Small Claims Form 11 -Civil Division - Superior Court Of The District Of Columbia

Download a blank fillable Small Claims Form 11 -Civil Division - Superior Court Of The District Of Columbia in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Small Claims Form 11 -Civil Division - Superior Court Of The District Of Columbia with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Superior Court of the District of Columbia
CIVIL DIVISION
Small Claims Form 11
General
SMALL CLAIMS AND CONCILIATION BRANCH
Bldg. B, 510 4th Street, N.W., RM –120
WASHINGTON, D.C. 20001
TELEPHONE 879-1120
____________________________________
(1) ______________________________________
Plaintiff(s)
Defendant(s)
____________________________________
vs.
(2) ______________________________________
____________________________________
(3) ______________________________________
Address
Zip Code
. ______________________
N
______________
Phone No
o. SC
STATEMENT OF CLAIM
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
D
C
, ss: ______________________________________________________ being first duly sworn on oath says
ISTRICT OF
OLUMBIA
the foregoing is a just and true statement of the amount owing by the defendant to plaintiff, exclusive of all set-offs and just grounds of
defense.
__________________________________________________________
___________________________________________
Plaintiff /Agent (Sign and Print Name)
Address
___________________________________________
Title:______________________________________________________
City/State/Zip Code
Phone No.: __________________________________
Subscribed and sworn to before me this __________ day of ____________________________________________, 20 ________
(month and year)
____________________________________________________
Deputy Clerk (or notary public)
______________________________________________________
Attorney for Plaintiff (Sign and Print Name)
______________________________________________________
Address
Zip Code
Bar No.: _____________________Phone No.: ________________
NOTICE (All parties must notify the court of any address changes.)
To:
(1) ___________________________________________
(2) _____________________________________________________
Defendant
Defendant
_____________________________________________
_____________________________________________________
Address
Zip Code
Address
Zip Code
Home
Business
Home
Business
You are hereby notified that ___________________________________________________________________________________
______________________________________________________________________ has made a claim and is requesting judgment
against you in the sum of ___________________________________________________________ dollars ($__________________),
as shown by the foregoing statement. The court will hold a hearing upon this claim on ____________________________________
__________________________________________________________________________________________________________
at 9:00 a.m. in the Small Claims and Conciliation Courtroom 119, Bldg. B, 510 4th Street, N.W.,
SEE REVERSE SIDE FOR COMPLETE INSTRUCTIONS BRING THIS NOTICE WITH YOU AT ALL TIMES
Deputy Clerk
Small Claims and Conciliation Branch
CV-471/AUG. 12

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form A - Civil Action - Superior Court Of New Jersey Law Division Form A - Civil Action - Superior Court Of New Jersey Law Division Legal
Civil Deposit - Superior Court Of California County Of Los Angeles Civil Deposit - Superior Court Of California County Of Los Angeles Legal
Form 11.01a - Counterclaim - Supreme Court Of Newfoundland And Labrador Form 11.01a - Counterclaim - Supreme Court Of Newfoundland And Labrador Legal
Civil Cover Sheet - Superior Court Of The State Of Arizona Civil Cover Sheet - Superior Court Of The State Of Arizona Legal
Small Claims Instructions - Superior Court Of California Small Claims Instructions - Superior Court Of California Legal
Claim Form Superior Court Of The State Of California Claim Form Superior Court Of The State Of California Legal
Form Cv 012 - Bench Warrant - Civil - Superior Court Of California, County Of Stanislaus Form Cv 012 - Bench Warrant - Civil - Superior Court Of California, County Of Stanislaus Legal
Civil Action Certification By Attorney And Client - Superior Court Of New Jersey Civil Action Certification By Attorney And Client - Superior Court Of New Jersey Legal
Superior Court Of The State Of California For The County Of Los Angeles Superior Court Of The State Of California For The County Of Los Angeles Legal
Form Dhcs 1009 - California Quarterly Report Of Conservatorships Established By The Superior Court Of The County - Health And Human Services Agency Form Dhcs 1009 - California Quarterly Report Of Conservatorships Established By The Superior Court Of The County - Health And Human Services Agency Legal

Related Categories

Parent category: Legal
Download
Go
Page of 2