SMALL CLAIMS INFORMATION SHEET DATE______________ PLAINTIFF (S): _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ City,_________State_______zip______ Home Phone#_____________________ Cell Phone#_______________________ DEFENDANT (S): ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ City,______________State______zip_______ Home Phone#_________________________ Cell Phone#___________________________ Is Defendant presently in the military or naval service of the United States?____ COMPLAINT:________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ AMOUNT CLAIMED $______________, with interest at____% per annum from the date of judgment. The above complaint is true to the best of my belief. ______________________________ ______________________________ (Plaintiff) American LegalNet, Inc. www.FormsWorkFlow.com