THURSTON COUNTY DISTRICT COURT 2000 Lakeridge Dr SW, Bldg. #3, Olympia, WA 98502 NOTICE OF SMALL CLAIM PLAINTIFF NAME #1 PLAINTIFF NAME #2 ADDRESS No. ADDRESS CITY STATE ZIP CITY STATE HOME PHONE NO. WORK PHONE NO. HOME PHONE NO. ZIP WORK PHONE NO. vs. DEFENDANT NAME #1 DEFENDANT #2 ADDRESS ADDRESS CITY STATE HOME PHONE NO. ZIP CITY WORK PHONE NO. STATE HOME PHONE NO. ZIP WORK PHONE NO. You, the above defendant, are hereby directed to appear personally in THURSTON COUNTY DISTRICT COURT, 2000 LAKERIDGE DR SW, BLDG #3, OLYMPIA, WA on: Time: ready for trial. You are further notified that if you do not appear, judgment may be rendered against you for the amount of claim as stated below, and in addition, for the costs of the action. Judgment interest is at the statutory rate or as specified. At the time of trial both the plaintiff and defendant must present the witnesses, statements, estimates, contracts, invoices, etc. necessary to establish their claims. CLAIM I, , the undersigned plaintiff, do hereby verify that the defendant named above owes me the sum of $ which became due and owing on . The amount owing is for: q Auto Damages - Date of accident q Damage Deposit q Rent q Property Damage q Other. If other, describe the nature of your claim: q Wages q Breach of Contact q Loan q Goods/Service Plaintiff Please Read Reverse Side White - Court Copy Yellow - Plaintiff Pink (2) - Defendant 2001 © American LegalNet, Inc. District Court complies with Americans with Disabilities Act (ADA). Persons with limitations that would require accommodation should call the Court (360) 754-4102, TDD available. (360) 754-2933 MEDIATION SERVICES FOR THURSTON COUNTY DISTRICT COURT MEDIATION - A voluntary process in which an impartial person assists parties to reach a mutually acceptable settlement of a dispute. Thurston County District Court is pleased to offer mediation services to small claims parties. There are a number of reasons to consider the voluntary settlement/mediation process instead of continuing to have the case before a judge. n Settlement at mediation avoids a possible judgment on your credit record n Settlement may be reached much quicker n A mediated agreement may be more satisfying n Court adopted rules of evidence do not apply n Mediated conferences are confidential n Property decisions can be reduced to monetary awards n You control the process The Judges of the District Court urge you to use the voluntary settlement/mediation process before you come to court. Please call the Thurston County Dispute Resolution Center at (360) 956-1155 to arrange a conference with a trained mediator. There is no cost to you for this service. 2001 © American LegalNet, Inc.