Bedford Municipal Court Small Claim Information Sheet printable pdf download

Bedford Municipal Court Small Claim Information Sheet

________________

Date

BEDFORD MUNICIPAL COURT

SMALL CLAIM INFORMATION SHEET

Plaintiff (1):

Defendant (1):

Address:

City, State, Zip:

Telephone No:

Plaintiff (2):

Defendant (2):

Address:

City, State, Zip:

Telephone No:

Plaintiff (3):

Defendant (3):

Address:

City, State, Zip:

Telephone No:

Is DEFENDANT presently in the military or naval service of the United States_____________?

Yes / No

COMPLAINT

AMOUNT CLAIMED $______________________, with interest at the rate of __________%, from the day of

___________________________, at the rate of 4% and costs.

The above complaint is true to the best of my belief.

________________________________________________

Plaintiff Signature

Filing Fee $60.00 for one defendant

Each additional defendant is an additional $20.00 filing fee

IF SERVICE OF PROCESS BY CERTIFIED MAIL IS RETURNED BY THE POSTAL AUTHORITIES WITH AN

ENDORSEMENT OF “REFUSED” OR “UNCLAIMED”THE UNDERSIGNED WAIVES NOTICE OF SAME BY THE

CLERK AND REQUESTS ORDINARY MAIL SERVICE IN ACCORDANCE WITH CIVIL RULE 4.6(C) OR 4.6(D).

_______________________________________________

Attorney and/or Plaintiff

Rev 1-17

Bedford Municipal Court Small Claim Information Sheet