STATE OF INDIANA ) HENDRICKS SUPERIOR COURT SMALL CLAIMS ) COUNTY OF HENDRICKS ) CASE NUMBER N otice of Claim Name Name(s ) against Street Address City, State, Zip Street Address E - mail City, State, Zip Phone Number P laintiff Phone # (if known) D efendant(s) Plaintiff re quests s ervice upon Defendant by: Certified Mail Sheriff ( County) To Defendant(s): You have been sued by the Plaintiff whose name appear s above. The bench trial for this lawsuit is on in Hearing Room B , Third Floor, Hendricks County Courthouse, 51 W est Main St reet , Danville, I ndiana 46122. You shall appear and answer to the Claim. The C # is 317 - 745 - 9385. A brief statement of the nature of the cla im: Plaintiff seeks ju dgment in the amount of $, plus interest from , at the rate of % and court costs (filing fee s ) of $ , against Defendant(s). Plaintiff P lain tiff : 1. By suppl y ing the e - mail address above , you consent to the Court and Clerk transmitting all rulings, orders, and judgments to you by e - mail. You may file separately with the Clerk a petition for an order granting an exemption to the e - mail address an d telephone number requirements of Small Claims Rule 2. 2. If the claim arises out of a written contract , and you are in possession of a copy, you shall attach a copy of the written contract to the notice of claim . 3. If the claim is on an account, you shall att ach an Affidavit of Debt ( form available from the Court Clerk ) . 4. By filing your claim on the Small Claim s Docket you waive your right to trial by jury and right to judgment in excess of $6,000 , excluding court costs. Plaintiff and Defendant(s): 1. You may rep resent yourself in this Court. All corporat e entities , including LLCs, may appear by a designated full - time employee if the claim is for less than $1,500. All corporat e entities MUST be represented by an attorney on all claims exceeding $1,500. Any part y may appear by an attorney. TURN OVER FOR ADDITIONAL RULES AND INSTRUCTIONS American LegalNet, Inc. www.FormsWorkFlow.com Plaintiff and Defendant(s) (cont.) : 2. Your trial is allotted 15 minutes. Upon evidence of service of the notice of claim upon Defendant, either party may request a dditional time , p rior to or at trial. 3. You may be granted a continuance for good cause shown. Except in unusual circumstances neither party shall be allowed more than 1 continuance, and all continuances must have the specific approval of the Court. 4. You should bring to the trial all documents in your possession concerning the claim. If you intend to introduce the documents into evidence, you should bring extra copies . Defendant(s): 1. If you fail to appear in Court on the date and time set for bench trial , Plaintiff may rece ive a judgment against you in the amounts requested on the Notice of Claim. This is a default judgment. 2. If you do not wish to dispute the claim , you may nonetheless appear for purpose of allowing the C ourt to establish the method by which the judgment sha ll be paid. 3. If you have a counterclaim arising from the same transaction or occurrence which is the subject of c ounterclaim within such a time that will allow the Court to serve a copy of the counterclaim on Plaintiff at l east 7 calendar days prior to trial . By pursuing a counterclaim , you waive any amount in excess of $6000 and may not bring a separate action for more. 4. You have 10 days from receipt of this Notice of Claim to request a jury trial. A request for jury trial must be in writing and filed with the Clerk along with payment of the fee ($) required to transfer the case to the plenary (PL) docket. Your failure to do so waives your right to trial by jury. S County Sheriff Personal s ervice Left copy at location and mailed copy to location Left copy with and mailed copy to location Other Vacant Bad a ddress, reason: Never lived at this address per current occupant No longer lives at thi s address per current occupant Possible c orrect address is Date: Deputy American LegalNet, Inc. www.FormsWorkFlow.com