Fill and Sign the State of Delaware in and for County Form

J.P. Civ. Form No. 14 AP (2/2/04) Doc. No. 02-13-04-02-11 IN THE JUSTICE OF TH E PEACE COURT OF THE STATE OF DELAWARE IN AND FOR ___________ COUNTY COURT NO. ______ COURT ADDRESS: ________________________________ CIVIL ACTION NO. ____________ ________________________________ PLAINTIFF(S): VS. DEFENDANT(S): ____________________________ ______________________________ ____________________________ ______________________________ ADDRESS OF RENTAL UNIT: _______________________________________ JUDGMENT BY ADMISSION – SUMMARY POSSESSION I admit that the plaintiff has a right to possession of the rental unit li sted above and that I owe the amounts listed below. I DO NOT want a trial. The amount that I owe is : Amount of the judgment $________________ Court costs $ ________________ Pre-judgment interest $________________ ( Commercial units only) Attorney’s fees $ ________________ ( Commercial units only) Plus Post-judgment interest at _______ % annual rate Plus $___________ per diem rent (amount due each day) until the unit is vacated. I understand that: • I am admitting that plaintiff has a right to possession of the rental unit and that I owe the amount listed above. • If I do not vacate the unit today, I will owe the plaintiff the daily amount listed above every day until I vacate the unit (and, in certain situations, the plaintiff may ask the Court to impose additional monetary penalties if I do not timely vacate the unit). • If I do not leave the unit within 10 days from today, the plaintiff may obtain a writ of possession and I may be evicted from the rental unit and an additional court cost of $35 will be assessed. • I am waiving my right to a trial and I will not have a right to appeal this judgment by admission . __________________________ _________________________________ (Defendant) (Defendant No. 2, if any) __________________________ _________________________________ (Defendant’s Address/Phone No.) (Defendant No. 2’s Address/Phone No.) IT IS SO ORDERED this _____ day of _________________, 20___ ___________________________ Justice of the Peace