JUSTICE/DISTRICT COURT OF ____________________ COUNTY/CITY _____________ JUDICIAL DISTRICT ADDRESS: _______________________________________________ VS. _____________________________________________, Defendant SMALL CLAIMS JUDGMENT INTERPLEADER (FORM I) AND _____________________________________________, Defendant Case No. _____________________ ______________________________________________, Plaintiff DATE OF TRIAL: _____________________________ PARTIES APPEARING: [ ] Plaintiff [ ] Defendant ________________ [ ] Defendant ________________ THE COURT ORDERS JUDGMENT AS FOLLOWS: [ ] For defendant ________________ in the amount of $ __________________. [ ] For defendant ________________ in the amount of $ __________________. [ ] Plaintiff is entitled to $ __________________ to reimburse plaintiff for court costs. [] THE COURT FURTHER ORDERS: Date Judge’s Signature NOTICE OF JUDGMENT I certify that I [ ] mailed [ ] delivered a copy of this judgment to [ ] plaintiff [ ] defendants. Date Clerk’s Signature [ ] I certify that I mailed a copy of this judgment to [ ] plaintiff [ ] defendants on (date) _____________________ at the following address: Date Plaintiff’s or Agent’s Signature American LegalNet, Inc. www.FormsWorkflow.com