IN THE COUNTY COURT OF THE NINTH JUDICIAL CIRCUIT OF FLORIDA ORANGE COUNTY, FLORIDA Case Number_______________ Plaintiff(s) VS Defendant(s) STATEMENT OF CLAIM BREACH OF WRITTEN CONTRACT The above named Plaintiff(s) sues the above named Defendant(s) for: 1. Plaintiff(s) and Defendant(s) made a written agreement, copy of which is annexed hereto as Exhibit "A". 2. Plaintiff(s) performed said agreement to the extent necessary to require that Defendant(s) do or forbear from doing what constitutes Defendant(s) hereinafter described breach thereof. 3. Defendant(s) breached said agreement because And Plaintiff(s) claim(s) $___________ damages not to exceed $5,000.00 exclusive of interest, court costs and attorney’s fees. ____________________________ Plaintiff(s) 2000 © American LegalNet, Inc.