Fill and Sign the Claims Court Form

IN THE DISTRICT COURT OF THE ________________________ JUDICIAL DISTRICT OF THE STATE OF ______________________, IN AND FOR THE COUNTY OF __________________________ SMALL CLAIMS DEPARTMENT COMES NOW _____________________________ (Name of Plaintiff) , Plaintiff in the above-styled and numbered cause, by and through her attorney, and files this her Complaint against Defendant, _____________________________ (Name of Defendant) , and in support thereof would show unto the Court the following matters and facts: 1. Plaintiff is an adult resident citizen of ___________________________________ __________________________________________ (city, county, state) . 2. Defendant is an adult resident citizen of _________________________________ ___________________________________________ (city, county, state) . 3. On __________________________________ (date) , in the County of _________________________ (Name of County) , State of _______________________ (Name of State) , Plaintiff and Defendant entered into an agreement by which Defendant agreed to hold certain funds belonging to Plaintiff as a deposit for an apartment located at ________________________________________________________________________ _____________________ (street address, city, county, state, zip code) . Said deposit was in the amount of $__________________ and was to be returned to Plaintiff if (state relevant conditions or events) ______________________________________________ ________________________________________________________________________ _______________________________________________________________________. 4. (State relevant conditions or events that occurred) _______________________ ________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________. On _______________________________ (date) , Plaintiff notified Defendant of these conditions or events and that she was therefore entitled to have her deposit returned. Defendant failed and refused, and continues to fail and refuse to return the deposit to Plaintiff, although repeated demands have been made. Wherefore, Plaintiff requests: 1. Judgment against Defendant in the amount of $______________. 2. Costs of suit; and 3. Such other and further relief as the Court deems just and proper. Respectfully submitted, _______________________________ (Name of Plaintiff)