Oregon > Local County > Multnomah > Circuit Court
Small Claim And Notice Of Small Claim - Oregon
| Small Claim And Notice Of Small Claim Form. This is a Oregon form and can be used in Circuit Court Multnomah Local County . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF MULTNOMAH Small Claims Department Case No: ____________________ Plaintiff (Inmate # _____________) v. SMALL CLAIM AND NOTICE OF SMALL CLAIM Filing fee at ORS 46.570 (2011) Defendant is a public body PLAINTIFF ( Name Street City / State / Zip Phone County Additional on attached page) Defendant DEFENDANT ( Additional on attached page) Name (enter Registered Agent, if necessary, on next page) Street (do not use a P.O. Box) City / State / Zip Phone County I, Plaintiff, claim that on or about (date) of $_____________ because , the above-named defendants owed me the sum , and this amount is still due. I have paid (or will pay) : filing fees of $_____________ and service costs of $____________ Claim $______________ + Fees $______________ +Costs $______________ TOTAL $______________ 05-01 (4/12) Small Claim and Notice of Small Claim Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com DECLARATION OF GOOD FAITH EFFORT I, Plaintiff, have made a good faith effort to collect this claim from the defendants before filing this claim with the court clerk. I hereby declare that the above statements are true to the best of my knowledge and belief, and that I understand they are made for use in court and I am subject to penalty for perjury. Date Plaintiff Signature Plaintiff Name (print) DEFENDANT'S REGISTERED AGENT: Name Street (do not use a P.O. Box) City / State / Zip Phone County 05-01 (4/12) Small Claim and Notice of Small Claim Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com NOTICE TO DEFENDANT: READ THESE PAPERS CAREFULLY! Within 14 DAYS* after receiving this notice you MUST do ONE of the following things in writing: · · · Pay the claim plus filing fees and service expenses paid by plaintiff (send payment directly to the plaintiff, not to the court) OR Demand a hearing and pay the fee required (below) OR Demand a jury trial and pay the fee required (below). This option is available only if amount claimed is more than $750. If you fail to do one of the above within 14 DAYS* after you get this notice, the plaintiff may ask the court to enter a judgment against you. The judgment will be for the amount of the claim, plus filing fees and service costs paid by the plaintiff, plus a prevailing party fee. If you are not able to respond in time because you are in active military service of the United States, talk to a legal advisor about the Servicemembers Civil Relief Act. Multnomah County Courthouse 1021 SW 4th Ave, Rm 210 Portland, OR 97204 (503) 988-3022 East County Courthouse 18480 SE Stark Street Gresham, OR 97233 (503) 988-3199 Defendant's Filing Fees (must be filled in by the PLAINTIFF): (1) To demand a hearing if the amount claimed is $2,500 or less (2) To demand a hearing if the amount claimed is more than $2,500 (3) To demand a jury trial (only if amount claimed is over $750) $ ______ $ ______ $ ______ If you have questions about filing procedures, go to www.courts.oregon.gov for information and instructions. Or you may contact the court clerk. The clerk cannot give you legal advice about the claim. For fee information, go to http://courts.oregon.gov/Multnomah. *NOTE: If the plaintiff is an inmate (ORS 30.642) AND the defendant is a government agency or other public body (ORS 30.260), the defendant must respond within 30 days after receiving this Notice. 05-01 (4/12) Small Claim and Notice of Small Claim Page 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com
|
|||||||
