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Plaintiffs Statement (Small Claims) Form. This is a California form and can be use in Sierra Local County.
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Tags: Plaintiffs Statement (Small Claims), California Local County, Sierra
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
SIERRA COUNTY SUPERIOR COURT
:
Calendar No.
SIERRA COUNTY JUDICIAL DISTRICT
COUNTY OF SIERRA, STATE OF CALIFORNIA
PO BOX 476, DOWNIEVILLE, :CA 95936
JUDICIAL SUBPOENA
Plaintiff(s)
TEL: 530/289-3698 :
-against:
For Court Use
CASE NO.__________________
SET FOR___________________
:
Defendant(s)
:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .PLAINTIFF’S. STATEMENT
......... ..........
1.
Please read carefully before completing this statement:
a. If you are suing one or more individuals, give the full name of each.
THE PEOPLE OF THE STATE business owned by an individual, you should give the name of the owner and the
b. If you are suing a OF NEW YORK
name of the business.
c. If you are suing a partnership, you must give the names of the partners and the name of the
TO
partnership.
d. If you are suing a corporation, you must give its full name and the name and title of an officer of
the corporation, or the name of a person authorized to receive service of process on behalf of the
corporation.
GREETINGS: If your suit arises out of an automobile accident and you are suing the owner of the other vehicle,
e.
you should also name the operator of that vehicle as defendant.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
2. MY NAME____________________________________________________________________________
(Your full name and if on a business transaction, the name of your business)
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
_____________________________________________________________________________________
or adjourned date, to testify and give evidence as a witness in this action on the part of the
.
MY ADDRESS_________________________________________________________________________
Street address and Apt.No., if any City
State
Zip Code
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
MY TELEPHONE NUMBER, DAYS______________________EVENING________________________
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result 3. your CLAIM IS AGAINST: (Give full name of each person or business)
of MY failure to comply.
a. Name____________________________________________ Telephone:____________________of the
Witness, Honorable
, one of the Justices
Court in
County,
day of
, 20
Address________________________________________________________________________
Street address, Apt No.,
City
State
Zip Code
b. Name____________________________________________ Telephone:_____________________below)
(Attorney must sign above and type name
Address________________________________________________________________________
Street address, Apt No.,
City
State
Zip Code
Attorney(s) for
c.
Name____________________________________________ Telephone:____________________
Address________________________________________________________________________
Street address, Apt No.,
City
State
Zip Code
Office and P.O. Address
4.
Describe briefly the nature of your claim and itemize it:_________________________________________
______________________________________________________________________________________
Telephone No.:
5.
TOTAL AMOUNT OF CLAIM $___________________________________________________________
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
Continue and sign on reverse
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
6.
Calendar No.
:
JUDICIAL SUBPOENA
If your claim arises out of a vehicle accident, complete this section: :
-againsta.
Date of the accident:______________________________________________________________
b.
Street or intersection and the city where the accident occurred:
:
:
__________________________________________________________________________________
Defendant(s)
:
......................................................
c.
7.
If you are claiming damages to a vehicle, were you the registered owner on the date of the
accident?____________________(yes or no)
If your claim is on a retail installment account, on a motor vehicle finance sale or lease, or for the
THE PEOPLE OF of goods, servicesOFloans intended primarily for personal, family or household use, complete
furnishing THE STATE or NEW YORK
the following:
TO
a.
Where was contract signed?________________________________________________________
b.
Where did defendant reside when contract was entered into?______________________________
GREETINGS:
__________________________________________________________________________________
WE c. Where does YOU, that all now?___________________________________________________
COMMAND defendant reside business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of __________________________________________________________________________________
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
8. If your claim testify 6 or give evidence address or locality where damages the part of the
or adjourned date, to is not forand 7 above, state the as a witness in this action onor injury occurred, or
where the obligation was entered into or to be performed:
______________________________________________________________________________________
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
9. Have you sued this party before?_________________(yes/no) If yes, Case No:_______________________
result of your failure to comply.
(Read the following carefully before signing this statement.)
Witness, Honorable
, one of the Justices of the
UNDERSTAND THAT I HAVE NO RIGHT OF APPEAL FROM JUDGEMENT ON MY CLAIM. I
Court Iin
County,
day of
, 20
ALSO UNDERSTAND THAT ALTHOUGH I MAY CONSULT AN ATTORNEY, I CANNOT BE
REPRESENTED BY AN ATTORNEY AT TRIAL. I HAVE DEMANDED PAYMENT OF THIS
CLAIM AND IT HAS NOT BEEN PAID. IF THIS CLAIM IS ON AN ASSIGNED CONTRACT, I
CERTIFY THAT THIS IS A CONDITIONAL SALES CONTRACT WHEREIN sign above and type name below)
(Attorney must THE TITLE TO ANY
PROPERTY SOLD DID NOT PASS TO DEBTOR.
I declare under penalty of perjury that the foregoing is true and correct.
Executed on (date)______________________at (place)_________________________________, California
Attorney(s) for
________________________________________________________
(Signature of Plaintiff)
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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