IN THE COUNTY COURT IN THE CIRCUIT COURT OF THE ___________ JUDICIAL CIRCUIT IN AND FOR ___________________ COUNTY, FLORIDA ______________________ DIVISION ) ) ) ) ) ) ) ) ) ) ) ) , Plaintiff(s), -vs- Case No. Judge , Defendant(s). STATEMENT OF CLAIM (FOR GOODS SOLD) Plaintiff (s), Defendant(s), There is now due, owing, and unpaid from Defendant(s) to Plaintiff(s) $ with interest since , for the following goods sold and delivered by Plaintiff(s) to Defendant(s) between and prices and any credits): , sue(s) , and allege(s): (list goods and WHEREFORE, Plaintiff(s) demand(s) judgment for damages against Defendant(s). Attorney or Plaintiff(s) Firm/Address Phone/fax Florida Bar No. Statement Of Claim For Goods Sold {7.331} American LegalNet, Inc. www.USCourtForms.com