SMALL CLAIMS COMPLAINT
Delaware County Small Claims Division
Delaware County Circuit Court No.
Case Number: 18C0
Plaintiff requests service by:
Sheriff of service address county County
Certified Mail
Clerks telephone number 765-747-7857
Plaintiff
YOUR NAME
Defendant 1
PERSON YOU ARE FILING AGAINST
Plaintiff 2
IF SOMEONE ELSE IS SUING ALONG WITH YOU PUT THEIR NAME HERE
Address
YOUR ADDRESS
Address
THEIR ADDRESS
Address
YOUR ADDRESS
Address
THEIR ADDRESS
City
YOUR CITY
City
THEIR CITY
State
YOUR STATE
Zip
YOUR ZIP CODE
State
THEIR STATE
Zip
THEIR ZIP CODE
Telephone
YOUR PHONE NUMBER
Telephone
THEIR PHONE NUMBER
Email
YOUR EMAIL ADDRESS
Email
THEIR EMAIL ADDRESS
If Plaintiff is represented by an attorney:
Attorney
NAME OF ATTORNEY IF YOU HAVE ONE REPRESENTING YOU
Defendant 2
2ND PERSON YOU ARE FILING AGAINST- IF APPLIES
Attorney number
THE ATTORNEY'S BAR NUMBER
Address
THE ATTORNEY'S ADDRESS
Address
THEIR ADDRESS
Address
THE ATTORNEY'S ADDRESS
Address
THEIR ADDRESS
City
THE ATTORNEY'S CITY
City
THEIR CITY
State
THE ATTORNEY'S STATE
Zip
THE ATTORNEY'S ZIP CODE
State
THEIR STATE
Zip
THEIR ZIP CODE
Telephone
THE ATTORNEY'S PHONE NUMBER
Telephone
THEIR PHONE NUMBER
Email
THE ATTORNEY'S EMAIL ADDRESS
Email
THEIR EMAIL ADDRESS
The Plaintiff(s) ask(s) the court to enter a judgment against the Defendant(s) for $
AMOUNT OWED/REQUESTED
plus court costs and to issue an order for eviction because Defendant rented the property located at:
ADDRESS OF PROPERTY
(if there is a written rental agreement/lease it is attached) and
rent is past due in the amount of $ AMOUNT OF PAST DUE RENT; and or
the rental agreement/lease was violated as follows
EXPLAIN HOW THE AGREEMENT/LEASE WAS NOT FOLLOWED
TODAY'S DATE
Date: _______________________
Plaintiff or Plaintiff’s attorney signature
CLERK’S NOTICE OF CLAIM FOR POSSESSION, RENT DUE AND DAMAGES
You (the defendant) have been sued by the Plaintiff. You must go to a court hearing on the following day(s) and time(s):
1.
You must appear for an immediate possession (eviction) hearing on:
Date: Time:
Location: 3100 S. Tillotson Ave., Muncie, IN 47302
2.
A trial on damages and money owed may be scheduled following the immediate possession (eviction) hearing.
You have a right to a jury trial. To demand a jury trial, a person must file a written request to the court within ten (10) days of receiving this notice. If the request for a jury trial is granted, you must pay the fee within ten (10) days. If you do not make a request or do not pay the fee on time, you no longer have a right to a jury trial. If the court grants a jury trial, it cannot be withdrawn unless the other party agrees.
Clerk