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STATE OF WISCONSIN, CIRCUIT COURT, COUNTY For Official Use Plaintiff (Names and Addresses): Petition to Answer or to Reopen Small Claims Judgment and Order (Under 799.14(1) only) -vs- Defendant (Names and Addresses): Case No. Under oath, I state that: 1. I am the defendant in this action. 2. I believe I have a valid defense. 3. Service of the Summons and Complaint was allegedly made on me by mail, but I did not receive that notice. 4. On I received actual notice that: Date a. Judgment has been entered against me. • I am signing this petition within fifteen days of receiving notice. • I am signing this petition within one year after the judgment was entered. • I ask that the court stay further proceedings on the judgment, reopen the judgment, and give me an opportunity to be heard. b. This action is pending, but a judgment has not yet been entered. • I am signing this petition within fifteen days of receiving notice. • I ask that the court give me an opportunity to appear in this action and answer the complaint. Subscribed and sworn to before me on Notary Public/Court Official My commission expires: Signature of Defendant Name Printed or Typed Petition denied for failure to meet statutory requirements. Based on this petition, the COURT ORDERS THAT: 1. Further proceedings in this matter are stayed. If judgment was entered, actions to enforce the judgment are also stayed. 2. A hearing on the petition shall be held on at , Date Time in Courtroom , Courthouse, . Location SC-511 , 07/00 Petition to Answer or to Reopen Small Claims Judgment and Order (Under 799.14(1) only) §799.14(1), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Petition to Answer or to Reopen Small Claims Judgment and Order (Under 799.14(1) only) Page 2 of 2 Case No. If you need help in this matter because of a disability, please call: BY THE COURT: Signature of Circuit Court Judge Name Printed or Typed Distribution: 1.Original - Court 2.Parties Date SC-511 , 07/00 Petition to Answer or to Reopen Small Claims Judgment and Order (Under 799.14(1) only) §799.14(1), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2

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