APPENDIX XI C SMALL CLAIMS COMPLAINT CONTRACT SECURITY DEPOSIT RENT

							APPENDIX XI-C. SMALL CLAIMS COMPLAINT (CONTRACT, SECURITY DEPOSIT, RENT
                               OR TORT)

Name and Address of Attorney for Plaintiff                Name and Address of Court

Phone No.                                                         Phone No.


From Plaintiff:
                                                                  SUPERIOR COURT OF NEW JERSEY
Name                                                              LAW DIVISION, SPECIAL CIVIL PART
Address                                                                                 COUNTY
City                       State             Zip
Phone No.                                                                  SMALL CLAIMS SECTION

                                                                                   CIVIL ACTION
                  v.                                                                COMPLAINT

To Defendant:                                                     ( ) Contract
                                                                        ( ) Security Deposit
Name                                                                    ( ) Rent
Address                                                                 ( ) Tort other than motor vehicle
City                       State             Zip
Phone No.

                                                   COMPLAINT
Demand: $_______, plus costs

Plaintiff says:


IMPORTANT: Plaintiffs and defendants must bring all witnesses, photos, documents, and other evidence to
the hearing. Subpoena forms are available at the Clerk's office to require the attendance of witnesses. Plaintiff
will need an interpreter fluent in the _______ language.

I certify that the matter in controversy is not the subject of any other court action or arbitration proceeding, now
pending or contemplated, and that no other parties should be joined in this action.

Dated:
                                                          Plaintiff's Signature


                                                          Plaintiff's Name--Typed, Stamped, or Printed

[Adopted effective January 2, 1989; amended June 29, 1990, effective September 4, 1990; amended July 14,
1992, effective September 1, 1992; amended July 5, 2000, effective September 5, 2000.]