Statement Of Claims (Auto Negligence)
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Statement Of Claims (Auto Negligence) Form. This is a Florida form and can be use in Small Claims Statewide.
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Tags: Statement Of Claims (Auto Negligence), 7.330, Florida Statewide, Small Claims
IN THE COUNTY COURT
IN THE CIRCUIT COURT OF THE ___________ JUDICIAL CIRCUIT
IN AND FOR ___________________ COUNTY, FLORIDA
______________________ DIVISION
,
Plaintiff,
-vs-
,
Defendant.
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Case No.
Judge
STATEMENT OF CLAIM (AUTO NEGLIGENCE)
Plaintiff ,
, sues Defendant,
, and alleges:
On or about
20,
, in the vicinity of
, on a public highway in
County, Florida, Plaintiff’s motor vehicle, being operated by
, collided with
Defendant’s motor vehicle, being operated by
; and the collision with
Plaintiff’s vehicle was caused by the negligent and careless operation of Defendant’s vehicle, whereby Plaintiff’s
vehicle was damaged and depreciated in value.
WHEREFORE, Plaintiff demands judgment for damages against Defendant(s).
Attorney or Plaintiff
Firm/Address
Phone/fax
Florida Bar No.
Statement Of Claim (Auto Negligence) {7.330}
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