Breach Of Contract Small Claims Page 4
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4G Breach of W ritten Contract G Breach of Verbal Contract
G Other (specify):
8. PLAINTIFF PRAYS
For judgm ent for costs of suit; for such relief as is fair, just and equitable; and for
G dam ages of $___________
G interest on the dam ages X according to proof G at the rate of
percent per year
from (date): ______________
G other (specify):
_____________________________________
________________________________________
(Type or print nam e)
(Signature of party
Mandatory Small Claims Form BC-110
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