B. To request the immediate removal of an unlawful occupant of a residential dwelling, the property owner or his or her authorized agent must submit a complaint by presenting a completed and verified Complaint to Remove Persons Unlawfully Occupying Residential Real Property form to the sheriff of the county in which the real property is located. The submitted complaint must be in substantially the following form:COMPLAINT TO REMOVE PERSONS UNLAWFULLY OCCUPYING REAL PROPERTY
I, the owner or authorized agent of the owner of the real property located at __________________, declare under the penalty of perjury that (initial each box):
1. ______I am the owner of the real property or the authorized agent of the owner of the real property.2. ______I purchased the property on _________________.3. ______An unauthorized person or persons have unlawfully entered and are remaining or residing unlawfully on the real property.4. ______The real property was not open to members of the public at the time the unauthorized person or persons entered.5. ______I have directed the unauthorized person or persons to leave the real property, but they have not done so.6. ______The person or persons are not current or former tenants pursuant to any valid lease authorized by the property owner, and any lease that may be produced by an occupant is fraudulent.7. ______The unauthorized person or persons sought to be removed are not an owner or a co-owner of the property and have not been listed on the title to the property unless the person or persons have engaged in title fraud.8. ______The unauthorized person or persons are not immediate family members of the property owner.9. ______There is no litigation related to the real property pending between the property owner and any person sought to be removed.10. I understand that a person or persons removed from the property pursuant to this procedure may bring a cause of action against me for any false statements made in this complaint, or for wrongfully using this procedure, and that as a result of such action I may be held liable for actual damages, penalties, costs, and reasonable attorney fees.11. I am requesting the sheriff to immediately remove the unauthorized person or persons from the property.12. A copy of my valid government-issued identification is attached, or I am an agent of the property owner, and documents evidencing my authority to act on the property owner's behalf are attached.I ACKNOWLEDGE AND UNDERSTAND THAT MAKING OR CAUSING TO BE MADE A FALSE STATEMENT IN THIS AFFIDAVIT MAY SUBJECT ME TO CRIMINAL PROSECUTION FOR PERJURY AND/OR BEING LIABLE FOR ACTUAL DAMAGES SUFFERED OR INCURRED BY ANY PERSON OR OTHER ENTITY AS A RESULT OR CONSEQUENCE OF THE MAKING OF OR RELIANCE UPON SUCH FALSE STATEMENT.
_____________________________(Signature of Property Owner or Agent of Owner)