MAGISTRATE COURT OF BIBB COUNTY STATE OF GEORGIA CASE NO. _________S _______________________ _______________________ ______________________________ (ADDRESS) ______________________________ (ADDRESS) (NAME OF PLAINTIFF) (NAME OF DEFENDANT) COURT ______________________________ ______________________________ COUNTY .OF. . . . . &.ZIP. CODE). . . . . . . . . . . . . . . . . . . . . . . . .(CITY, STATE & ZIP CODE) . . . . . . (CITY, .STATE . . . . . . . . ... . .. : Index No. ANSWER/COUNTERCLAIM OF :DEFENDANT Calendar No. Defendant was served with a claim from this Court on the __________ day of : JUDICIAL SUBPOENA Plaintiff(s) ____________, ________, denies the claim and shows the Court the following: -against- : : (CHECK THOSE THAT APPLY TO THIS CASE) ___ Defendant is not indebted to Plaintiff in any amount. : ___ Defendant is not indebted to Plaintiff in the amount claimed but is indebted ___ Defendant paid the sum of $_________ on the ______ day of __________, ________ in full settlement of Plaintiff’s claim. Defendant(s) : . . . . . . . . . . . .to.Plaintiff .in .the . . . . . . . .of. $______________. . . . . . . . . . . . . amount . . . . . . . . . . . . . . . . . . THE PEOPLE OF THE STATE OF NEW YORK ___ The debt claimed by the Plaintiff was discharged in bankruptcy on the ______day of _____________, _________. Bankruptcy Case No. _________. ___ The debt claimed is barred by the Statute of Limitation. ___ The instrument sued upon was executed and delivered without consideration. ___ The Court lacks jurisdiction because of the amount sued for exceeds the TO GREETINGS: WE jurisdiction of the Court established in O.C.G.A. È 15-10-2. you and each of you attend before COMMAND YOU, that all business and excuses being laid aside, , the Honorable at the Court locatedproperly served. at County of ___ The Defendant was not in room , on the day of , 20 , at o'clock in the noon, and at any recessed ___ Venue is improper because the a witness in this resident of part of the or adjourned date, to testify and give evidence as Defendant is a action on the ________________ County, Georgia. The case should be transferred to the proper county. (OTHER ANSWER AND/OR COUNTERCLAIM) Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a ___ ______________________________________________________________ result of your failure to comply. ______________________________________________________________ Witness, Honorable , one of the Justices of the ______________________________________________________________ Court in County, day of , 20 This _______ day of __________, ______ _________________________________ (Attorney must sign above and type name below) (Defendant’s signature) CERTIFICATE OF SERVICE Attorney(s) for This is to certify that I have served the (plaintiff) (defendant) with a copy of This answer/counterclaim by mailing a copy to (him) (her) in a properly addressed Envelope with sufficient postage affixed to insure delivery by the United States Post Office. Office and P.O. Address So certified this __________ day of _________________, _______________. _________________________________ Telephone No.: (Affiant) Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com