Date of Filing:_____________ Cases Number:_____________ Rec Number:______________ Greenwood Districts Municipal Court P. O. Box 925 Greenwood, AR 72936-0925 501/996-6501 501/784-1530 IN THE MUNICIPAL COURT OF THE GREENWOOD DISTRICT OF SEBASTIAN COUNTY, ARKANSAS COMPLAINT AND CIVIL SUMMONS STATE OF ARKANSAS } Sebastian County } Greenwood District } Small Claims:____________ Civil Division:____________ Plaintiff: __________________________________________ _______________________ (Telephone Number) (Name/Names) Plaintiff Home Address:___________________________________________ (Street) (City) (State) (Zip Code) Defendant(s):________________________________________ _______________________ (Telephone Number) (Name/Names) Defendant’s Home Address:___________________________________________ (Street) (City) (State) (Zip Code) Defendant’s Business Address:___________________________________________ (Business Name/Address) (Zip Code) Nature of Claim:________________________________________________________________ Amount of relief claimed: $___________ Date Claim Arose:___________________ Method of service: Filing and serving fee: $___________ _____Certified Mail _____Sheriff’s Office _____ Other Attorney fees: $___________ Other: $___________ Facts showing why claim is owed: __________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ (If additional space is needed, attach another page) ____________________________________________ Signature of Plaintiff/Attorney ATTENTION DEFENDANT: Please read below for instructions American LegalNet, Inc. www.USCourtForms.com DEFENDANT’S INSTRUCTIONS PLEASE READ CAREFULLY 1. Please fill out the enclosed Answer Form and return it to the Clerk’s Office within _____ 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 that 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 _____ 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 judgment may be entered against you for the amounts of the claim filed plus all costs. If this occurs, your wages may be garnished or any of your personal property may be taken and sold to pay the judgment. Do not fail to file a written answer and provide a copy to the Plaintiff. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of said Court on this date:_____________. Cheri Mitch, Municpal Court by: _______________________________ Deputy Clerk STATE OF ARKANSAS County of Sebastian } Greenwood District } On this _______ day of __________________ 20____, at __________ o’clock ____.M., I have duly served this Complaint and Civil Summons by delivering a true copy hereof to _______________________________ At______________________________. SEBASTIAN COUNTY SHERIFF BY:____________________________ Deputy Sheriff American LegalNet, Inc. www.USCourtForms.com