Fill and Sign the Attorneys Second Circuit Court of Appeals Form

(Rev. 1/23/2018) Form#2DC14 COUNTERCLAIM; CERTIFICATE OF SERVICE; DECLARATION Form#2DC14 IN THE DISTRICT COURT OF THE SECOND CIRCUIT ______________________________ DIVISION STATE OF HAWAI‘I Plaintiff Reserved for Court Use Civil No. Defendant Defendant/Defendant’s Attorney Name, Attorney Number, Firm Name (if applicable), Address, Telephone number COUNTERCLAIM 1. On or about ___________________________, Plaintiff owed money to Defendan t as follows: (Attach continuation page, if necessary). 2. Defendant asks for judgment against Plaintiff in the sum of $ ___________________________________________. In addition, the court may award court costs, interest and reasonable attorney’s fees. CERTIFICATE OF SERVICE I certify that a copy of this Counterclaim was served on the Opposing Party or their attorn ey on (date)_______________________________ by G Hand-delivery or G M ail at the following address: Date: Signature of Defendant/Defendant’s Attorney: Print/Type Name: DECLARATION I have read this Counterclaim, know the contents and verify that the statements are true to my persona l knowledge and belief. I DECLARE UNDER PENALTY OF LAW THAT THE ABOVE IS TRUE AND CORRECT. Date: Signature of Declarant: Print/Type Name: In accordance with the Americans with Disabilities Act and other applicable state and federal laws, if you require an accommodation for a disability when working with a court program, service, or activity, please contact the District C ourt Administration Office at PHONE NO. 244-2800, FAX 244-2849, or email adarequest@courts.hawaii.gov at least ten (10) working days before your proceeding, hearing, or appointment date. For all Civil related matters, please call 244-2706 or visit the Service Center at 2145 M ain St, Room 141, W ailuku, H aw ai`i. I certify that this is a full, true, and correct copy of the original on filed in this office. ________________________________________________ Clerk, District Court of the above Circuit, State of Hawai‘i 2D-P-227 (Rev. 02/18)