JUSTICE OF THE PEACE COURT 16, STATE OF DELAWARE, COURT ADDRESS CIVIL ACTION NO Please list plaintiffs and defendants. Add additional party names and addresses on form CF01AP. VS. 414 Federal St Dover DE 19901 PLAINTIFF DEFENDANT 1) Name Address System ID# 1) Name System ID# Phone Plaintiff's Attorney or Agent, if any: Address System ID# (bar#) Phone Defendant's Attorney or Agent, if any: Address System ID# (bar#) Phone Phone Check One Individual Corporation or other Artificial entity (see Supreme Court Rule 57) Alternate Address Physical Mailing Rental ANIMAL WELFARE COMPLAINT 1. Concise Statement of Facts: (Who, What, When, Where, How?) Use additional sheet as needed $ $ $ Amount claimed (boarding costs) Court Costs. ___ Other Yes No Post judgment interest TO: THE JUSTICE OF THE PEACE COURT Please docket the above-captioned case and issue a Summons to the above-named Defendant(s) to appear before you so there may be a trial on this case and judgment for the Plaintiff(s), together with interest and costs of this proceeding: or, for an Attachment in Lieu of Summons, please issue same and direct the Constable to execute the proper process. . Date Plaintiff or Plaintiff's Attorney II. COMMENCEMENT OF ACTION; SERVICE OF PROCESS; PLEADINGS; MOTIONS AND ORDERS. Rule 3. Commencement of action. (a) Commencement. A civil action is commenced by filing a complaint and praecipe with the Court in such form as the Court prescribes. Sufficient copies of the complaint shall be filed so that one copy can be served on each defendant. When an action is governed by a special statute, it shall be commenced in the manner prescribed by such statute. Form: CF01AW (Rev 8/12/16) VIEW YOUR CASE ONLINE: http://courtconnect.courts.delaware.gov American LegalNet, Inc. www.FormsWorkFlow.com