Form DC 102a Complaint, Nonpayment of Rent: Use This Form If
Form DC 102a Complaint, Nonpayment of Rent: Use This Form If
Form DC 102a Complaint, Nonpayment of Rent: Use This Form If
COMPLAINT,
NONPAYMENT OF RENT
• you delivered to the tenant a demand for possession for nonpayment of rent, and
• at least 7 days has passed since the date you delivered the demand for possession.
Original - Court 2nd copy - Mailing
Approved, SCAO 1st copy - Tenant 3rd copy - Landlord
B Plaintiff name(s), address(es), and telephone no(s). Defendant name(s), and address(es)
D 3. The person entitled to possession of the property described in the attached demand for possession is
.
Name (type or print)
E 4. The defendant is in possession of the following portion of the property:
F 5. The plaintiff has a right to possession of the property for nonpayment of rent:
a. Rental rate: $ per b. Payable on:
I NOTE: If you wish to demand a jury trial, you must file a jury demand (MC 22).
SUPPLEMENTAL COMPLAINT
J 10. Complaint is made and judgment is sought for money damages against the defendant as follows:
Rent owing as set out in paragraph 5 above, plus additional rent at the rate of $ per
until judgment, plus costs.
Damages claimed:
K
Date Plaintiff/Attorney signature
DC 102a (12/19) COMPLAINT, NONPAYMENT OF RENT, Landlord - Tenant MCL 600.5714, MCR 2.113(C), MCR 4.201(B)
Form Instructions