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SMALL CLAIMS 1 STANDARD FORMS OF PLEADINGS FOR SMALL CLAIMS ACTIONS [Pursuant to Iowa Code section 631.15] June 1998 IN THE DISTRICT COURT OF IOWA IN AND FOR ____________________ COUNTY, IOWA Plaintiff(s)___________________________(Name)___________________________(Address)___________________________(Name)___________________________(Address)vs. ORIGINAL NOTICE (Action for money judgment.) Defendant(s) Small Claim No. _____________________________________Date Filed _______________(Name)___________________________(Address)___________________________(Name)___________________________(Address)TO THE ABOVE-NAME DEFENDANT(S):YOU ARE HEREBY NOTIFIED that the plaintiff(s) demand(s) from you theamount of $___________ based on _________________ (state briefly the basis for the demand).UNLESS YOU APPEAR by completing and filing the attached appearance andanswer form with the clerk of the court at ____________________________________________(exact address) in _______________________________________________________________(city), Iowa __________ (zip code), within 20 days after service of this original noticeupon you, judgment shall be rendered against you upon plaintiff’s claim together withinterest and court costs.IF YOU DENY THE CLAIM AND APPEAR by filing the attached appearance andanswer within 20 days after service of this original notice upon you, you will then receivenotification from the clerk’s office of the place and time assigned for hearing. ____________________________________________________________ Plaintiff(s)Judgment Entry:[Court Order December 11, 1975, received for publication February 28, 1984; June 29, 1984; Letter May 12, 1987 (obsolete reference to “town” stricken)] SMALL CLAIMS 2 IN THE DISTRICT COURT OF IOWA IN AND FOR COUNTY ____________________, IOWA Plaintiff(s)___________________________(Name)___________________________(Address)___________________________(Name)___________________________(Address)vs. ORIGINAL NOTICE (Action for forcible entry and Defendant(s)detainer.) ___________________________ Small Claim No.__________(Name)Date Filed __________________________________________(Address)___________________________(Name)___________________________(Address)TO THE ABOVE-NAMED DEFENDANT(S):YOU ARE HEREBY NOTIFIED that the above-named plaintiff(s) demand(s) fromyou possession of _______________________________________(state exact address of real property) for the reason that _______________________________ (state basis of demand).UNLESS YOU APPEAR before the court to contest this matter at _________________________________________________________________________(exactaddress of court) in _____________________(city), Iowa, at ______o’clock __.m. on the _____ day of ____________________, 20_____ , judgment shall be rendered against you for possession of the property and for court costs. ____________________________________________________________ Plaintiff(s)Judgment Entry:[Court Order December 11, 1975, received for publication February 28, 1984; Letter May 12, 1987 (obsolete reference to “town” stricken)] SMALL CLAIMS 3 IN THE DISTRICT COURT OF IOWA IN AND FOR ___________________ COUNTY, IOWA (Small Claims Division) Plaintiff(s)___________________________(Name)___________________________(Address)___________________________(Name)___________________________(Address)vs. ORIGINAL NOTICE (Action for forcible entry and Defendant(s) detainer and money judgment)___________________________Small Claim No. ____________(Name)Date Filed ____________________________________________(Address)___________________________(Name)___________________________(Address)TO THE ABOVE-NAMED DEFENDANT(S): Count I YOU ARE HEREBY NOTIFIED that the above-named plaintiff(s) demand(s) fromyou possession of __________________________________________________________ (state exact address of real property) for the reason that ____________________________________________________________________________________________________________________(state basis of demand). SMALL CLAIMS 4 Count II YOU ARE HEREBY NOTIFIED that the plaintiff(s) demand(s) from you theamount of $ __________ based on _______________________________________________________________________________________________________________________________(state briefly the basis for the demand).UNLESS YOU APPEAR before the court to contest this matter at ___________________________________ (exact address of the court) in ____________________ (city), Iowa, at ______o’clock __.m. on the ______ day of ____________________, ______, judgment shallbe rendered against you for possession of the property and for a money judgment together with interest and court costs. ____________________________________________________________ Plaintiff(s) or Plaintiff(s)’ Attorney____________________________________________________________AddressIf you require the assistance of auxiliary aids or services to participate in court because of a disability, immediately call your district ADA coordinator at 515-286-3394. (If you are hearing impaired, call Relay Iowa TTY at 1-800-735-2942.)Judgment Entry:[Court Order May 6, 1998] SMALL CLAIMS 5 IN THE DISTRICT COURT OF IOWA IN AND FOR _______________________ COUNTY, IOWA Plaintiff(s)___________________________(Name)___________________________(Address)___________________________(Name)___________________________(Address) APPEARANCE AND ANSWER OFvs.DEFENDANT Small Claim No.__________ Defendant(s) Date Filed __________________________________________(Name)___________________________(Address)___________________________(Name)___________________________(Address)I HEREBY enter my appearance and deny the claim of plaintiff(s). ______________________________ Defendant[Court Order December 11, 1975, received for publication February 28, 1984]June 1998 6 SMALL CLAIMS SMALL CLAIMS 6 IN THE DISTRICT COURT OF IOWA IN AND FOR COUNTY _______________________, IOWA Plaintiff(s)___________________________(Name)___________________________(Address)___________________________(Name)___________________________(Address) COUNTERCLAIM vs.Small Claim No.__________ Date Filed_______________ Defendant(s)___________________________(Name)___________________________(Address)___________________________(Name)___________________________(Address)TO: _______________________ , PLAINTIFF(S)YOU ARE HEREBY NOTIFIED that ____________________________, defendant(s), as counterclaimant(s), demand(s) from you the amount of $ __________ based on _________________________________________________________________________________________(state briefly the basis for the demand). ____________________________________________________________ Defendant(s) — Counterclaimant(s)[Court Order December 11, 1975, received for publication February 28, 1984] SMALL CLAIMS 7 IN THE DISTRICT COURT OF IOWA IN AND FOR COUNTY _______________________, IOWA Plaintiff(s)___________________________(Name)___________________________(Address)___________________________(Name)___________________________(Address) CROSS-CLAIM AGAINST vs.COPARTYSmall Claim No. ________________Defendant(s) Date Filed________________________________________________(Name)___________________________(Address)___________________________(Name)___________________________(Address)I (WE), _____________________________________________, as cross-claimant(s), hereby demand from ________________________________________ (state name(s) of party(ies) against whom the demand is made) the amount of $__________ based on ______________(state briefly the basis for the demand). ____________________________________________________________ Cross-claimant(s)[Court Order December 11, 1975, received for publication February 28, 1984]June 1998 8 SMALL CLAIMS SMALL CLAIMS 8 IN THE DISTRICT COURT OF IOWA IN AND FOR _____________________ COUNTY, IOWA Plaintiff(s)___________________________(Name)___________________________(Address)___________________________(Name)___________________________(Address)vs.Defendant(s) CROSS-PETITION AGAINST___________________________ THIRD PARTY(Name)Small Claim No.___________________________________________Date Filed _____________________(Address)___________________________(Name)___________________________(Address)Third Party Defendant(s)___________________________(Name)___________________________(Address)___________________________(Name)___________________________(Address)TO: _______________________________ , THIRD PARTY DEFENDANT(S):YOU ARE HEREBY NOTIFIED that, _____________________________________, as cross-petitioner(s), demand(s) from you the amount of $__________ based on ______________(state briefly the basis for the demand).UNLESS YOU APPEAR by completing and filing the attached appearance andanswer form with the clerk of the court at ________________________________(exact address) in ____________________ (city), Iowa __________(zip code), within 20 days after service of this original notice upon you, judgment shall be rendered against you upon cross-petitioner’s claim together with interest and court costs.IF YOU DENY THE CLAIM AND APPEAR by filing the attached appearance