Fill and Sign the Summons and Complaint Small Claims Sc 500wisconsin Form

SC-500 , 11/17 Summons and Compliant ( Small Claims ) Chapter 799, W isconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2 STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Plaintiff : [Name (First, Middle, Last), Address, City, State, Zip] See attached for additional plaintiffs. -vs- To: Defendant(s) : [Name (First, Middle, Last), Address, City, State, Zip] See attached for additional defendants . Amended Summons and Complaint (Small Claims ) Case No. Claim for money ($10 ,000 or less) 31001 Tort/Personal injury ($5,000 or less) 31010 Return of property (replevin) 31003 Eviction 31004 Eviction due to f oreclosure 31002 Arbitration award 31006 Return of earnest money 31008 If you require reasonable accommodations due to a disability to participate in the court process, please call at least 10 working days prior to the scheduled court date. Please note that the court does not provide transportation. SUMMONS To the Defendant(s): You are being sued as described on the attached complaint . If you wish to dispute this matter: You must appear at the time and place state d. You must file a written answer and pro vide a copy to the plaintiff or plaintiff’ s attorney on or before the date and time stated. If you do not appear or answer, the plaintiff may win this case and a judgment entered for what the plaintiff is asking. When to Appear /File an Answer Date Time Place to Appear/File an Answer Clerk /Attorney Signature Date Summons Issued Date Summons Mailed Summons and Complaint ( Small Claims ) Page 2 of 2 Case No. SC-500 , 11/17 Summons and Complaint (Small Claims) Chapter 799, W isconsin Statutes This form shall not be modified. It may be supplemented with additi onal material. Page 2 of 2 COMPLAINT Plaintiff's Demand: The plaintiff states the following claim against the defendant(s): 1. Plaintiff demands judgment for (Check as appropriate) Claim for Money $ Tort/Personal Injury $ Return of property (replevin) (Describe property in 2 below.) (Not to include Wis. Stats. 425.205 actions to reco ver collateral.) Eviction Eviction due to foreclosure Return of Earnest Money Confirmation, vacation, modification or correction of arbitration award. Plus interest, costs, attorney fees, if any, and such other relief as the court deems proper. 2. Brief statement of dates and facts : (If this is an eviction action and you are seeking money damages, you must also state that claim on this form.) See attached for additional information . Provide copy of attachments for court and defendant(s). Verification: Under oath, I state that the above complaint is true, except as those matters stated upon information and belief, and as to those matters, I believe them to be true. Notarization is not required if this Complaint is electronically filed. I am the: plaintiff. attorney for the plaintiff. State of County of Subscribed and sworn to before me on Notary Public/Court Official Name Printed or Typed My commission/term expires: Plaintiff/Attorney Date Plaintiff’s/Attorney's Telephone Number Attorney’s State Bar Number Law Firm and Address