MAGISTRATE COURT OF ____________________ COUNTY, GEORGIA
___________________________________________
___________________________________________
NOTICE FOR REMOVAL OF DERELICT
___________________________________________
MOBILE HOME
Plaintiff’s Name & Address vs.
___________________________________________ ___________________________________________
___________________________________________ ___________________________________________
___________________________________________ ___________________________________________
Responsible Party’s Name & Address Responsible Party’s Name & Address
___________________________________________ ___________________________________________
___________________________________________ ___________________________________________
___________________________________________ ___________________________________________
Responsible Party’s Name & Address Responsible Party’s Name & Address
Attach additional sheets if necessary.
_______ ______________________________________________________________________________
NOTICE
The above-referenced abandoned mobile home has been
deemed to be derelict by the appropriate local government
agent, and notice to that effect was placed on said mobile home
on the day of , 20 . Any responsible party
is entitled to request a hearing in Magistrate Court within 90
days from the date that appears on such notice to contest the
determination that such abandoned mobile home is derelict.
Failure to request such hearing within 90 days of receipt of
such notice shall entitle such landowner to dispose of the
derelict mobile home.
Describe make,
model, serial number, color and address or location of mobile home
___________________________________________________________________________________________________________