SEBASTIAN COUNTY DISTRICT COURT GREENWOOD DIVISION P.O. BOX 925 GREENWOOD, ARKANSAS 72936-0925 (479) 996-6501 (479) 784-1530 DATE OF FILING ____________ CASE NUMBER _____________ RECEIPT NUMBER___________ IN THE DISTRICT COURT OF SEBASTIAN COUNTY, ARKANSAS GREENWOOD DIVISION COMPLAINT AND CIVIL SUMMONS STATE OF ARKANSAS Sebastian County Greenwood Division SMALL CLAIMS _____________ CIVIL DIVISION _____________ PLAINTIFF _____________________________________________ (Names/Name) __________________________ (Telephone Number) ADDRESS ____________________________________________________________________________ (Street) (City) (State) (Zip Code) DEFENDANT ___________________________________________ (Names/Name) __________________________ (Telephone Number) DEFENDANT'S HOME ADDRESS ___________________________________________________________ (Street) (City) (State) (Zip Code) DEFENDANT'S BUSINESS ADDRESS ________________________________________________________ (Business Name and Address) NATURE OF CLAIM _____________________________________________________________________ AMOUNT OF RELIEF CLAIMED $________________ DATE CLAIM AROSE ________________ FILING AND SERVICE FEE $________________ METHOD OF SERVICE: ATTORNEY FEES $________________ CERTIFIED MAIL ___________________ OTHER $________________ SHERIFF'S DEPT ___________________ Facts showing why claim is owed: __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ _________________________________________________________________________________________________ (IF ADDITIONAL SPACE IS NEEDED, ATTACH ANOTHER PAGE) ATTENTION DEFENDANT: PLEASE READ REVERSE SIDE OF THIS PAGE FOR INSTRUCTIONS. ___________________________________________ SIGNATURE OF PLAINTIFF/ ATTORNEY American LegalNet, Inc. www.FormsWorkFlow.com DEFENDANT'S INSTRUCTIONS PLEASE READ CAREFULLY 1. Please fill out the enclosed Answer Form and return it to the Clerk's Office within 30 days of the date you are served. You must provide a copy of the completed Answer Form to the Plaintiff. A court date will be set by the Clerk upon receipt of the written answer. 2. If the attached Complaint shows this case to be in the Small Claims Division, it is not necessary to hire an attorney although you may do so, if you wish. In the event both parties do not have attorneys, the Judge will ask questions of each party and decide the case on the evidence. If you are incorporated, you must, by law, hire an attorney to represent you in Court. (See A_C_A. 16-17-605 for exceptions). If the Complaint shows this case to be in the Civil Division, you may want to consider hiring an attorney. 3. If you feel that you owe the Claim and do not wish to appear in Court to contest this matter, please check the appropriate box on the Answer Form, If you feel you do not owe the Plaintiff the full amount sued for and you wish to appear before the Court in this matter, please check the appropriate box on the Answer Form. If you feel that you do not owe the Plaintiff the full amount sued for and the Plaintiff actually owes you money, you should contact the Municipal Court Clerk to obtain the forms to file a Counter claim in this matter. THE COMPLETED ANSWER FORM MUST BE RECEIVED BY THE CLERK WITHIN 30 DAYS OF THE DATE YOU WERE SERVED; YOU MUST SEND A COPY OF THE COMPLETED ANSWER FORM TO THE PLAINTIFF. 4. You may bring witnesses with you to testify on your behalf or you may have witnesses subpoenaed by providing a list of names with addresses and telephone numbers to the Court Clerk of the Greenwood District Court. There will be additional costs for issuance of subpoenas. 5. Bring to Court all papers, receipts, and other materials that might be useful as evidence in the case. Bring this form with you when you come to Court. 6. In Court, direct all statements and questions to the Judge. IMPORTANT, IF YOU FAIL TO FILE A WRITTEN ANSWER AND APPEAR IN COURT AT THE APPOINTED TIME, A DEFAULT JUDGEMENT MAY BE ENTERED AGAINST YOU FOR THE AMOUNTS OF THE CLAIM FILED PLUS ALL COSTS. IF THIS OCCURS, YOU WAGES MAY BE GARNISHED OR ANY OF YOU PERSONAL PROPERTY MAY BE TAKEN AND SOLD TO PAY THE JUDGEMENT. DO NOT FAIL TO FILE A WRITTEN ANSWER AND PROVIDE A COPY OF THE PLAINTIFF. BY: ______________________________________ SEBASTIAN COUNTY SHERIFF at ______________________________________. delivering a true copy hereof to duly served this Complaint and Civil Summons by 20______, at ________ o'clock _______.M., I have County of Sebastian Greenwood District CHERI MITCH, DISTRICT CLERK by: IN TESTIMONY WHEREOF, I have hereunto ________________________________________ _________________________________________ Deputy Clerk set my hand and affixed the seal of said Court on this date: _________________________________ On this _________ day of _____________ STATE OF ARKANSAS Deputy Sheriff American LegalNet, Inc. www.FormsWorkFlow.com