andanswer within 20 days after service of this original notice upon you, you will then receive SMALL CLAIMS 9notification from the clerk’s office of the place and time assigned for hearing. ____________________________________________________________ Cross-petitioner(s)Judgment Entry:[Court Order December 11, 1975, received for publication February 28, 1984; June 29,1984; Letter May 12, 1987 (obsolete reference to “town” stricken)] SMALL CLAIMS 10 IN THE DISTRICT COURT OF IOWA IN AND FOR COUNTY _____________________, IOWA Plaintiff(s)___________________________(Name)___________________________(Address)___________________________(Name)___________________________(Address)vs.Defendant(s)APPEARANCE AND ANSWER OF___________________________ THIRD PARTY DEFENDANT(Name) Small Claim No._________________________________________________Date Filed___________________________(Address)___________________________(Name)___________________________(Address)Third Party Defendant(s)___________________________(Name)___________________________(Address)___________________________(Name)___________________________(Address)I HEREBY enter my appearance and deny the claim of __________________________,cross-petitioner(s). ______________________________ Third Party Defendant[Court Order December 11, 1975, received for publication February 28, 1984]June 1998 10 SMALL CLAIMS SMALL CLAIMS 11 IN THE DISTRICT COURT OF IOWA IN AND FOR COUNTY_____________________, IOWA Plaintiff(s)___________________________(Name)___________________________(Address)___________________________(Name)___________________________(Address)vs.Defendant(s) PETITION OF INTERVENTION___________________________Small Claim No.________________(Name)Date Filed________________________________________________(Address)___________________________(Name)___________________________(Address)Intervenor(s)___________________________(Name)___________________________(Address)___________________________(Name)___________________________(Address)TO THE ABOVE-NAMED PLAINTIFF(S) AND DEFENDANT(S):I (WE), _____________________________ , being interested in the subject matter of this litigation now intervene ___________________________(either “adversely to both parties”, or “allied with plaintiff”, or “allied with defendant”) and demand the amount of $ ___________from ____________________________________________________(state name(s) of party(ies) against whom the demand is made) based on _____________________________________(state briefly the basis for the demand). ____________________________________________________________ Intervenor(s)[Court Order December 11, 1975, received for publication February 28, 1984]December 1998 11 SMALL CLAIMS SMALL CLAIMS 12 IN THE DISTRICT COURT OF IOWA IN AND FOR COUNTY____________________, IOWA (Small Claims Division) Plaintiff(s)___________________________(Name)___________________________(Address)___________________________(Name)___________________________(Address)vs.ORIGINAL NOTICE (Action of replevin.) Defendant(s) Small Claim No.___________________________________________Date Filed _____________________(Name)___________________________(Address)___________________________(Name)___________________________(Address)TO THE ABOVE-NAMED DEFENDANT(S):YOU ARE HEREBY NOTIFIED that the above-named plaintiff(s) demand(s)possession of property described as: (insert description) (1) The actual value of the property is $_____________________ (If more than one itemis involved, separate values must be stated for each item.) (May not exceed $4,000 in totalvalue.) (continued) June 1998 12 SMALL CLAIMS SMALL CLAIMS 13(2) Plaintiff(s) is (are) entitled to immediate possession because (check one): Plaintiff(s) own(s) the property; Plaintiff(s) has (have) a security agreement for the property (copy attached) providing that plaintiff(s) is (are) entitled to seize possession on default, and that default(s) as follows has (have) occurred; (State other grounds).(3) (a) That the property is not in the possession of the defendant(s) under court order or judgment; or (b) That property was taken by the defendant(s) under a court order or judgment but is improperly held, being exempt from such seizure because: (state basis for exemption).(4) That to the best belief of the plaintiff(s) the property is being held by the defendant(s)because: (state facts constituting the defendant’s(s’) alleged reason for detaining the property).