MAGISTRATE COURT OF ____________________ COUNTY, GEORGIA
____
_______________________________________
___________________________________________
PETITION FOR HEARING ON DERELICT
___________________________________________
MOBILE HOME
Plaintiff’s Name & Address vs.
Describe make, model, serial number, color and address or location of mobile home
___________________________________________________________________________________________________________
[ ] I am the landowner. No responsible party has requested a hearing within ninety (90) days
of being notified of the decision by a local government agent that the abandoned mobile home
is derelict. I request a hearing be held within ten (10) days of this petition.
[
] I have been named as a responsible party, and it is within ninety (90) days of being notified
of the decision by a local government agent that the abandoned mobile home is derelict. I
request a hearing be held within ten (10) days of this petition.
Th
is ____day of ______________, 20___. _________________________________
[ ] Landowner [ ] Responsible Party
Printed name, address and telephone number.
____________________________________________
____________________________________________
____________________________________________
____________________________________________