Dist. Ct. Civ. R. 10(a) and 12(a) SC-1 (5/12)() COMPLAINT AS 22.15.040 IN THE DISTRICT COURT FOR THE STATE OF ALASKA AT ) ) ) Plaintiff(s), ) ) vs. ) ) ) ) CASE NO. SC Defendant(s). ) ) COMPLAINT Plaintiff is a corporation that has paid its taxes due the state and filed its required reports. is not a corporation. Defendant is indebted to the plaintiff in the principal amount of $ plus interest and court costs as a result of which occurred at or near , Alaska, on or about . (month/day/year) Plaintiff has demanded relief from the defendant, but defendant has failed to comply. Plaintiff requests small claims procedure, gives up the right to a jury trial and formal procedure in this case, and waives all of this claim which exceeds $10,000. If the court enters an order applying the formal Rules of Civil Procedure rather than the Small Claims Rules to this action, this waiver will be null and void. This action is filed at a court which will not cause unnecessary expense or inconvenience to the defendant and is the court nearest to: (Check applicable boxes.) the residence or place of employment of defendant. where personal injury or property damage occurred. where the defendant does or solicits business. Print Name and Title (if applicable) Date Plaintiff (Signature) Mailing Address City State ZIP Home Phone Work Phone Instructions: If you are filing documents supporting your claim (for example: promissory notes, checks, receipts, bills), you must also attach a copy of each document for each defendant. American LegalNet, Inc. www.FormsWorkFlow.com