SC-5200V, 11/17 Answer and Counterclaim (Small Claims) 247799.02, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2 Enter the name of the county in which you are filing this case. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY The Plaintiff is the person bringing the lawsuit. Plaintiff(s): First name Middle name Last name Address Address City State Zip See attached for additional plaintiffs. - vs - address. If there is more than one plaintiff, check the and attach another sheet with their names and addresses . Enter the case number from the summons and complaint. Answer and Counterclaim ( Small Claims ) Case No. Enter your name . You are the D efendant . Defendant(s): First name Middle name Last name Address Address City State Zip See attached for additional defendants. Enter your address. If there is more than one defendant, check the box and attach another sheet with their names and addresses. Check 1 or 2. Check 1if you do not claim. ANSWER I am the defendant (or an authorized representative of the defendant): 1. This matter IS NOT requested in the complaint, plus costs and interest as allowed by law . - OR - Check 2 if you do dispute the reasons why you disagree. C heck the box i f you need more room and attach any additional pages. See Pre - Judgment: Basic Steps to Small Claims Service (SC - 6050V ). 2. This matter IS scheduled so that the parties may present their ev idence. The reason(s) why the matter is contested are as follows: See attached for additional information . American LegalNet, Inc. www.FormsWorkFlow.com SC-5200V, 11/17 Answer and Counterclaim (Small Claims) 247799.02, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2 C heck the box i f there is no counterclaim /demand and go to the signature section. Counterclaim/Demand I/We do not have a counter claim /demand against the plaintiff(s). Check this box if there is a counterclaim/demand. Complete this section only if you are making a counterclaim /demand. Briefly explain why the court should award you what you are asking for. If you are seeking to recover damages of more than $5,000 for your tort or personal injury counterclaim, or more than $10,000 for other types of counterclaims, the case may not continue in small claims court. In addition, you must pay a filing fee to the Clerk of Court, and you must send the Notice of Counterclaim (SC - 5250V) to the plaintiff(s) on the same day the counterclaim is filed. NOTE: Eviction actions are heard in small claims court, regardless of the amount of the counterclaim. I/We have a counterclaim/demand against the plaintiff(s) and demand judgment against the plaintiff(s) for $ , plus i nterest, costs, attorney fees, if any, and such other relief as the court deems proper. If you need more room, check the box and attach any additional pages to this Counterclaim. Follow local rules for filing and serving. Defendant(s) certify that a copy of this answer and counterclaim has been or will be mailed to the plaintiff (s) , if any . Signatures Sign and print your name. Enter the date on which you signed your name. Note: This signature does not need to be notarized. Defendant/Attorney Date If an attorney is completing this form, enter your information. Attorney Name, Law Firm, Address Telephone Number Attorney's State Bar Number American LegalNet, Inc. www.FormsWorkFlow.com