Florida > Local County > Alachua > Small Claims
Statement Of Claim (Promissory Note) - Florida
| Statement Of Claim (Promissory Note) Form. This is a Florida form and can be used in Small Claims Alachua Local County . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
IN THE COUNTY COURT, EIGHTH JUDICIAL CIRCUIT, IN AND FOR ALACHUA COUNTY, FLORIDA 201 East University Avenue - Post Office Box 600 Gainesville, Florida 32602 (352) 374-3636 PLAINTIFF Case Number: Address Division: City, State Zip Code Phone -vs- DEFENDANT DEFENDANT Address Address City, State Zip Code City, State Zip Code Phone Phone STATEMENT OF CLAIM (Promissory Note) Plaintiff(s), sue(s) Defendant(s), , and alleges: 1. This is an action for damages which do not exceed the sum of $5,000.00, exclusive of costs, interest and attorneys fees. 2. On , , Defendant(s) executed and delivered to Plaintiff(s) a promissory note, a copy being attached, in , County, Florida. 3. Defendant(s) failed to pay: (check which applies) (a) the note when due, or (b) the installment payment due on , and the Plaintiff(s) elected to accelerate maturity and payment of the balance. 4. There is now due, owing and unpaid from Defendant(s) to Plaintiff(s), $ on said note with interest at the rate of % per year since , . If a Defendant is to be served with process outside the State of Florida, see Exhibit "A", attached. WHEREFORE, Plaintiff(s) demands Judgment for damages against Defendant(s) in the amount of $ principal, plus $ interest, plus $ court costs. PLAINTIFF (S) Statement of Claim - Promissory Note.doc
|
|||||||