(5) That the plaintiff(s) is (are) entitled to damages for such retention in the amount of $__________ , based on: (state grounds of alleged damage).UNLESS YOU APPEAR by completing and filing the attached appearance andanswer form with the clerk of the court at ________________________(exact address) in___________________(city), Iowa __________(zip code), within 20 days after service ofthis original notice upon you, judgment shall be rendered against you upon plaintiff’s(s’)claim together with interest and court costs.IF YOU DENY THE CLAIM AND APPEAR by filing the attached appearance andanswer within 20 days after service of this original notice upon you, you will then receivenotification from the clerk’s office of the place and time assigned for hearing. ____________________________________________________________ Plaintiff(s)June 1998December 1998 SMALL CLAIMS 14STATE OF IOWA` ss:COUNTY OF _______________________I (We),______________________________________________ , do hereby swear oraffirm that the above and foregoing statements are true and correct as I (we) verily believe. ______________________________ (Signature(s) of affiant(s))Subscribed and sworn to before me by ________________________________________,on this ______ day of ____________________, 20_____ . ______________________________ Notary Public[Report March 10, 1987, effective July 1, 1987; Court Order November 25, 1998]December 1998 SMALL CLAIMS 15 IN THE DISTRICT COURT OF IOWA IN AND FOR COUNTY____________________, IOWA (Small Claims Division) Plaintiff(s)___________________________(Name)___________________________(Address)___________________________(Name)___________________________(Address)vs.ORIGINAL NOTICE (Foreign Corporation or Defendant(s) Nonresident Defendant)___________________________Small Claim No.________________(Name)Date Filed________________________________________________(Address)___________________________(Name)___________________________(Address)TO THE ABOVE -NAMED DEFENDANT(S):YOU ARE HEREBY NOTIFIED that the plaintiff(s) demand(s) from you theamount of $__________ based on _____________________________________ (state briefly the basis for the demand).UNLESS YOU APPEAR by completing and filing the attached appearance andanswer form with the clerk of the court at _______________________________________(exact address) in ____________________ (city), Iowa ______(zip code), within 60 days after the filing of this original notice with the secretary of state of the State of Iowa, judgment shall berendered against you upon plaintiff’s(s’) claim together with interest and court costs.IF YOU DENY THE CLAIM AND APPEAR by filing the attached appearance andanswer within 60 days after the filing of this original notice with the secretary of state of theState of Iowa, you will then receive notification from the clerk’s office of the place andtime assigned for hearing. ____________________________________________________________ Plaintiff(s)Judgment Entry:[Report September 29, 1987, effective December 1, 1987] SMALL CLAIMS 16 IN THE DISTRICT COURT OF IOWA IN AND FOR COUNTY____________________, IOWA (Small Claims Division) Plaintiff(s)___________________________(Name)___________________________(Address)___________________________(Name)___________________________(Address)vs.ORIGINAL NOTICE (Nonresident Motor Vehicle Defendant(s) Owner or Operator)___________________________Small Claim No.________________(Name)Date Filed ________________________________________________(Address)___________________________(Name)___________________________(Address)TO THE ABOVE-NAMED DEFENDANT(S):YOU ARE HEREBY NOTIFIED that the plaintiff(s) demand(s) from you theamount of $___________ based on ________________________________________(state briefly the basis for the demand).UNLESS YOU APPEAR by completing and filing the attached appearance andanswer form with the clerk of the court at _______________________________________(exact address) in ____________________(city), Iowa __________(zip code), within 60 days after the filing of this original notice with the director of transportation of the State of Iowa, judgment shall be rendered against you upon plaintiff’s(s’) claim together with interest and court costs.IF YOU DENY THE CLAIM AND APPEAR by filing the attached appearance andanswer within 60 days after the filing of this original notice with the director of transportation of the State of Iowa, you will then receive notification from the clerk’s office of the place and time assigned for hearing. ____________________________________________________________ Plaintiff(s)Judgment Entry:[Report September 29, 1987, effective December 1, 1987]

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