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NEW Small Claims Complaint

Your Name/Firm Name:
Address:
City & State:
Zip Code:
Email:
Phone:
Fax:
same as above
Same as Above
Same as Above
(1) Name of the party that is suing (Plaintiff):
Address:
City & State:
Are there additional Plaintiffs for this claim?:
party being sued
(1) Name of party being sued (Defendant):
Address:
City & State:
This address is a:
Are there additional Defendants for this claim?:
**Please note each party you intend to sue must be sent a Demand Letter and later, served with the filed Small Claims Complaint.
amount suing for
Total amount you are suing for:
(not to exceed $10,000.00)
Brief reason why you are suing:
Paying by:
Are you a Robot? If not, type the numbers
for "six zero four" in this box:





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