Form DC 102a
COMPLAINT,
NONPAYMENT OF RENT
Use this form if:
• you want to start eviction proceedings against a tenant who has not paid rent, and
• you delivered to the tenant a demand for possession for nonpayment of rent, and
• at least 7 days have passed since the date you delivered the demand for possession.
DC 102a (11/23) COMPLAINT, NONPAYMENT OF RENT, Landlord-Tenant MCL 554.139, MCL 600.5714, MCR 2.113(C), MCR 4.201(B)
A
B
Approved, SCAO
Original - Court
1st copy - Tenant
2nd copy - Mailing
3rd copy - Landlord
STATE OF MICHIGAN
JUDICIAL DISTRICT
COMPLAINT
NONPAYMENT OF RENT
Landlord-Tenant
CASE NO.
Court address Court telephone no.
Plaintiff name(s), address(es), and telephone no(s).
v
Defendant name(s), and address(es)
Plaintiff’s attorney, bar no., address, and telephone no.
2. There is no other pending or resolved civil action arising out of the same transaction or occurrence alleged in this
complaint.
A civil action between these parties or other parties arising out of the transaction or occurrence alleged in this complaint
has been previously filed in
Court. The docket number and assigned judge are
.
The action remains is no longer pending.
3. The person entitled to possession of the property described in the attached demand for possession is:
Name (type or print)
.
4. The defendant is in possession of the following portion of the property:
5. The plaintiff has a right to possession of the property for nonpayment of rent:
a. Rental rate: $
per
b. Payable on:
c. Rent is paid through
d. Total rent due now is $
e. Other money is due: $
for
and due by
.
6. The tenancy involves regulated housing operated by or under rules of a governmental unit. The rule or law under which
the tenancy is ended is:
.
7. (This item must be checked if the property is residential property.) The plaintiff declares that this residential property was
kept fit for the use intended, has been kept in reasonable repair during the term of the lease or license, and is in compliance
with the applicable state and local health and safety laws. (Any defects to this statement must be explained below.)
The disrepair or violation was caused by the tenant’s willful or irresponsible conduct or lack of conduct.
The parties to the lease or license modified the obligations, as provided for by statute.
Other: (describe)
8. The defendant has not complied with the demands made.
9. The plaintiff requests a judgment of possession and costs.
NOTE TO PLAINTIFF: If you wish to demand a jury trial, you must file a jury demand (MC 22) with the complaint.
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:
Date
Plaintiff/Attorney signature
SUPPLEMENTAL COMPLAINT
C
D
E
F
G
H
I
The plaintiff states:
1. Attached to this complaint is a copy of the lease or occupancy
agreement, if any, under which possession is claimed, and a
copy of the demand for possession showing when and how it
was served.
J
K
