SMALL CLAIM COMPLAINT SMALL CLAIM COMPLAINT __________________________________________________ __________________________________________________ Maumee Municipal Court __________________________________________________ Maumee, Ohio Plaintiff(s) Telephone: ________________________________ -vsCase No. ______________ __________________________________________________ __________________________________________________ __________________________________________________ Telephone: _________________________________ Defendant(s) TO THE CLERK: Please take notice that a claim is hereby filed against the above defendant(s) and request that ___he/they be summonsed to appear in Court to answer same. STATEMENT OF CLAIM ____ACCOUNT – Exhibit A attached and made part hereof ____WAGES ____OTHER: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Wherefore Plaintiff prays judgment against defendant in the sum of $_________________________, plus interest from the _________ day of ________________________, ____________, at the rate of ______% and costs. STATE OF OHIO ) ss. AFFIDAVIT OF COMPLAINANT'S CLAIM COUNTY OF ________________) ______________________________________________________________________, being first duly sworn, on oath states that *_________________________ the Plaintiff(s) in the above entitled cause; that said cause is for the payment of money, that the nature of plaintiff's demand is as stated, and that there is due to plaintiff(s) from the defendant(s) the amount stated above; defendant(s) is/are not now in the military or naval service of the United States. X ___________________________________________________________ Subscribed and sworn to before me this ________ day of ____________________, ________ _________________________________________________________________________ Clerk, Deputy Clerk, Notary Public NOTICE AND SUMMONS IN ACTION FOR MONEY ONLY To: (1) _______________________________ _______________________________ _______________________________ (2) __________________________________ http://www.maumee.org/municipal/smallcom.htm (1 of 2)1/2/2007 1:48:35 PM __________________________________ __________________________________ American LegalNet, Inc. www.FormsWorkflow.com SMALL CLAIM COMPLAINT ____________________________________________________ ask(s) judgment in this court against you for ______________________________ _______________________________________ dollars ($_____________________), plus interest from the ______ day of __________________ , ___________, at the rate of ____% and costs, upon the following claim: ____________________________________________________________. The court will hold trial on this claim in the Small Claims Division located at 400 Conant Street, Maumee, Ohio at 1:30 P.M. on Tuesday, the _______ day of _______________________________, _____________. If you do not appear at the trial, judgment may be entered against you by default, and your earnings may be subjected to garnishment or your property may be attached to satisfy said judgment. If your defense is supported by witnesses, account books, receipts, or other documents, you must produce them at the trial. Subpoenas for witnesses, if requested by a party, will be issued by the Clerk. If you admit the claim but desire time to pay, you may make such a request at the trial. IF YOU BELIEVE YOU HAVE A CLAIM AGAINST THE PLAINTIFF, YOU MUST FILE A COUNTERCLAIM WITH THE COURT AND MUST SERVE THE PLAINTIFF AND ALL OTHER PARTIES WITH A COPY OF THE COUNTERCLAIM AT LEAST SEVEN DAYS PRIOR TO THE DATE OF THE TRIAL OF THE PLAINTIFF'S CLAIM. __________________________________________________________________________________ Clerk - Deputy Clerk Small Claims Division * he is, she is, they are American LegalNet, Inc. www.FormsWorkflow.com http://www.maumee.org/municipal/smallcom.htm (2 of 2)1/2/2007 1:48:35 PM