Sc-500: Summons And Complaint-Small Claims - Manitowoc County - State Of Wisconsin
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1For Official Use
STATE OF WISCONSIN, CIRCUIT COURT,
COUNTY
Plaintiff:
(Name [first, middle, last], Address, City, State, Zip)
See attached for additional plaintiffs
Amended
-vs-
Summons and Complaint
To: Defendant(s) :
(Name [first, middle, last], Address, City, State, Zip)
Small Claims
Case No.
Claim for money ($10,000 or less)
31001
Return of property (replevin)
31003
See attached for additional defendants
Eviction
31004
Eviction due to foreclosure
31002
If you require reasonable accommodations due to a disability to participate in the court
Arbitration award
31006
process, please call
at least 10 working days prior to
Return of earnest money
31008
the scheduled court date. Please note that the court does not provide transportation.
Tort/Personal injury ($5,000 or less) 31010
SUMMONS
To the Defendant(s):
When to Appear/File an Answer
You are being sued as described below. If you wish to dispute this matter:
Time
Date
You must appear at the time and place stated.
AND/OR
(Clerk will circle one)
Place to Appear/File an Answer
You must file a written answer and provide a copy to the plaintiff or
plaintiff’s attorney on or before the date and time stated.
If you do not appear or answer, the plaintiff may win this case and a
judgment entered for what the plaintiff is asking.
Clerk/Attorney Signature
Date Summons Issued
Date Summons Mailed
COMPLAINT
Plaintiff's Demand:
The plaintiff states the following claim against the defendant(s):
1. Plaintiff demands judgment for: (Check as appropriate)
Claim for Money $
Tort/Personal injury $
Return of Earnest Money
Eviction
Eviction due to foreclosure
Return of property (replevin)
Confirmation, vacation, modification or
(Describe property in 2 below.)
correction of arbitration award.
(Not to include Wis. Stats. 425.205 actions to recover collateral.)
Plus interest, costs, attorney fees, if any, and such other relief as the court deems proper.
2. Brief statement of dates and facts:
(If this is an eviction action and you are seeking money damages, you must also state that claim on this form.)
See attached for additional information. Provide copy of attachments for court and defendant(s).
Verification: Under oath, I state that the above complaint is true, except as those matters stated upon information and
belief, and as to those matters, I believe them to be true.
I am:
plaintiff.
attorney for the plaintiff.
Attorney’s State Bar Number
Date
Signature of Plaintiff or Attorney
State of
►
County of
Plaintiff'’s/Attorney's Telephone Number
Law Firm and Address
Subscribed and sworn to before me on
Notary Public/Court Official
Name Printed or Typed
:
My commission/term expires
SC-500, 08/11 Summons and Compliant – Small Claims
Chapter 799, Wisconsin Statutes
This form shall not be modified. It may be supplemented with additional material.
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