JUSTICE/DISTRICT COURT OF ____________________ COUNTY/CITY _____________ JUDICIAL DISTRICT ADDRESS: _______________________________________________ ______________________________________________, Plaintiff VS. _____________________________________________, Defendant AND _____________________________________________, Defendant DATE OF TRIAL: Case No. _____________________ _____________________________ PARTIES APPEARING: SMALL CLAIMS JUDGMENT (FORM H) [ ] Plaintiff [ ] Defendant ________________ [ ] Defendant ________________ THE COURT ORDERS JUDGMENT AS FOLLOWS: 1. ON THE PLAINTIFF’S CLAIM: A. [ ] FOR PLAINTIFF $ $ $ Principal (including pre-judgment interest if qualified) Court Costs Total Judgment [ ] at ______ percent per year interest (the current state post-judgment rate) OR [ ] at ______ percent per year interest (pursuant to the contract between the parties). B. [ ] FOR DEFENDANT 2. ON THE DEFENDANT’S COUNTERCLAIM: A. [ ] FOR DEFENDANT $ $ $ Principal (including pre-judgment interest if qualified) Court Costs Total Judgment [ ] at ______ percent per year interest (the current state post-judgment rate) OR [ ] at ______ percent per year interest (pursuant to the contract between the parties). B. [ ] FOR PLAINTIFF 3. [ ] THE COURT FURTHER ORDERS: American LegalNet, Inc. www.FormsWorkflow.com Date Judge’s Signature NOTICE OF JUDGMENT I certify that I [ ] mailed [ ] delivered a copy of this judgment to [ ] plaintiff [ ] defendant at the address on file with the court. Date Clerk’s Signature [ ] I certify that I mailed a copy of this judgment to [ ] plaintiff [ ] defendant on (date) _____________________ at the following address: Date Party’s or Agent’s Signature American LegalNet, Inc. www.FormsWorkflow.com