Fill and Sign the 1 Original Notice and Petition for a Money Judgment Form

Small Claims Form 3.1: Original Notice and Petition for a Money Judgment In the Iowa District Court f or ________________ County Plaintiff(s) ________________________________________ (Name) ________________________________________ (Address) ________________________________________ (Name) ________________________________________ (Address) vs. Defendant(s) ________________________________________ (Name) ________________________________________ (Address) ________________________________________ (Name) ________________________________________ (Address) Original Notice and Petition for a Money Judgment If you need assistance to participate in court due to a disability, call the disability coordinator (information at https://www.iowacourts.gov/for - the - public/ada/ ). Persons who are hearing or speech impaired may call Relay Iowa TTY (1 - 800 - 735 - 2942). Disability coordinators cannot provide legal advice. T o D efendant(s) : 1. You a re n otified that P laintiff(s) demand(s) from you the amount of $ ______________ plus court costs based on ( state br iefly the basis for the demand , not to exceed $ 6 500 ): 2. Judgment may be entered against you unless you file an Appearance and Answer within 20 days of the service of the O riginal N otice upon you. Judgment may include the amount requested plus interest and court costs. 3. You must electronically file the Appearance and Answer using the Iowa Judicial Branch Electronic Document Management System (EDMS) at https://www.iowacourts.state.ia.us/EFile , unless you obtain from the court an exemption from electronic filing requirements. 4 . If your Appearance and Answer is filed within 20 days and you deny the claim , you will receive electronic notification through EDMS of the place and time of the hearing on this matter . 5 . If you electronically file, EDMS will serve a copy of the Appearance and Answer o n Plaintiff(s) or on the attorney(s) for Plaintiff(s) . The Notice of Electronic Filing will indicate if Plaintiff(s) is (are) exempt from electronic filing , and if you must mail a copy of your Appearance and Answer to P laintiff(s). 6 . You must also notify the clerk ’s office of any address change. Continued on next page Small Claims Form 3.1, page 1 of 3* *Upon electronic filing, a clerk’s signature page will be attached to this document as page 3. /s/ _________ _______________________ __ /s/ _________________ _______________ __ Filing Plaintiff or Attorney Second Plaintiff, if applicable ___________ ________________________ __ ___________________________________ __ Law firm, or entity for which filing is made, if applicable L aw firm, or entity for which filing is made, if applicable ______ ___________________________ _ __ ___________________________________ __ Mailing a ddress Mailing a ddress _____________________ ______________ __ ___________________________________ __ Telephone n umber Telephone n umber ____ _______________________________ __ ___________________________________ __ Email a ddress Email a ddress _______ _______________________ _____ __ ___________________________________ __ Additional e mail a ddress , if applicable Additional e mail a ddress, if applicable Small Claims Form 3.1, page 2 of 3 * *Upon electronic filing, a clerk’s signature page will be attached to this document as page 3.