COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : MUSKINGUM COUNTY COURT TH 27 N 5 ST ROOM 301 : ZANESVILLE, OHIO 43701 Plaintiff(s) Plaintiff______________________________________ -againstAddress______________________________________ (Street and Number ______________________________________ Index No. SMALL CLAIM COMPLAINT Calendar No. Case No.___________________ : JUDICIAL SUBPOENA Defendant____________________________________ : Address___________________________________ (Street and Number : ___________________________________ (City, State, Zip) : (City, State, Zip) Plaintiff______________________________________ Defendant(s) Defendant_________________________________ : ...................................................... Address______________________________________ Address___________________________________ (Street and Number) (Street and Number ______________________________________ ___________________________________ (City, State, Zip) THE PEOPLE OF THE STATE OF NEW YORK Phone Number________________________________ TO (City, State, Zip) Phone Number______________________________ Is DEFENDANT presently in the military or naval service of the United States?______________________________ (YES or NO) GREETINGS: STATEMENT OF CLAIM:_____________________________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before the Honorable at the Court _____________________________________________________________________________ , located at County of _____________________________________________________________________________ in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the _____________________________________________________________________________ _____________________________________________________________________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to _____________________________________________________________________________ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. _____________________________________________________________________________ Witness, Honorable , one of the Justices of the _____________________________________________________________________________ Court in County, day of , 20 Wherefore plaintiff prays judgment against defendant in the sum of $_________________, plus interest from the ______day of _________________, 20_____, at the rate of __________%must sign above and type name below) (Attorney and costs. STATE OF OHIO } COUNTY OF MUSKINGUM }ss. AFFIDAVIT OF COMPLAINT’S CLAIM Attorney(s) for ___________________________________, being first duly sworn, on oath states that they are the Plaintiff(s) in the above entitled cause; that the said cause is for the payment of money that the nature of plaintiffs demand is as stated, and that there is due to plaintiff from the defendant the amount stated above; defendant(s) (is/are) not now in the military or naval service of the United States. Office and P.O. Address Plaintiff_____________________________________________ Telephone No.: Subscribed and sworn to before me this ________day of __________________, 20_____. Facsimile No.: E-Mail Address: _____________________________________________ Clerk, Deputy Clerk, Notary Public Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com