Florida > Local County > Leon > Small Claims
Statement Of Claim (Small Claims) - Florida
| Statement Of Claim (Small Claims) Form. This is a Florida form and can be used in Small Claims Leon Local County . |
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The following documents are required when filing a Small Claims case. Please bring to Leon County Courthouse, 301 South Monroe Street, Room 100, or by US Mail at Post Office Box 726, Tallahassee, FL 32302. _____ Statement of Claim with attachments, if any (Need original and 1 copy for each defendant being served) _____ Summons/Notice To Appear for Pretrial Conference/Mediation (two copies must be provided for issuance for each defendant being sued); if you want a copy, please provide an additional copy and a self-addressed stamped envelope for returning it to you. {The summons/notice to appear must be served along with a copy of the claim by a certified process server, which can be the Sheriff's Office or a process server of your choice. Service of process on Florida residents only may also be effected by certified mail, return receipt signed by the defendant, or someone authorized to receive mail at the residence or principal place of business of the defendant. Either the clerk or an attorney of record may mail the certified mail, the cost of which is in addition to the filing fee.} _____ A check in the appropriate amount for the filing fee: a. Each claim less than $ 100.00 $ 55.00 b. Each claim of $ 100.00 but not more than $ 500.00 $ 80.00 c. Each claim of $ 500.00 but not more than $ 2,500.00 $175.00 d. All claims of more than $2,500.00 $300.00 _____ $10.00 for issuance of summons on each defendant 8/5/09 American LegalNet, Inc. www.FormsWorkFlow.com IN THE COUNTY COURT IN AND FOR LEON COUNTY, FLORIDA CASE NO. ____________________ ___________________________________________ PLAINTIFF ___________________________________________ ADDRESS ___________________________________________ CITY, STATE, ZIP CODE VS ___________________________________________ DEFENDANT ___________________________________________ ADDRESS ___________________________________________ CITY, STATE, ZIP CODE TELEPHONE:______________________________ TELEPHONE:______________________________ STATEMENT OF CLAIM Plaintiff(s), _____________________________________________________, sues Defendant(s), and alleges: 1. 2. This is an action for damages which does not exceed $5,000.00. Plaintiff(s) claims the amount of $______________ with interest from ___________________, as being due from said Defendant(s), and alleges as the basis of such suit: WHEREFORE, Plaintiff demands judgment in the amount of $______________________, plus all costs of this action. ____________________________________________ Plaintiff or Agent Revised 8/1/08 American LegalNet, Inc. www.FormsWorkFlow.com
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