State of: _______________________
County of: ______________________
CASE No. ______________________
Plaintiff Name:
________________________________
VS.
Defendant Name:
________________________________
Plaintiff's Home Address:
________________________________
Plaintiff's Attorney's Address:
________________________________
Defendant's Home Address:
________________________________
Defendant's Attorney's Address:
________________________________
NOTICE TO THE DEFENDANT
YOU ARE BEING SUED IN THE SMALL CLAIMS COURT BY THE ABOVE LISTED PLAINTIFF(S). THE JUDGE HAS NOT YET MADE A DECISION IN THE ABOVE LISTED CASE, YOU HAVE A RIGHT TO A TRIAL TO TELL YOUR SIDE OF THE CASE.
HOWEVER, IF YOU, OR YOUR LAWYER, FAIL TO FILL OUT THE ENCLOSED ANSWER FORM AND DELIVER OR MAIL IT OT THE CLERK OF THE COURT AT THE ADDRESS LISTED BELOW, A JUDGMENT CAN BE TAKEN AGAINST YOU FOR THE MONEY OR PROPERTY DEMANDED IN THE FOLLOWING COMPLAINT, ONCE A JUDGMENT HAS BEEN ENTERED AGAINST YOU, YOUR PAYCHECK CAN BE GARNISHED AND/OR YOUR HOME PROPERTY SOLD TO PAYOFF THE JUDGMENT.
1. I hereby claim the defendant owes the plaintiff the sum of $ ___________
For the following reason:
________________________________
________________________________
________________________________
________________________________
2. The plaintiff also claims from the defendant court costs in the sum of $______________
Plus $_______________ for interest and $______________ for lawyers' fees (only if plaintiff is represented by a licensed, practicing
attorney and if the contract or note you signed so provides.)
NOTE: The total amount of court costs may be more than this amount when the case is finally settled.
The clerk of the court will inform you of any additional costs at the close of the above listed case.
Clerk's Address:
________________________________
________________________________
Plaintiff or Plaintiff's Attorney Signature
Attorney Code: _____________________
Plaintiff's or Plaintiffs Attorney's Phone Number: ____________________
Date of Filing: ____/____/______
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