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Statement Of Claim Auto Collision No Medical Expenses - Florida
| Statement Of Claim Auto Collision No Medical Expenses Form. This is a Florida form and can be used in General Orange Local County . |
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IN THE COUNTY COURT OF THE NINTH JUDICIAL CIRCUIT OF FLORIDA ORANGE COUNTY, FLORIDA Case Number ____________________ Plaintiff(s) VS Defendant(s) STATEMENT OF CLAIM AUTO COLLISION-NO MEDICAL EXPENSES The above named plaintiff(s) sue(s) the above named defendant(s) for: On or about ____________________________________________________at _______________________________________________________________________, City, ______________________, County, ___________________, State, ____________, the defendant, __________________________________________ willfully and/or recklessly and/or negligently drove a motor vehicle owned by ______________________ against the motor vehicle of the plaintiff(s) thereby damaging the same and depreciating its market value, and causing plaintiff(s) to lose the value of its use during its repair. And Plaintiff(s) claim(s) $ interest, court costs and attorney fees. damages not to exceed $5,000.00 exclusive of ______________________________ Plaintiff(s) American LegalNet, Inc. www.FormsWorkFlow.com American LegalNet, Inc. www.FormsWorkFlow.com
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