Statement Of Claim (Small Claims) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Statement Of Claim (Small Claims) Form. This is a Florida form and can be use in Leon Local County.
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Tags: Statement Of Claim (Small Claims), Florida Local County, Leon
IN THE COUNTY COURT IN AND FOR LEON COUNTY, FLORIDA CASE NO. ____________________ ___________________________________________ PLAINTIFF ___________________________________________ ADDRESS ___________________________________________ CITY, STATE, ZIP CODE VS ___________________________________________ DEFENDANT ___________________________________________ ADDRESS ___________________________________________ CITY, STATE, ZIP CODE TELEPHONE:______________________________ TELEPHONE:______________________________ STATEMENT OF CLAIM Plaintiff(s), _____________________________________________________, sues Defendant(s), and alleges: 1. 2. This is an action for damages which does not exceed $5,000.00. Plaintiff(s) claims the amount of $______________ with interest from ___________________, as being due from said Defendant(s), and alleges as the basis of such suit: WHEREFORE, Plaintiff demands judgment in the amount of $______________________, plus all costs of this action. ____________________________________________ Plaintiff or Agent Revised 8/1/08 American LegalNet, Inc. www.FormsWorkFlow.com