SMALL CLAIM COMPLAINT
__________________________________________________
__________________________________________________
Maumee Municipal Court
__________________________________________________
Maumee, Ohio
Telephone: ________________________________
Plaintiff(s)
-vs-
Case No.
______________
__________________________________________________
__________________________________________________
__________________________________________________
Telephone: _________________________________
Defendant(s)
TO
THE CLERK:
Please take notice that a claim is hereby filed against the above defendant(s)
and request that ___he/they be
summonsed to appear in Court to answer same.
STATEMENT OF CLAIM
____ACCOUNT
– Exhibit A attached and made part hereof
____WAGES ____OTHER:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Wherefore
Plaintiff prays judgment against defendant in the sum of
$_________________________, plus interest from the _________ day of
________________________, ____________, at the rate of ______% and costs.
STATE OF OHIO
)
ss.
AFFIDAVIT OF COMPLAINANT'S CLAIM
COUNTY OF ________________)
______________________________________________________________________,
being first duly sworn, on oath states that *_________________________ the
Plaintiff(s) in the above entitled cause; that said cause is for the payment of
money, that the nature of plaintiff's
demand is as stated, and that there is due to plaintiff(s) from the defendant(s)
the amount stated above; defendant(s) is/are not now in the military or
naval service of the United States.
X ___________________________________________________________
Subscribed and sworn
to before me this ________ day of ____________________, ________
_________________________________________________________________________
Clerk, Deputy Clerk, Notary
Public
NOTICE AND SUMMONS IN ACTION FOR MONEY ONLY
To:
(1)
_______________________________
(2)
__________________________________
_______________________________
__________________________________
_______________________________
__________________________________
____________________________________________________
ask(s) judgment in this court against you for ______________________________
_______________________________________ dollars
($_____________________), plus interest from the ______ day of
__________________ , ___________, at the rate of ____% and costs,
upon the following claim:
____________________________________________________________. The court will
hold trial on this claim in the Small Claims Division located at 400 Conant
Street, Maumee, Ohio at 1:30 P.M. on Tuesday, the _______ day of
_______________________________, _____________. If
you do not appear at the trial, judgment may be entered against you by default,
and your earnings may be subjected to garnishment or your property may be
attached to satisfy said judgment. If your defense is supported by witnesses,
account books, receipts, or other documents, you must produce them at the trial.
Subpoenas for witnesses, if requested by a party, will be issued by the Clerk.
If you admit the claim but desire time to pay, you may make such a request at
the trial. IF YOU BELIEVE YOU HAVE A CLAIM AGAINST THE PLAINTIFF, YOU MUST FILE
A COUNTERCLAIM WITH THE COURT AND MUST SERVE THE PLAINTIFF AND ALL OTHER PARTIES
WITH A COPY OF THE COUNTERCLAIM AT LEAST SEVEN DAYS PRIOR TO THE DATE OF THE
TRIAL OF THE PLAINTIFF'S CLAIM.
__________________________________________________________________________________
Clerk - Deputy Clerk
Small Claims Division * he is, she is, they are