IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR COUNTY LINCOLN Small Claims Department ______________________________________ ) ) ______________________________________ ) Plaintiff ) v. ) ) ______________________________________ ) ) ______________________________________ ) Defendant ) Case No: __________________ DEFENDANT'S RESPONSE EACH Defendant must file a separate response (spouses and Registered Domestic Partners may file a joint response) PAYMENT OF CLAIM: Proof of payment (including fees and costs) to Plaintiff is attached (or proof that the requested property was returned to Plaintiff). Total Amount Paid: $_________________________ (or) Describe property and method of return: _________________________________________________________________________ Total Amount Paid: $ (or) Describe property and method of return: _________________________________________________________________________ DENIAL OF CLAIM DENIAL OF CLAIM I deny the plaintiff's claim and demand a hearing {or} jury trial.* *The claim must be for more than $750 (without fees and costs) to request a jury trial. COUNTERCLAIM: I make the following counterclaim* against the plaintiff for $________________ . *Counterclaims must arise out of the same transaction or event as the plaintiff's claim. I, Defendant, claim that on or about (date) _________________, the above-named plaintiff owed me the amount claimed because _______________________________________________ ______________________________________________________________________________ _______________________________________________________, and this amount is still due. If the amount is the value of property that you believe should be given to you, describe the property: _____________________________ Date ______________________________ Signature ______________________________ Name (Print) ____________________________________ Street ______________________________ City/State/Zip (Revised 8/2012) Phone American LegalNet, Inc. Case No. ______________ www.FormsWorkFlow.com