VERIFICATION OF COMPLIANCE
WITH CARES ACT
lex
et
justitia
C
O
M
M
O
N
W
E
A
L
T
H
O
F
K
E
N
T
U
C
K
Y
C
O
U
R
T
O
F
J
U
S
T
I
C
E
AOC-1027 Doc. Code: FDVOC
Rev. 8-20
Page 1 of 4
Commonwealth of Kentucky
Court of Justice
www.kycourts.gov
SCAO 2020-56
Case No. ____________________
Court ________________________
County ______________________
Division ______________________
_____________________________________________ PLAINTIFF
VS.
_____________________________________________ DEFENDANT
_____________________________________________
_____________________________________________
Address
Name
In support of the attached eviction filing related to the property located at: ____________________________________
______________________________________________________________________________________________,
and in compliance with Kentucky Supreme Court Administrative Order 2020-56, Plaintiff submits this Verification:
1. I certify that I am the Plaintiff in the above-referenced case and I have investigated whether the property identified
above is a “covered dwelling” under Section 4024 of the Coronavirus Aid, Relief and Economic Security (CARES) Act
or is a property for which the borrower of a federally backed multifamily mortgage loan has received a mortgage
forbearance under Section 4023 of the CARES Act.
My investigation included (Identify any database(s), websites, or any other information you have used, or specific contacts
you have made with, e.g., the owner or borrower, federal agencies, mortgage servicer(s), or any others):
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
2. Select Option A, B, C, D, or E below and complete all information under that Option. [Applicable definitions
are attached.]
A. The property is not a "covered dwelling" under Section 4024 of the CARES Act and is not a property for which a
multifamily borrower has received a mortgage forbearance under Section 4023 of the CARES Act.
B. The property is a "covered dwelling" under Section 4024 of the CARES Act; however, this eviction action is for
a reason(s) other than nonpayment of rent or fees, penalties, or other charges related to nonpayment of rent.
C. The property is a "covered dwelling" under Section 4024 of the CARES Act and this eviction action is for
nonpayment of rent or fees, penalties, or other charges related to nonpayment of rent. (Complete the following.)
Tenant was provided 30 days' notice to vacate as required by Section 4024 of the CARES Act. See attached
notice, provided to Tenant on _________________________, 20____. (Attach notice.)
AND
Tenant is not being charged fees, penalties, or other charges related to nonpayment of rent that accrued during
the period between March 27, 2020, and July 25, 2020.
D. Mortgage forbearance was granted to the borrower of a federally backed multifamily mortgage loan on this
property under Section 4023 of the CARES Act; however, this eviction action is not solely for nonpayment of
rent or fees, penalties, or other charges related to nonpayment of rent.
Address