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Civil Action Complaint 11210 - New Jersey

Civil Action Complaint Form. This is a New Jersey form and can be used in Civil Division Statewide .
 Fillable pdf Last Modified 12/11/2008
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SUPERIOR COURT OF NEW JERSEY LAW DIVISION County Your Name (first, middle, last) Docket Number (to be filled in by the court) Street Address Town, State, Zip Code Telephone Number CIVIL ACTION Plaintiff V. Defendant Complaint Plaintiff, (your name) City of (your address) , residing at , (your city or town) County of (your county) . State Of New Jersey, complaining of defendant, states as follows: 1. On , 20 , (name of person being sued) , Defendant (Summarize what happened that resulted in your claim against the defendant. Use additional pages if necessary.) Published 4/1/2008, CN 11210-English Page 1 of 3 American LegalNet, Inc. www.FormsWorkflow.com The defendant in this action resides at (defendant's address) , , State Of New Jersey. In the County of (name of county where defendant lives) 2. Plaintiff is entitled to relief from defendant under the above facts. 3. The harm that occurred as a result of defendant's acts include: (list each item of damage and injury), 1. 2. 3. Wherefore, plaintiff requests judgment against defendant for damages, together with attorney's fees, if applicable, costs of suit, and any other relief as the court may deem proper. Dated: Signature: CERTIFICATION OF NO OTHER ACTIONS I certify that the dispute about which I am suing is not the subject of any other action pending in any other court or a pending arbitration proceeding to the best of my knowledge and belief. Also, to the best of my knowledge and belief no other action or arbitration proceeding is contemplated. Further, other than the parties set forth in this complaint, I know of no other parties that should be made a part of this lawsuit. In addition, I recognize my continuing obligation to file and Published 4/1/2008, CN 11210-English Page 2 of 3 American LegalNet, Inc. www.FormsWorkflow.com serve on all parties and the court an amended certification if there is a change in the facts stated in this original certification. Dated: Signature: OPTIONAL: If you would like to have a judge decide your case, do not include the following paragraph in your complaint. If you would prefer to have a jury to decide your case, please sign your name after the following paragraph. JURY DEMAND The plaintiff demands trial by a jury on all of the triable issues of this complaint, pursuant to New Jersey Court Rules 1:8-2(b) and 4:35-1(a). Dated: Signature: Published 4/1/2008, CN 11210-English Page 3 of 3 American LegalNet, Inc. www.FormsWorkflow.com
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