Notice of Claim General
NOTICE OF CLAIM






STATE OF INDIANA
COUNTY OF MARION, ss:
SUMMONS

In the MARION COUNTY
SMALL CLAIMS COURT
Lawrence Division
4455 McCoy Street
Indianapolis, Indiana 46226
(317) 545-2369


Plaintiff
Name :
Email Address: Required
Address:
City, State, Zip:
Phone:

VS.

Defendant
Name :
Address:
City, State, Zip:
Phone:

The said Plaintiff complains of the Defendant and says: That the Defendant is indebted to the Plaintiff in the sum of $ for the reasons stated herein:

And hereby demands judgement, court costs, and all other proper relief.

Dated:
Plaintiff Signature:
Type your name to acknowledge electronic signature.