rental property that is the subject of the vacation rental agreement\ is located in the county named above. 2. The defendant entered into possession of premises described below as a t\ enant of the plaintiff. CERTIFICATION WHEN COMPLAINT SIGNED BY REAL ESTATE BROKER I certify that I am an agent of the landlord and have actual knowledge o\ f the facts alleged in this Complaint. Name (type or print) Name Of Landlord/Real Estate Broker/Attorney (type or print) Signature Signature Of Landlord/Real Estate Broker/Attorney Date Date G.S. 42A-24 Description Of Premises (include location) Description Of Breach 3. The plaintiff and defendant entered into a vacation rental agreement for thirty (30\ ) days or less. 4. The vacation rental agreement conforms to the requirements of the law. 5. The plaintiff gave notice to the tenant to quit the premises at least four hours before the filing of the complaint. 6. a. The tenant held over after the tenancy expired. b. The tenant committed a material breach of the terms of the vacation rent\ al agreement for which termination and re-entry is specified. c. The tenant failed to pay rent as required by the agreement. d. The tenant obtained possession of the property by fraud or misrepresenta\ tion. 7. The plaintiff is entitled to immediate possession. 8. I demand to be put in possession of the premises. Rate Of Rent Date Lease Ended Day Week Month per $ CountyName And Address Of Plaintiff Name And Address Of Defendant 1 Name And Address Of Defendant 2 County Telephone No. Telephone No. Telephone No. Name And Address Of Plaintiff’s Attorney Or Agent Attorney Bar No. County VERSUS AOC-CVM-204, Rev. 8/17