Defendant'S Response Page 4

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IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR YAMHILL COUNTY
Small Claims Department
)
)
)
Case No: _________________
Plaintiff
)
DEFENDANT’S RESPONSE
v.
)
)
)
)
Defendant
)
EACH Defendant must file a separate response (spouses and Registered Domestic Partners may file a
joint response)
PAYMENT OF CLAIM:
Proof of payment (including fees and costs) to Plaintiff is attached (or proof that the
requested property was returned to Plaintiff).
Total Amount Paid: $
(or) Describe property and method of return:
DENIAL OF CLAIM
I deny the plaintiff’s claim and demand a
hearing {or}
jury trial.*
*The claim must be for more than $750 (without fees and costs) to request a jury trial.
COUNTERCLAIM:
I make the following counterclaim* against the plaintiff for $
.
*Counterclaims must arise out of the same transaction or event as the plaintiff’s claim.
I, Defendant, claim that on or about (date) _________________, the above-named plaintiff
owed me the amount claimed because
, and this amount is still due.
If the amount is the value of property that you believe should be given to you, describe the
property:
Date
Signature
Name (Print)
P.O. Box (or) Street Address
City/State/ZIP
Phone
Form 15.010.1e – DEFENDANT’S RESPONSE – UTCR 15.010(1)(e)
(Revised 8-1-12)
Case No.

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