Fill and Sign the Comes Now Name of Plaintiff Plaintiff in the Form

IN THE _________________ COURT OF ___________________ (County), ____________________ (State) _________________________ PLAINTIFF(Name of Plaintiff)V. CAUSE NO. ______________________________________ DEFENDANT(Name of Defendant) COMPLAINT COMES NOW ________________________ (Name of Plaintiff), Plaintiff in the above-styled and numbered cause, by and through his attorney, and files this his Complaint against Defendant, ___________________________ (Name of Defendant), and in support thereof would show unto the Court the following matters and facts: I. Plaintiff is an adult resident citizen of ___________________________________ (city, county, state) .II. Defendant is an adult resident citizen of ________________________________ (city, county, state) .III. On ________________________ (date) was in the _______________________ (name) branch of _____________________________________ (name of bank) at ______________________________________________________________________ _______________ (street address, city, county, state, zip code), depositing a check.IV. At the time and place mentioned above, Defendant, Manager of said Branch, willfully, maliciously, and without cause or provocation (describe the assault and battery, such as: struck Plaintiff numerous times about his head and body) __________________________________________________________________________________________________________________________________________________________________________________________________________________ all of which caused the injuries to Plaintiff described below. V.At the time of the assault and battery on ______________________________ (Plaintiff), Plaintiff suffered from a heart condition. VI. As a direct and proximate result of the said assault and battery on Plaintiff, Plaintiff suffered (describe) _______________________________________________ ____________________________________________________________________________________________________________________________________________. VII. As a further direct and proximate result of the said assault and battery, Plaintiff has incurred and will in the future incur substantial medical and hospital expenses in a sum exceeding $_______________.WHEREFORE, Plaintiff requests judgment against Defendant:1. In the amount of $_____________, as damages;2. Awarding Plaintiff the costs of this action; and3. Granting Plaintiff such other and further relief as the Court deems just and proper. Respectfully Submitted, _____________________________Name of Plaintiff By: __________________________ Name of Attorney Bar No. _______________ Of Counsel:Attorney for Plaintiff Post Office Box ____________________________________________________City, State, Zip CodeTelephone: ________________________