Maricopa County Justice Courts, State of Arizona CASE NUMBER: Plaintiff(s) Defendant(s) Name / Address / Phone Attorney for Plaintiff(s) Name / Address / Phone Name / Address / Phone Attorney for Defendant(s) Name / Address / Phone COUNTERCLAIM Defendant, having filed an answer to plaintiff's complaint, now counterclaims against the following named plaintiff(s) , as follows: This is what Counter-defendant / Plaintiff has done to cause the damages I am claiming: (state wrongful acts) 1. 2. 3. 4. I am asking the court to award me judgment against the Counter-defendant/ Plaintiff(s) in the sum of $ (state claimed damages) I am also asking for reimbursement of my court costs and interest at the legal rate from the date of judgment. I state under penalty of perjury that the foregoing is true and correct. Date: Counterclaimant / Defendant I CERTIFY that I have mailed / will mail a copy of this COUNTERCLAIM on this same day to: Plaintiff' at the above address Date: or Plaintiff's attorney By: Counterclaimant / Defendant TO COUNTER-DEFENDANT / Plaintiff(s): You have twenty (20) days to respond this counterclaim by filing a written reply. If you fail to do so, a default judgment may be entered against you for the relief sought by the party filing the counterclaim. CV 8150-103 R:3-05-2007 American LegalNet, Inc. www.FormsWorkflow.com