Small Claims Court Forms Dallas, Texas

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Small Claims Court Forms Dallas, Texas Powered By Docstoc
					                                          Case No. JS________________________A

_______________________________________________                         §                   In the Small Claims Court
       Plaintiff(s)                                                     §
_______________________________________________                         §                   Precinct 3, Place 1
                      v.                                                §
_______________________________________________                         §                   County of Dallas
       Defendant(s)                                                     §
_______________________________________________                         §                   State of Texas
                                                 STATEMENT of CLAIM
              (For all addresses, you MUST include number, street, apartment number, city, state, & zip code.)
NOW COMES the above named Plaintiff(s), being duly sworn on oath, deposes and says that the above named
Defendant(s), who can be notified and/or served with citation at the following address:
1st Defendant’s address:                                                    Check one:    Registered agent for service, or   2nd Defendant
________________________________________________________________            ________________________________________________________________

________________________________________________________________            ________________________________________________________________

________________________________________________________________            ________________________________________________________________

________________________________________________________________            ________________________________________________________________

Phone ___________________________ FAX___________________________            Phone ___________________________ FAX___________________________


Defendant(s) is/are justly indebted to Plaintiff(s) in the sum of $ _________________, for the following reason(s):
_________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________

AND there are no counterclaims existing in favor of Defendant(s) against Plaintiff(s) except:
_________________________________________________________________________________________________________________________________________

Plaintiff(s) request(s) a judgment for a sum of money against Defendant(s), plus pre-judgment interest, plus
reasonable attorney fees, plus all costs of court, plus post-judgment interest at the highest legal rate.

Χ__________________________________________                             ____________________________________________
Signature of Plaintiff, Plaintiff’s authorized agent, or                Signature of Plaintiff’s Attorney (if applicable)
                                                                        Bar Card #___________________________________
(Check one)
Serve all notices to      Plaintiff,     Attorney for Plaintiff, at the following address:

____________________________________________________________________________________________

____________________________________________________________________________________________

Phone_____ __________________FAX_____ __________________ Other_______________________________

SWORN to and SUBSCRIBED before me this _______ day of ________________________________, 20_____.

(Seal)                                       (Notary or Clerk of Court)________________________________________
K:\JS JC\111805JSF

				
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