Defendant/Counterclaimantstates that he/she has a claim against the Plaintiff, which arose on or about , in the amountof $ . Defendant/Counterclaimantis a resident of County, in the State of .The claim arose in County, the State of , due to the following events:Defendant/Counterclaimant states that the information contained in this petition is true and correct to the best of his/her knowledge. Defendant/Counterclaimantunderstands that should he/shebe successful in this action and obtainsa judgment, and if plaintiff/counterclaim defendantdoes not appeal within 10 days, this judgment becomes final. Defendant/Counterclaimantcannot commence another action involving the same parties and issues. Defendant/Counterclaimantalso understands that any amount over the small claims monetary jurisdiction owed by defendant arising out of this transaction is deemed waived.If this Counterclaim does not arise out of the same transaction, in addition to the above information, defendant/counterclaimant states that he/she is not an assignee of this counterclaim, and that to the best of his/her knowledge he/she has not filed more than twelve (12) other claims in Missouri small claims courts during the current calendar year.DEFENDANT/COUNTERCLAIMANTIS HEREBY WAIVING HIS RIGHT TO JURY TRIAL ON THESE ISSUES IN THE SMALL CLAIMS COURT.KEEP A COPY OF THIS COUNTERCLAIM AND BRING TO COURT SIGNATURE OF DEFENDANT/COUNTERCLAIMANTCIRCT 420822604/10ORIGINAL(FILE IN COURT222S CASE FILE FOLDER) American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS TO THE PLAINTIFF 1.By this form, the defendant is countersuing you.2.To defend yourself:a.You must appear at the date and time set for hearing,b.You should bring with you all books, papers, witnesses and evidence you have to establish your defense,c.At your request, the clerk will issue subpoenas for any witness you may need.3.Formal rules of evidence and civil procedure do not apply, and you may defend this action with or without the aid of an attorney.KEEP A COPY OF THIS COUNTERCLAIM AND BRING IT TO COURT American LegalNet, Inc. www.FormsWorkFlow.com