IN THE CIRCUIT COURT OF JACKSON COUNTY, MISSOURI
IN THE CIRCUIT COURT OF JACKSON COUNTY, MISSOURI
ASSOCIATE CIRCUIT COURT DIVISION
AT KANSAS CITY AT INDEPENDENCE
____________________________________________
PLAINTIFF(S) (MUST BE RECORDED TITLE OWNER)
____________________________________________ NO. ___________________________________
____________________________________________ PRINT ALL INFORMATION LEGIBLY
STREET ADDRESS Petition must be complete, signed and notarized
____________________________________________
CITY STATE ZIP (See Notice to Plaintiff for additional information
____________________________________________ prior to completing this form.)
TELEPHONE FAX NUMBER
____________________________________________
EMAIL ADDRESS
VS.
____________________________________________
DEFENDANT(S)/TENANT(S)
____________________________________________
____________________________________________ Jackson County Service Requested
SERVICE ADDRESS Private Process Server
____________________________________________
CITY STATE ZIP
____________________________________________
EMAIL ADDRESS
LANDLORD’S PETITION
____________________________________________, being duly sworn on oath states that the above-named Plaintiff is the recorded title owner of the property described herein and defendant(s)/tenant(s) now occupies as a tenant of plaintiff, the following premises at:_______________________________________________________________________, in Jackson County, Missouri. Said premises was rented to the defendant on ____________________, at the rate of $______________per month, payable monthly in advance. The sum of $_____________________ is now due plaintiff for said rent. In addition, the sum of $_______________ is due under the terms of the lease for the following: _________________________________________________________________________________________________
_________________________________________________________________________________________________
________________________________________________________________________________________________. The same has been demanded of defendant(s)/tenant(s) and payment has not been made. Plaintiff is the owner of the property and is a: (check one) Sole Proprietorship General Partnership Limited Liability Partnership Limited Liability Company Corporation.
Wherefore, Plaintiff prays for judgment for possession of said premises and for $_____________________ as provided above, and all rent or additional fees to accrue from the date of filing until date of judgment, and costs.
______________________________________________
PLAINTIFF/OWNER
AFFIDAVIT
STATE OF MISSOURI )
COUNTY OF JACKSON )
Personally appeared before me ________________________________, Plaintiff/Owner, who subscribed and swore to the facts contained within the foregoing document before me on ____________________________.
My Commission Expires:________________________ ________________________________________
CIRCT 4120 – 02/15 Notary Public
Notice to Plaintiff
• It is a Class A misdemeanor to make a false affidavit for the purpose of misleading a public official.
• All special process servers must be appointed by motion and order of the Court in compliance with Local Rule 4.9. All Local Rules may be found on the Court’s website, located at .
• The owner or owner’s attorney must appear in Court.
• If the owner is a Limited Liability Partnership, Limited Liability Company or a Corporation, the petition must be signed and filed by an attorney through the Court’s e-filing system, and the plaintiff must be represented by the attorney in Court.
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