Fill and Sign the Small Claim Form

_______ JUDICIAL DISTRICT, STATE OF IDAHO FILED ________________ AT_______.M __________________ COUNTY CLERK OF THE DISTRICT COURT SMALL CLAIMS DEPARTMENT BY ________________________, Deputy _________________________________________, ) CASE NO. ____________________ ) _________________________________________, ) CLAIM PLAINTIFF(S), ) vs. ) $____________ Claim ) $____________ Filing Fee _________________________________________, ) $____________ Service Fee ) $____________ Another Notice _________________________________________, ) $____________ DEFENDANT(S). ) $____________ TOTAL ______________________________________________________________________________________ Plaintiff’s Name Address City State Zip Phone ______________________________________________________________________________________ Plaintiff’s Name Address City State Zip Phone ______________________________________________________________________________________ Defendant’s Name Address City State Zip Phone ______________________________________________________________________________________ Defendant’s Name Address City State Zip Phone If you are seeking a judgment for money, fill out this portion. AMOUNT OF CLAIM: ____________________ (not including filing and service fees) DATE CLAIM AROSE: ____________________ (month and year) BASIS FOR YOUR CLAIM: _______________________________________________________________ ______________________________________________________________________________________ If you are seeking a judgment for the return of personal property, fill out this portion. PERSONAL PROPERTY: I am the owner, or I am entitled to possess, the following personal property, which is being held by the defendant (specifically describe the property): ______________________________________________________________________________________ ______________________________________________________________________________________ VALUE OF THE PROPERTY: $____________________ Service of process by certified mail requested: ___ Yes ___ No BY SIGNING THIS CLAIM, THE PLAINTIFF VERIFIES THAT 1) the plaintiff is the true owner of the claim, 2) the defendant resides in ____________ County, or the defendant resides outside Idaho and the claim arose in ____________ County, and 3) the information above is true and correct to the plaintiff’s best knowledge. ____________________________________ Plaintiff’s Signature Subscribed and sworn to before me ____________. (date) ____________________________________ Deputy Clerk or Notary Public If Notary, my commission expires: Favor de avisarnos antes de la audencia si usted necesitara un interprete en la corte. Claim Small Claim Form SC1-2 Updated 6/03