Fill and Sign the Request for State Special Education Complaint Form

Complaint Against Drawer of Check that was Dishonored Due to Insufficient Funds (Bad Check) IN THE ___________COURT OF _______________ (County), (State) _______________ PLAINTIFFV. CAUSE NO. 000,0000__________, INC. DEFENDANT COMPLAINT COMES NOW ______________(____), Plaintiff in the above-styled and numbered cause, by and through his attorneys, and files this his Complaint against Defendant, ____________, Inc., (____), and in support thereof would show unto the Court the following matters and facts: 1.Plaintiff ___________ is an adult resident citizen of ___________________(city, county, state).2._____________ is a corporation organized and existing under the laws of the state of _________, with its principal office located at ___________________________(street address, city, county, state, zip code), and may be served with process and other writs of this Court at ______________________________ (street address, city, county, state, zip code). 3.On ____________(date), Defendant made and delivered to Plaintiff a check in writing, dated on ___________________(date of check), and directed the check to the _________________(Bank) of _____________________(City and State) , and required the Bank to pay to Plaintiff or order the sum of $_________________ .4.The check was duly presented by Plaintiff to the Bank for payment, but the check was not paid. Plaintiff has protested nonpayment, of which due notice has been given to Defendant by Plaintiff. 5.Plaintiff now holds the check and it has not been paid. Plaintiff claims $____________ in actual damages, $_____________, in punitive damages, and any statutory damages to which Plaintiff is entitled. Respectfully submitted, _______________________________ By: _______________________________ _______________________, Attorney OF COUNSEL: ______________________State Bar No. _______Smith, Smith & Smith, P.C.Post Office Box 000-0000City, State, Zip CodeTelephone: 555-555-5555