Hawaii > Local County > 3rd Circuit - Hawaii > District Court > Pleadings
Complaint (Assumpist-Money Owed) 3DC07 - Hawaii
| Complaint (Assumpist-Money Owed) Form. This is a Hawaii form and can be used in Pleadings District Court 3rd Circuit - Hawaii Local County . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
COMPLAINT (ASSUMPSIT-MONEY OWED); DECLARATION; EXHIBIT(S); SUMMONS IN THE DISTRICT COURT OF THE THIRD CIRCUIT ______________________________ DIVISION STATE OF HAWAI`I Plaintiff(s) Form #3DC07 Reserved for Court Use Civil No. Defendant(s) Plaintiff(s)/Plaintiff(s)' Attorney (Name, Attorney Number, Firm Name (if applicable), Address, Telephone and Facsimile Numbers) Amount Claimed by Plaintiff: Last Date of Indebtedness: 1. 2. COMPLAINT This Court has jurisdiction over this matter and venue is proper. On or about , Defendant(s) owed money to Plaintiff(s) as follows: 3. 4. G A copy of the written instrument on which the debt is based is attached as Exhibit 1. Plaintiff(s) asks for judgment in the principal amount of $ In addition, the Court may award court costs, interest and reasonable attorney's fees. Signature of Plaintiff(s)/Plaintiff(s)' Attorney: . Date: Print/Type Name: DECLARATION I have read this Complaint, know the contents and verify that the statements are true to my personal knowledge and belief. I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF HAWAI`I THAT THE ABOVE IS TRUE AND CORRECT. Signature of Declarant: Date: Print/Type Name: In accordance with the Americans with Disabilities Act if you require an accommodation for your disability, please contact the ADA Coordinator at PHONE NO. 934-5788, FAX 935-1959, or TTY 961-7525 at least ten (10) working days in advance of your hearing or appointment date. COMPA.X (Amended 4/18/97)v 3D-P-260 I certify that this is a full, true, and correct copy of the original on file in this office. Clerk, District Court of the above Circuit, State of Hawai`i American LegalNet, Inc. www.FormsWorkflow.com
|
|||||||
