IN THE DELAWARE CIRCUIT COURT NO. ____SMALL CLAIMS DIVISION DELAWARE COUNTY JUSTICE CENTER 100 W. WASHINGTON ST., MUNCIE, IN 47305 CAUSE NO. 18C0___-___________________________ ______________________________________ Plaintiff(s) ______________________________________ Address ______________________________________ City/State/Zip ______________________________________ Telephone No. AGAINST ______________________________________ Defendant #1 ______________________________________ Address ______________________________________ City/State/Zip ______________________________________ Telephone No. NOTICE OF CLAIM ___________________________________ Defendant #2 ____________________________________ Address ____________________________________ City/State/Zip _____________________________________ Telephone No. YOU ARE NOTIFIED THAT THE PLAINTIFF(S) HAS FILED A SMALL CLAIMS LAWSUIT AGAINST YOU IN THE AMOUNT OF $_______________, TOGETHER WITH COURT COSTS IN THE AMOUNT OF $____________. A BRIEF STATEMENT OF THE PLAINTIFF=S CLAIM FOLLOWS: _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ Signature: _________________________________ Printed Name ________________________________ YOU ARE ADVISED THAT THE ABOVE CLAIM IS SCHEDULED FOR INITIAL TRIAL ON THE ____DAY OF _________________________, 200___ AT __________ ____.M. IN THE DELAWARE CIRCUIT COURT NO. __ AT THE ABOVE-LISTED ADDRESS. (**See Additional Information Regarding the Initial Trial on the Reverse Side of this Form) Dated: _______________ Clerk:_______________________________________________ THE FOLLOWING MANNER OF SERVICE IS HEREBY DESIGNATED: As to Defendant #1: Certified mail: ________________ Personal service:_______________ As to Defendant #2 Certified mail:________________ Personal service:______________ Additional Defendants: Certified mail:_________________ Personal mail:_________________ IT IS IMPORTANT THAT YOU READ THE REVERSE SIDE OF THIS FORM PRIOR TO RESPONDING TO THIS CLAIM American LegalNet, Inc. www.USCourtForms.com IMPORTANT INFORMATION ABOUT THIS CLAIM 1. EFFECTIVE JULY 1, 2005, THE MAXIMUM AMOUNT THAT CAN BE CLAIMED UNDER A SMALL CLAIMS LAWSUIT IS $6,000.00. IF THE DEFENDANT WISHES TO FILE A COUNTERCLAIM WHICH ARISES OUT OF THE SAME TRANSACTION AS THIS CLAIM, THIS MUST BE FILED WITH THE CLERK OF THE COURT 10 DAYS PRIOR TO THE INITIAL TRIAL DATE. IF A COUNTERCLAIM IS FILED, THE INITIAL DATE WILL BE VACATED AND A BENCH TRIAL WILL BE SET. 2. THE PARTIES MAY APPEAR EITHER IN PERSON OR BY AN ATTORNEY. IT IS NOT MANDATORY THAT EITHER PARTY BE REPRESENTED BY AN ATTORNEY EXCEPT CORPORATIONS IN CERTAIN CASES. CORPORATIONS MUST APPEAR BY COUNSEL, OR IN UNASSIGNED CLAIMS NOT EXCEEDING FIFTEEN HUNDRED DOLLARS ($1,500.00), BY FULL TIME EMPLOYEE OF THE CORPORATION DESIGNATED BY THE BOARD OF DIRECTORS. BEFORE A DESIGNATED EMPLOYEE IS ALLOWED TO APPEAR, THE CORPORATION MUST HAVE ON FILE WITH THE COURT OR THE CLERK A CERTIFICATE OF COMPLIANCE WITH PROVISIONS OF SMALL CLAIMS RULE 8 (C). 3. THE PURPOSE OF THE INITIAL TRIAL IS TO ALLOW YOU TO ADMIT OR DENY THE CLAIM OF PLAINTIFF. IF YOU DO NOT INTEND TO DISPUTE THE CLAIM, YOU MAY CHOOSE NOT TO APPEAR FOR THE INITIAL TRIAL; HOWEVER, FAILURE TO APPEAR WILL LIKELY RESULT IN JUDGMENT BEING ENTERED AGAINST YOU IN THE AMOUNT DEMANDED BY THE PLAINTIFF=S CLAIM. IN THE EVENT YOU DENY THIS CLAIM, YOU MAY REQUEST A BENCH TRIAL DATE BY TELEPHONE PRIOR TO THE INITIAL DATE BY CALLING THE COURT DIRECTLY. AT THE TIME OF BENCH TRIAL, YOU MUST BRING WITH YOU THE WITNESSES TESTIFYING ON YOUR BEHALF AS WELL AS ANY RELEVANT DOCUMENTS. CONTACT WITH THE COURT MAY BE MADE AS FOLLOWS: FROM 8:30 A.M. - 12 NOON/1:30 P.M. TO 4:00 P.M. CIRCUIT COURT NO. 4 - 765-747-7770, CIRCUIT COURT NO. 5 - 765-747-7772. 4. IF A SETTLEMENT OF THIS CLAIM IS MADE OUT OF COURT, THE PARTIES MUST SUBMIT AN AGREED JUDGMENT OR A MOTION TO DISMISS. 5. THE DEFENDANT MAY REQUEST A TRIAL BY JURY; HOWEVER, THE RIGHT TO A JURY TRIAL WILL BE WAIVED BY THE DEFENDANT UNLESS A JURY TRIAL IS REQUESTED WITHIN 10 DAYS AFTER RECEIPT OF THIS NOTICE OF CLAIM. DEFENDANTS WHO WANT TO HAVE A JURY TRIAL ARE ADVISED TO CONTACT AN ATTORNEY. (SEE INDIANA CODE 33-5-2-7) 6. INFORMATION CONCERNING SMALL CLAIMS PROCEDURES IS AVAILABLE THROUGH THE WEBSITE MAINTAINED BY THE DELAWARE COUNTY CLERK. THE WEBSITE ADDRESS IS: www.dcclerk.org. IN ADDITION TO THE WEBSITE, OUR COURT AND CLERK PERSONNEL WILL ANSWER PROCEDURAL QUESTIONS FOR YOU BY PHONE OR IN PERSON. PLEASE BE ADVISED THAT ONLY LICENSED ATTORNEYS MAY DISPENSE LEGAL ADVICE. 7. IF YOU HAVE APPEARED FOR A TRIAL AND NO ONE HAS CALLED YOUR NAME WITHIN ONE HOUR OF THE SCHEDULED TIME, CHECK WITH A DEPUTY CLERK AT THE FRONT WINDOW CONCERNING THE STATUS OF YOUR CASE. LEAVING THE PREMISES WITHOUT CHECKING WITH COURT PERSONNEL COULD RESULT IN DEFAULT. RETURN OF SUMMONS BY SHERIFF: (REVISED AUGUST 2005) American LegalNet, Inc. www.USCourtForms.com