Fill and Sign the Delaware Civil Procedure Form

IN THE JUSTICE OF THE PEACE COURT OF THE STATE OF DELAWARE, IN AND FOR       COUNTY COURT NO       COURT ADDRESS CIVIL ACTION NO                   PLAINTIFF(S) VS. DEFENDANT(S) 1) Name       1) Name       Address       Address                   System ID#       System ID#       Phone       Phone       PLAINTIFF(S) DEFENDANT(S) Phone       Phone       2) Name       2) Name       Address       Address                   System ID#       System ID#       Phone       Phone       Plaintiff's Attorney or Agent, if any: Defendant's Attorney or Agent, if any:             Address       Address                   System ID# (bar#)       System ID# (bar#)       Phone       Phone       Check One Individual Corporation or other Artificial entity (see Supreme Court Rule 57) Check One Individual Corporation or other Artificial entity (see Supreme Court Rule 57) Alternate Address (Physical or Mailing) Type of Service: (Check One) Court Service       Special Process Server       Type of Action : Debt Replevin Trespass Summary Possession Deficiency Judgment ( Landlord Tenant) COMPLAINT- 1. Concise Statement of Facts: (Who, What, When, Where, How?)                         2. Relief Sought: $       Amount of money claimed. (Not including interest) $       Pre Judgment Interest at or       % legal rate       . % contractual rate $       Post Judgment Interest at the legal rate OR contractual rate of       _% $       Court Costs. $       Other       Possession Jury Trial Demanded (Possession only) Yes No Return of personal property or $       Total value (Attach list of property stating description, number and value of items on 8 ½" x 11" paper TO: THE COURT OF THE JUSTICES OF THE PEACE Please docket the above-captioned case and issue a Summons to the above-named Defendant(s) to appear before you so there may be a trial on this case and judgment for the Plaintiff(s), together with interest and costs of this proceeding: or, for an Attachment in Lieu of Summons, please issue same and direct the Constable to execute the proper process. .             Date Plaintiff or Plaintiff's Attorney J.P. Civ. Form No. I (Rev 01/05/2007) Doc. No.02-13-95-05-01