Small Claims Court Packet Template - City Of Helena, Lewis And Clark County, Montana Page 4
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4IN THE SMALL CLAIMS COURT OF RECORD,
CITY OF HELENA, LEWIS AND CLARK COUNTY, MONTANA
BEFORE MICHAEL G. SWINGLEY, JUSTICE OF THE PEACE
(406) 447-8201
_______________________________________
Plaintiff(s),
COMPLAINT
vs.
COUNTERCLAIM
CASE NO. SM-_____________
_______________________________________
Respondent(s)
STATE OF MONTANA, COUNTY OF LEWIS AND CLARK
Plaintiff(s), being first duly sworn, upon oath, states that respondent(s) is indebted to me in the sum of $ ______________, because on
_____________________(date) at _________________________(place), the respondent(s) (description of complaint)___________________________
___________________________________________________________________________________________________________________________
Which sum is now due, owing, and unpaid despite demands for payment thereof, together with my costs herein expended.
Plaintiff(s)___________________________________________
Respondent(s)_________________________________________
Plaintiff(s) address(es) _________________________________
Respondent(s) address(es)_______________________________
____________________________________________________
____________________________________________________
Phone(s) ____________________________________________
Phone(s) ____________________________________________
Dated this ________day of __________________, 20 ____.
SUBSCRIBED AND SWORN BEFORE ME:
Mary Root
________________________________________________
Clerk of Justice Court
Signature (must be signed in the presence of Clerk)
By _________________________________________________
Deputy Clerk
___________________________________________________________________________________________________________________________
ORDER OF THE COURT / NOTICE TO RESPONDENT(S)
THE STATE OF MONTANA TO THE ABOVE-NAMED RESPONDENT(S): You are hereby directed to appear the within and
foregoing complaint at: JUSTICE COURT, ROOM 102, 228 BROADWAY, HELENA, MT 59601. PLEASE CHECK IN.
The trial has been set for _________________________ the ____________ day of _____________________________, 20___ at
______________.m. and you are to have with you, then and there, all evidence, papers and witnesses needed by you to establish your
defense to the claim. And you are further notified that in case you do not appear, judgment will be taken against you by default for the
relief demanded in the complaint and for the costs of this action, including costs of service of the complaint and order of the court / notice
to the respondent(s). You are hereby further notified that, within 10 days of service upon you of this complaint and order, you may remove
this action from Small Claims Court to Justice Court, and that your failure to remove shall constitute a waiver of your rights to trial by
jury and to representation by counsel.
YOU ARE FURTHER NOTIFIED THAT YOU MUST PAY $20.00 APPEARANCE FEE PER RESPONDENT TO THE CLERK
OF JUSTICE COURT BEFORE THE TRIAL TIME SHOWN.
To the Sheriff, or Server of Process of said County, GREETINGS:
Make legal service and due return on the respondent(s) at:
MICHAEL G. SWINGLEY
______________________________________________
Small Claims Court Judge
______________________________________________
Mary Root
Clerk of Justice Court
______________________________________________
By _____________________________
Deputy Clerk
Dated this ______ day of __________________, 20____.
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