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Statement Of Claim (Money Lent) Form. This is a Florida form and can be use in Alachua Local County.
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Tags: Statement Of Claim (Money Lent), Florida Local County, Alachua
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
IN THE COUNTY COURT, EIGHTH JUDICIAL CIRCUIT,
:
Calendar
IN AND FOR ALACHUA COUNTY, FLORIDANo.
201 East University Avenue - Post Office Box 600
:
Plaintiff(s)
Gainesville, Florida 32602 JUDICIAL SUBPOENA
-against(352) 374-3636 :
:
PLAINTIFF
:
Case Number:
Defendant(s)Division:
Address
:
......................................................
City, State Zip Code
Phone
THE PEOPLE OF THE STATE OF NEW YORK
-vsTO
DEFENDANT
DEFENDANT
Address
Address
City, State Zip Code
City, State Zip Code
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Phone ,
the Honorable
Court
Phone at the
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 STATEMENT OF CLAIM on the part of the
evidence as a witness in this action
(MONEY LENT)
Plaintiff(s),
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 and alleges:all damages sustained as a
sue(s) Defendant(s),
, of $50 and
result of your failure to comply.
1. This is an action for damages which do not exceed the sum of $5,000.00 exclusive of costs, interest and
Witness, Honorable
attorney's fees.
Court in
County,
, one of the Justices of the
day of
, 20
There is now due, owing and unpaid from Defendant(s) to Plaintiff(s), the sum of $
(Attorney must sign above and type name below)
lent by Plaintiff(s) to Defendant(s) on,
since
for money
,
,
. with interest thereon
.
Attorney(s) for
If a Defendant is to be served with process outside the State of Florida, see Exhibit "A" attached.
WHEREFORE, Plaintiff(s) demand(s) Judgment for damages against Defendant(s) in the amount of
$
principal, plus $
interest, plus $
Office and P.O. Address
court costs.
Telephone No.:
Facsimile No.:
PLAINTIFF(s)
E-Mail Address:
Mobile Tel. No.:
Statement of Claim - Money Lent.doc
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