County Justice Court Form Page 3
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3DAVIS COUNTY JUSTICE COURT
800 W STATE ST, FARMINGTON UT 84025
Courtroom #2
Plaintiff,
____________________________________
Name
_________________________________________________
Agent & Title
_________________________________________________
Address
SMALL CLAIMS JUDGMENT
_________________________________________________
City, State, Zip
Phone
VS.
Defendant,
____________________________________
DOCKET #______________________________
Name
_________________________________________________
Agent & Title
_________________________________________________
Address
_________________________________________________
City, State, Zip
Phone
Defendant,
____________________________________
Name
_________________________________________________
Agent & Title
_________________________________________________
Address
_________________________________________________
City, State, Zip
Phone
Date of Trial: __________________________
Parties Appearing:
[ ]Plaintiff
[ ]Defendant ________________________________
[ ]Defendant ________________________________
THE COURT ORDERS JUDGMENT AS FOLLOWS:
1) ON THE PLAINTIFF’S CLAIM:
A.[ ]FOR THE PLAINTIFF
$_____________Principal (including any allowable pre-judgment interest and fees)
$_____________Court Costs
$_____________Total Judgment, [ ]at ____
OR
percent per year interest (the current state post-judgment rate).
[ ]_______
percent per year interest (pursuant to the contract between parties).
B.[ ]FOR THE DEFENDANT:[ ]
[ ]
[ ]
No Cause of Action
Dismissal with Prejudice
Dismissal without Prejudice
This judgment is effective for 8 years.
2) ON THE DEFENDANT’S COUNTER-CLAIM:
A.[ ]FOR THE DEFENDANT
$_____________Principal (including any allowable pre-judgment interest and fees)
$_____________Court Costs
$_____________Total Judgment, [ ]at ____
OR
percent per year interest (the current state post-judgment rate).
[ ]_______
percent per year interest (pursuant to the contract between parties).
B.[ ]FOR THE PLAINTIFF:[ ]
[ ]
[ ]
No Cause of Action
Dismissal with Prejudice
Dismissal without Prejudice
3) THE COURT FURTHER ORDERS:__________________________________________________________
_____________________________________________________________________________________________
_____________________________
__________________________________________________
Date
Judge’s Signature
NOTICE OF JUDGMENT
I certify that I [ ]mailed [ ]delivered a copy of this Judgment to [ ]Plaintiff [ ]Defendant at the
address on file with the court.
_____________________________
__________________________________________________
Date
Clerk / Plaintiff
sc3/Sept,2010
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