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Statement Of Claim (Promissory Note) Form. This is a Florida form and can be use in Alachua Local County.
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Tags: Statement Of Claim (Promissory Note), Florida Local County, Alachua
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
IN THE COUNTY COURT, EIGHTH JUDICIAL CIRCUIT,
:
Calendar No.
IN AND FOR ALACHUA COUNTY, FLORIDA
:
201 East University Avenue - Post Office JUDICIAL SUBPOENA
Box 600
Plaintiff(s)
Gainesville, Florida 32602
-against:
(352) 374-3636
:
:
PLAINTIFF
Case Number:
Defendant(s)
:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Address. . . . . . . Division:
.....
.......
City, State Zip Code
THE PEOPLE OF THE STATE OF NEW YORK
Phone
-vs-
TO
DEFENDANT
DEFENDANT
Address
Address
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
City, State Zip Code
City, State Zip Code
,
the Honorable
at the
Court
located at
County of
Phone , 20
Phone
in room
, on the
day of
, 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
STATEMENT OF CLAIM
(Promissory Note)
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
Plaintiff(s), of your failure to comply.
result
sue(s) Defendant(s),
, and alleges:
, one of the Justices of the
1. This isWitness, Honorable which do not exceed the sum of $5,000.00, exclusive of costs, interest and attorney's fees.
an action for damages
Court in
2. On
attached, in
County,
day of
,
, County, Florida.
, 20
, Defendant(s) executed and delivered to Plaintiff(s) a promissory note, a copy being
3. Defendant(s) failed to pay: (check which applies)
(a)
the note when due, or
(b)
the installment payment due on
and payment of the balance.
(Attorney must sign above and type name below)
,
and the Plaintiff(s) elected to accelerate maturity
Attorney(s) for
4. There is now due, owing and unpaid from Defendant(s) to Plaintiff(s), $
% per year since
,
.
on said note with interest at the rate of
If a Defendant is to be served with process outside the State of Florida, see Exhibit "A", attached.
Office and P.O. Address
$
WHEREFORE, Plaintiff(s) demands Judgment for damages against Defendant(s) in the amount of $
interest, plus $
court costs.
principal, plus
Telephone No.:
Facsimile No.:
E-Mail Address:
PLAINTIFF (S)
Mobile Tel. No.:
Statement of Claim - Promissory Note.doc
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