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Statement Of Claim Goods Sold-Indebt Form. This is a Florida form and can be use in Orange Local County.
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Tags: Statement Of Claim Goods Sold-Indebt, Florida Local County, Orange
COUNTY . .
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:
:
Index No.
Calendar No.
:
JUDICIAL
Plaintiff(s)COUNTY COURT OF THE SUBPOENA
IN THE
NINTH JUDICIAL CIRCUIT OF FLORIDA
:
ORANGE COUNTY, FLORIDA
-against-
:
Case Number____________________
:
Defendant(s)
:
......................................................
Plaintiff(s)
VS
THE PEOPLE OF THE STATE OF NEW YORK
TO
Defendant(s)
STATEMENT OF CLAIM
GOODS SOLD/INDEBT
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
That Defendant(s) owe(s) Plaintiff(s) the sum ofCourt hereinafter claimed for:
money
,
the Honorable
at the
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
A. Goods sold and delivered by Plaintiff(s) to Defendant(s)
or adjourned date, B. testify and give evidence as afurnished by Plaintiff(s)the part of the
to Work done and materials witness in this action on for Defendant(s) at Defendant(s)
request
C. Money lent by Plaintiff(s) to Defendant(s)
D. Money paid by Plaintiff(s) is Defendant(s) contempt of court and will
Your failure to comply with this subpoenaforpunishable as a at Defendant(s) request make you liable to
E. Money subpoena was issued for a maximum Plaintiff(s)
the party on whose behalf this received by Defendant(s) for use of penalty of $50 and all damages sustained as a
F. Money found to be due from Defendant(s) to Plaintiff(s) on account stated between
result of your failure to comply.
them
G. Money found to be due from Defendant(s)
Witness, Honorable
, one of the Justices of the
Court in
County,
day of
, 20
On or between _____________________________, according to the itemized statement
and/or account following and/or annexed as exhibit “_________________”.
(Attorney must sign above and type name below)
Attorney(s) for
And Plaintiff(s) claim(s) $_______________ damages not to exceed $5,000.00 exclusive
of interest, court costs and attorney fees.
Office and P.O. Address
Telephone No.:
____________________________________
Facsimile No.: Plaintiff(s)
E-Mail Address:
Mobile Tel. No.:
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