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IN THE COUNTY COURT, FOURTH JUDICIAL CIRCUIT, IN (Duval County Clerk of Courts)

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IN THE COUNTY COURT, FOURTH
JUDICIAL CIRCUIT, IN AND FOR
DUVAL COUNTY, FLORIDA
CASE NO: _______________________
DIVISION: __________
_____________________________,
Plaintiff,
vs.
_____________________________,
Defendant(s).
_______________________________________/
AFFIDAVIT OF PLAINTIFF REGARDING FEDERAL CARES ACT
I, , being sworn, certify that the following
statements are true (initial each statement that applies in your case):
1. I am the Plaintiff in this action; OR
an authorized business representative of the plaintiff; OR
the attorney for Plaintiff.
2. I have read and am familiar with the (attached) relevant sections of the
Federal CARES Act which are applicable to this eviction proceeding.
3. ________ The CARES Act does not apply because this eviction is for a reason other
than unpaid rent. (If this line is initialed, do not go further).
For actions filed prior to July 27, 2020:
A. ________ The property at issue in this action does not fall under the definition of
“Covered Property” as defined by the CARES Act.
B. ________ The property at issue in this action is not encumbered by a Federally Backed
Mortgage Loan and/or Federally Backed Multifamily Loan as defined by the CARES Act.
C. ________ This eviction does not involve unpaid rent for any time period between March
27, 2020 and July 27, 2020.
For actions filed July 27, 2020 and thereafter:
A. ________ The CARES Act does not apply because the unpaid rent is for a period after
July 27, 2020 and a 3 day-notice was provided.
B. ________ The unpaid rent is for a time period between March 27, 2020 and July 27,
20202 however the CARES Act does not apply because the property at issue in this action
does not fall under the definition of “Covered Property” as defined by the CARES Act
and/or the property at issue in this action is not encumbered by a Federally Backed
Mortgage Loan and/or Federally Backed Multifamily Loan as defined by the CARES Act.
C.________ The property at issue does fall under the provisions of the CARES Act and
some portion of the unpaid rent at issue did accrue between March 27, 2020 and July 27,
2020; however, (1) this action was filed on or after July 27, 2020; and (2) I provided the
Defendant a 30-day notice on (insert date of 30 day
notice and attach a copy of the notice to Complaint).
D. _________ The property at issue does fall under the provisions of the CARES Act and
some portion of the unpaid rent at issue did accrue between March 27, 2020 and July 27,
2020, but I have not yet provided the Defendant with a 30 day notice, as required by the
Act.
Dated , 2020.
AFFIANT
STATE OF FLORIDA
COUNTY OF
Sworn to or affirmed and signed before me on
, 2020, by .
NOTARY PUBLIC or DEPUTY CLERK
____ Personally known
____ Produced identification
Type of identification produced
Template created on September 15, 2020
revised September 18, 2020
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IN THE COUNTY COURT, FOURTH JUDICIAL CIRCUIT, IN (Duval County Clerk of Courts)

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Completed 9 January 2021

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