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.