IN THE COUNTY COURT IN THE CIRCUIT COURT OF THE ___________ JUDICIAL CIRCUIT IN AND FOR ___________________ COUNTY, FLORIDA ______________________ DIVISION ) ) ) ) ) ) ) ) ) ) ) ) , Plaintiff, -vs- Case No. Judge , Defendant. STATEMENT OF CLAIM (FOR MONEY LENT) Plaintiff, , sues Defendant, , and alleges: for money lent by Plaintiff to . There is now due, owing, and unpaid from Defendant to Plaintiff $ Defendant on , with interest thereon since WHEREFORE, Plaintiff demands judgment for damages against Defendants. Attorney or Plaintiff Firm/Address Phone/fax Florida Bar No. Statement Of Claim For Money Lent {7.333} American LegalNet, Inc. www.USCourtForms.com