Wisconsin Eviction Summons and Complaint (Small Claims — SC-500 Companion)

WISCONSIN EVICTION COMPLAINT — SC-500 COMPANION

Before filing: Complete the current Wisconsin Court System SC-500 Summons and Complaint without modifying that form. Select Eviction and related claims, code 31004, on SC-500. Attach this signed companion as additional facts, provide copies of attachments, and use the court-issued appearance details. This document does not itself issue a summons.

STATE OF WISCONSIN, CIRCUIT COURT, [COUNTY] COUNTY

Plaintiff: [FULL NAME AND ADDRESS]

Defendant(s): [FULL NAME(S) AND LAST-KNOWN ADDRESS(ES)]

Case number: [ASSIGNED BY COURT]

Rental premises: [STREET ADDRESS, UNIT, CITY, COUNTY, WI ZIP]

1. Parties and right to possession

1. Plaintiff is [PERSON ENTITLED TO POSSESSION / AGENT AUTHORIZED IN WRITING BY THAT PERSON]. Plaintiff's basis for entitlement to possession is [OWNERSHIP, LEASE, OR OTHER FACTS]. If Plaintiff is an agent, the written authorization is Exhibit [LETTER].

2. Defendant [NAME] occupies the premises under [WRITTEN OR ORAL RENTAL AGREEMENT / OTHER BASIS], beginning [DATE]. Other known occupants are [NAMES OR NONE]. The rental agreement, if written, is Exhibit [LETTER].

3. The agreement provides rent of $[AMOUNT] due each [MONTH/WEEK] on [DAY]. The tenancy is [MONTH-TO-MONTH / WEEK-TO-WEEK / FIXED TERM FROM DATE TO DATE / YEAR-TO-YEAR / TENANCY AT WILL / OTHER].

2. Facts authorizing removal

4. The specific basis for termination is [UNPAID RENT / NON-RENT BREACH / END OF PERIODIC TENANCY / OTHER LAWFUL GROUND]. Facts, including relevant dates, events, amounts, and contract terms: [DETAILED FACTS]. If the theory depends on an earlier statutory notice, describe that notice and the later default: [DETAILS OR NOT APPLICABLE].

5. Plaintiff gave Defendant the termination notice dated [DATE], attached as Exhibit [LETTER]. The statutory route used was Wis. Stat. § [704.17 SUBSECTION / 704.19]. The notice required [PAYMENT / REMEDY / VACATING] by [DATE].

6. The notice was given on [DATE] by [SPECIFIC METHOD UNDER WIS. STAT. § 704.21(1)]. The facts establishing proper delivery, including any required mailing or reasonable-diligence attempts, are [DETAILS]. Supporting delivery record is Exhibit [LETTER].

7. The applicable notice period expired on [DATE]. Defendant did not [PAY / REMEDY / VACATE] as required, as shown by [FACTS]. Defendant remains in possession as of [DATE] without Plaintiff's consent. Plaintiff is entitled to possession.

3. Separately joined money claim, if any

Under Wis. Stat. § 799.40(2), Plaintiff separately states these claims arising from Defendant's possession or occupancy. If none, write “None” and delete the table.

The documents supporting this claim are [LEASE / RENT LEDGER / INVOICES / OTHER], attached as Exhibit [LETTER]. The money amount requested on SC-500 matches the separately stated claim above.

4. Request for judgment

Plaintiff requests:

1. Judgment restoring possession of the premises to Plaintiff.
2. An order for a writ of restitution under Wis. Stat. § 799.44(2), to be executed under applicable law.
3. If a claim is separately stated in section 3, judgment for the amount proven on that claim.
4. Costs and other relief the court allows.

The facts stated above are true to the best of my knowledge after reasonable inquiry.

Plaintiff or Plaintiff's attorney signature: __________________________

Printed name and capacity: __________________________

Address: __________________________

Telephone/email: __________________________

Attorney state bar number, if signed by counsel: [NUMBER]

Date: __________________________

Exhibits included: ☐ rental agreement ☐ statutory termination notice ☐ delivery record ☐ agent's written authorization ☐ rent ledger or money-claim records ☐ other [LIST].