IN THE MUNICIPAL COURT OF PERRYSBURG, WOOD COUNTY, OHIO SMALL CLAIMS DIVISION CASE NO.: ___________________ _________________________________________________ ______________________________________________ _________________________________________________ VS ______________________________________________ _________________________________________________ ______________________________________________ Plaintiff Phone: ___________________________ Defendant Phone: ________________________ State your complaint for money damages: __________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ Total Amount Claimed: ______________________________ AFFIDAVIT OF COMPLAINANTS CLAIM The undersigned, first being duly sworn, on oath states that (they are / he/she is) the complainant in the above titled action;that the said cause is for the payment of money that the nature of complainants demand is as stated; defendant(s) (is/ inare) thnote military service of the United States, nor an incompetent nor a minor. _______________________________________ Subscribed and sworn to before me this _______ day of _______________________, 20 ____. _______________________________________ DeputyClerk IMPORTANT NOTICE (1) MAXIMUM JUDGMENTS ON CLAIMS OF PARTIES : The Small Claims Division of the Perrysburg Munourt micipal Cay consider and render judgments in cases in which the claims of parties do not exceed the following amounts exclusive of interest and costs. Original claim by plaintiff..............$3000.00 oss-claimsCounterclaims & cr.......$3000.00 (2) NOTICE TO DEFENDANT: If you wish to deny the claim against you, you may file an answer and/or counterclaim cross-claim or with the Small Claims Division before the court date. If you wish to arrange payments, you should do so personally with the plaintiff. If you fail to appear for hearing, a judgment may be taken against you. (3) HEARINGS : This matter will be heard by the Magistrate or an ActiJudge of tng he Court at the time and date noted on the summons. (4) CORPORATE PLAINTIFF/DEFENDANT : Effective May 20, 2005, a corporate plaintiff or defendant may only file and present its claim or defense in an action th through an attorney at law. See Norwalk MK, Inc. v. McCormic 6k, Dist. No. H-04-041, 2005-Ohio-2493 (holding ORC sec. 1925.17 unconstitutional) and ORC sec. 4705.01. (5) EVIDENCE: You must bring all evidence, exhibits and witnesses to the hearing with you. (6) CONTINUANCES/EXTENSIONS : Any continuances of court date must be filed seven (7) days before court date. (7) COUNTERCLAIMS/CROSS/CLAIMS : If you wish to file a counterclaim or cross-claim it mbe filed with the Smust all Claims Division and served on all parties at least seven (7) days before the hearing date set for plaintiffs claim. (8) TRANSFER TO REGULAR DOCKET OF MUNICIPAL COURT : It is within the discretion of the court to grant a moto transfer a stion mall claims case to the regular docket of the American LegalNet, Inc. court. It is not mandatory and will only be granted for good cause. www.USCourtForms.com