General Complaint Form (Page 3 of 4) in pdf

General Complaint Form Page 3

IN THE COUNTY COURT OF THE

SEVENTH JUDICIAL CIRCUIT IN

AND FOR ST. JOHNS COUNTY

CASE NUMBER:

DIVISION:

____________________________________

NAME

____________________________________

ADDRESS

____________________________________

____________________________

PHONE#

CITY, STATE & ZIP CODE

PLAINTIFF(S)

VS.

____________________________________

NAME

____________________________________

ADDRESS

____________________________________

___________________________

PHONE#

CITY, STATE & ZIP CODE

DEFENDANT(S)

GENERAL COMPLAINT

PLAINTIFF(S),_____________________________________________________, SUES DEFENDANT(S)

________________________________________________________________, AND ALLEGES:

THIS IS AN ACTION FOR DAMAGES THAT DOES NOT EXCEED $5000.00.

2.(GIVE A BRIEF DESCRIPTION OF WHY YOU HAVE FILED THIS SUIT)

WHEREFORE, THE PLAINTIFF(S) DEMANDS JUDGMENT FOR DAMAGES AGAINST DEFENDANT(S) IN THE

AMOUNT OF $__________________, TOGETHER WITH THE COSTS OF FILING THIS SUIT IN THE AMOUNT

OF $_____________________

_______________________________________

PLAINTIFF

_______________________________BEING DULY SWORN ON OATH, STATES THAT THE FOREGOING IS A

JUST AND TRUE STATEMENT OF THE AMOUNT OWING BY THE DEFENDANT(S) TO THE PLAINTIFF(S).

THE PLAINTIFF(S) ALSO STATES THAT THE DEFENDANT(S) IS/ARE NOT IN THE MILITARY SERVICE.

_______________________________________

PLAINTIFF

SUBSCRIBED AND SWORN TO BEFORE ME THIS_______DAY OF_________, 20____.

_______________________________________

(SEAL)

DEPUTY CLERK

General Complaint Form Page 3