Small Claim Complaint

<document>COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::MUSKINGUM COUNTY COURT 27 N 5TH ST ROOM 301 ZANESVILLE, OHIO 43701 PlaintiffAddress(Street and Number (City, State, Zip) PlaintiffAddress(Street and Number) (City, State, Zip) Phone NumberSMALL CLAIM COMPLAINTIndex No.Calendar No.Case No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)DefendantAddress(Street and Number (City, State, Zip) Defendant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOAddress(Street and Number (City, State, Zip) Phone NumberIs DEFENDANT presently in the military or naval service of the United States?(YES or NO) STATEMENT OF CLAIM: GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County,Wherefore plaintiff prays judgment against defendant in the sum of $, plus interest from the day of , 20, at the rate of % and costs.(Attorney must sign above and type name below)STATE OF OHIO} COUNTY OF MUSKINGUM }ss.AFFIDAVIT OF COMPLAINT'S CLAIMAttorney(s) for, being first duly sworn, on oath states that they are the Plaintiff(s) in the above entitled cause; that the said cause is for the payment of money that the nature of plaintiffs demand is as stated, and that there is due to plaintiff from the defendant the amount stated above; defendant(s) (is/are) not now in the military or naval service of the United States.Office and P.O. AddressPlaintiffTelephone No.: Facsimile No.: E-Mail Address:Subscribed and sworn to before me this day of , 20.Clerk, Deputy Clerk, Notary PublicMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com</document>