Counterclaimant or Attorney for Counterclaimant Address Maricopa County Justice Courts, State of Arizona CASE NUMBER: Plaintiff / Counterdefendant Name / Address / Phone Defendant / Counterclaimant Name / Address / Phone COUNTERCLAIM (Forcible / Special Detainer) Defendant, having filed an answer to plaintiff's complaint, now counterclaims as follows: Identify the breach of the Residential Landlord and Tenant Act or the breach of the rental contract that has resulted in the alleged damages that is the basis of this counterclaim: I gave the plaintiff written notice of the alleged breach. Attached is a copy of the notice that I gave. It was 20 given to the plaintiff (or to their representative) on , in the following manner (e.g. mailed, hand delivered, etc.): I am also I am asking for judgment against the counter-defendant(s) herein named in the sum of $ asking for costs of court incurred herein and interest at the legal rate from the date of judgment. I am entitled to this relief because: I state under penalty of perjury that the foregoing is true and correct. Date: Counterclaimant I CERTIFY that I mailed / delivered a copy of this COUNTERCLAIM to: Plaintiff at the above address or Plaintiff's attorney Street City, State Date: Zip By: Counterclaimant FD 8150-205 R:12-26-2008 American LegalNet, Inc. www.FormsWorkflow.com