COUNTY COURT OF POLK COUNTY, FLORIDA

CIVIL DIVISION

CASE NO. _________________________

 Plaintiff,

vs.

Defendant.

______________________________________/ 

NOTICE OF ACTION

TO: Above Named Defendant(s):

    YOU ARE HEREBY NOTIFIED that an action for _______________________________ has been filed against you in this court.

    YOU ARE REQUIRED TO APPEAR before Judge ______________________________, on ________________ the _________ day of ________________________, at ___________.M. at __________________________________________ to determine whether the owner is able to provide adequately for the animal(s) and is fit to have custody of the animal(s).

    Upon your failure to appear on the above indicated date, a default judgment may be entered against you for the relief demanded in the petition.

    If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact the Office of the Court Administrator, (941) 534-4690, within two (2) working days of your receipt of this Notice of Action; if you are hearing or voice impaired, call TDD (941) 534-7777 or Florida Relay Service (800) 955-8770.

    WITNESS MY HAND and the Official Seal of this Court on _______________________, 19_____.

                                                                                                            RICHARD M. WEISS

                                                                                                            CLERK OF COUNTY & CIRCUIT COURTS

                                                                                                            By________________________________________

                                                                                                                        Deputy Clerk

(S E A L)

REV. 08/97

117.doc (08/97)