(Rev. 1/23/2018) Form#2DC14 COUNTERCLAIM; CERTIFICATE OF SERVICE; DECLARATIONForm#2DC14IN THE DISTRICT COURT OF THE SECOND CIRCUIT DIVISIONSTATE OF HAWAI221IPlaintiffReserved for Court UseCivil No.DefendantDefendant/Defendant222s Attorney Name, Attorney Number, FirmName (if applicable), Address, Telephone numberCOUNTERCLAIM1. On or about , Plaintiff owed money to Defendant as follows: (Attach continuation page, if necessary).2. Defendant asks for judgment against Plaintiff in the sum of $ . In addition, the court may award court costs, interest and reasonable attorney222s fees.CERTIFICATE OF SERVICEI certify that a copy of this Counterclaim was served on the Opposing Party or their attorney on (date)by G Hand-delivery or G Mail at the following address:Date:Signature of Defendant/Defendant222s Attorney:Print/Type Name:DECLARATIONI have read this Counterclaim, know the contents and verify that the statements are true to my personal knowledge and belief. I DECLAREUNDER PENALTY OF LAW THAT THE ABOVE IS TRUE AND CORRECT.Date:Signature of Declarant:Print/Type Name:In accordance with the Americans with Disabilities Act and other applicable state and federal laws, if you require an accommodation for a disabilitywhen working with a court program, service, or activity, please contact the District Court Administration Office at PHONE NO. 244-2800, FAX244-2849, or email adarequest@courts.hawaii.gov at least ten (10) working days before your proceeding, hearing, or appointment date. For all Civil related matters, please call 244-2706 or visit the Service Center at 2145 Main St, Room 141, Wailuku, Hawai`i.I certify that this is a full, true, and correctcopy of the original on filed in this office.Clerk, District Court of the above Circuit, State of Hawai221i American LegalNet, Inc. www.FormsWorkFlow.com