Fill and Sign the In the Justice of the Peace Court of Delaware Courts Form

J.P. Civ. Form No. 14 ADT (2/2/04) Doc. No. 02-13-04-02-09 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): ____________________________ ______________________________ ____________________________ ______________________________ JUDGMENT BY ADMISSION - DEBT OR TRESPASS Amount of the judgment $__________________ Pre-judgment interest $ _________________ Court costs $__________________ Attorney’s fees $__________________ Post judgment interest at __________% annual rate I admit that I owe the amount listed above and unde rstand that I should pay that amount directly to the Plaintiff. I also understand that by signing this Judgment by Admission, I am waiving my right to a trial and that I will not have a right to appeal this judgment by admission . __________________________ ______________________________ (Defendant) (Defendant No. 2, if any) __________________________ ______________________________ __________________________ ______________________________ (Defendant’s Address/Phone No.) (Defendant No. 2’s Address/Phone No.) IT IS SO ORDERED this _____ day of _____________________, 20___ _____________________________ Justice of the Peace