AFFIDAVIT FOR REPLEVIN

(NOTE: This comes after the main body of the Complaint or Petition for Replevin.)

(CAPTION AND TITLE)

AFFIDAVIT

I, ______________, of legal age, single/married, and resident of ________________, after

being sworn in accordance with law depose and say:

1. That I am the plaintiff in an action for the delivery of personal property against the defendant,
entitled _______________ in the Regional Trial Court of _____________;

2. That I am the owner of said property, particularly described as follows, to wit:

_______________;

3. That the said personal property is wrongfully detained by the defendant without any lawful
cause whatsoever;

4. That the said personal property has not been taken for a tax assessment or fine pursuant to
law, or seized under an execution, or an attachment against the property of the plaintiff;

5. That the actual value of the said property is _______________________.

_____________________
(Plaintiff)
JURAT