IN THE CIRCUIT COURT OF COUNTY, MISSOURIJudge or Division: Case Number: Plaintiff(s) By Next Friend: (Date File Stamp)Next Friends Address: Plaintiffs Address: Defendants Address (No. 2): City, State, Zip: City State, Zip: vs. Defendant(s): Telephone Number: Telephone Number: Defendants Address (No. 1): Defendants Address (No. 3): City, State Zip: City, State, Zip: Telephone Number: Telephone Number: Petition for a Minor Small Claims Court The plaintiff, , a minor, by his/her next friend, states he/she has a claim against the defendant in the amount of $ . The claim arose on or about (date) as a result of the following events: (include additional page if necessary) The plaintiff states that the information contained in this petition is true and correct to the best of his/her knowledge, that he/she is not an assignee of this claim and that he/she has not filed more than eight (8) other claims in the Missouriaims small cl courts during the current calendar year. The plaintiff understands that, should he/she be successful in this action and obtain judgment, and if the defendant does not appeal within ten days, this judgment becomes final. The plaintiff cannot commence another action involving the same parties and issues. The plaintiff understands that he/she is waiving the right to jury trial on these issues in the small claims court. Date Signature of Plaintiff Date Signature of Next Friend Keep a copy of this petition and bring it to court. OSCA (10-03) SC50 1 of 1 Rule 52.02,141.01, 507.110 RSMo