CLEVELAND MUNICIPAL COURT Cuyahoga County, OH Earle B. Turner, Clerk of Court Small Claims Division State of Ohio County of Cuyahoga } SS. __________________________________ __________________________________ __________________________________ Plaintiff __________________________________ __________________________________ __________________________________ Plaintiff -vs- Complaint for Money Only _________________________________ _________________________________ _________________________________ Defendant _________________________________ _________________________________ _________________________________ Defendant STATEMENT OF CLAIM Wherefore, plaintiff prays judgment against defendant in the sum of _______________ plus interest from the ___________ day of ____________________ , 20 _____, at the rate of ____________ %, together with costs of this action. _________________________________________ Plaintiff _____________________________________ Attorney for Plaintiff (Must submit military affidavit with each filing) American LegalNet, Inc. www.FormsWorkFlow.com STATE OF OHIO COUNTY OF CUYAHOGA } SS: AFFIDAVIT _____________________________________________, being first duly sworn, under oath states that affiant is the Plaintiff / Attorney for the Plaintiff in this cause of action and that this cause of action is for money only in the amount and for reasons as stated in Plaintiff's petition and that to the best of affiant's knowledge: I am unable to determine whether or not the defendant(s) is / are in the military service. The defendant(s) is / are currently in the military service. The defendant(s) is / are NOT currently in the military service. I know the military status of the defendant because:_____________________________ ______________________________________________________________________ FURTHER AFFIANT SAYETH NAUGHT _______________________________________________ Affiant SWORN TO BEFORE ME and subscribed in my presence on this _________ day of ______________________, 20____. ________________________________________ Notary Public My Commission expires _____________________ American LegalNet, Inc. www.FormsWorkFlow.com