Fill and Sign the Montana Verdict Form

IN THE COURT OF CITY/COUNTY, STATE OF MONTANA BEFORE , JUSTICE OF THE PEACE/CITY JUDGE * * * * * * * , ) , ) Plaintiff(s) ) VERDICT FORM ) vs ) Case No. , ) , ) Defendant(s) ) * * * * * * * We, the Jury, answer the questions submitted to us in this Special Verdict as follows: QUESTION NO. 1: Was the Defendant guilty of negligence which was the cause of the claimed damages? ANSWER: Yes No If you answered the above question “No”, you will not answer the remaining questions, but will simply sign the Verdict. If you have answered Question No. 1 “Yes”, then you must answer Question No. 2. QUESTION NO. 2: What was the full amount of damage sustained by the Plaintiff? ANSWER: $ . QUESTION NO. 3: Was the Plaintiff guilty of negligence which was the cause of the alleged damages? ANSWER: Yes No If you have answered “No” to Question No. 3, then you will not answer Question No. 4, but will simply sign the Verdict. If you have answered “Yes” to Question No. 3, then you must answer Question No. 4. QUESTION NO. 4: Considering the negligence of the Plaintiff and the Defendant that caused the accident at one hundred percent (100%), what percentage is attributable to: Plaintiff % Defendant % TOTAL 100% Dated this day of , 20 . Foreperson