Fillable Form SM-1 (front) Rev. 3/95: STATEMENT OF CLAIM (Madison County Circuit Clerk, AL)

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Form SM-1 (front) Rev. 3/95: STATEMENT OF CLAIM (Madison County Circuit Clerk, AL)

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State of Alabama
Unified Judicial System
Form SM-1 (front) Rev. 3/95
STATEMENT OF CLAIM
(Complaint)
General
Case Number
IN THE SMALL CLAIMS COURT OF _________________________________________________________________, ALABAMA
(Name of County)
__________________________________________ v._______________________________________
Plaintiff Defendant
Plaintiff’s Defendant’s
Home Address Home Address
Plaintiff’s Attorney’s Additional
Address
Defendant(s)
and Addresses
NOTICE TO EACH DEFENDANT – READ CAREFULLY
YOU ARE BEING SUED IN THE SMALL CLAIMS COURT BY THE PLAINTIFF(S) SHOWN ABOVE. THE JUDGE HAS NOT YET
MADE ANY DECISION IN THIS CASE, AND YOU HAVE THE RIGHT TO A TRIAL TO TELL YOUR SIDE.
HOWEVER, IF YOU, OR YOUR LAWYER, FAIL TO FILL OUT THE ENCLOSED ANSWER FORM AND DELIVER OR MAIL IT TO
THE
CLERK AT THE ADDRESS SHOWN BELOW, SO THAT IT WILL GET TO THE CLERK’S OFFICE WITHIN FOURTEEN (14) DAYS
AFTER YOU RECEIVE THESE PAPERS, A JUDGMENT CAN BE TAKEN AGAINST YOU FOR THE MONEY OR PROPERTY
DEMANDED IN THE FOLLOWING COMPLAINT, ONCE A JUDGMENT HAS BEEN ENTERED AGAINST YOU, YOUR PAYCHECK
CAN BE GARNISHED AND/OR YOUR HOME OR PROPERTY SOLD TO SATISFY THAT JUDGMENT.
COMPLAINT
1. I claim the defendant owes the plaintiff the sum of $____________________ because:
2. Plaintiff also claims from the defendant court costs in the sum of $ ________________________ (see note below), plus
$__________________ for interest and $________________ for law
yers’ fees (only if plaintiff is represented by a licensed,
practicing attorney and if the contract or note you signed so provides.)
NOTE:
The total amount of court costs may be more than this amount when the case is finally settled. The clerk will inform
you of any additional costs at the close of the case.
CLERK’S ADDRESS: _____________________________________________________
Plaintiff or Plaintiff’s Attorney
(Signature)
Attorney
Code __________________________
_____________________________________________________
Plaintiff’s or Plaintiffs Attorney
’s Phone Number
Clerk’s Phone No. _______________________________
(See instructions on the Back) Date of Filing_________________________________________
Form SM-1 (back) Rev. 3/95
INSTRUCTIONS TO THE PLAINTIFF’S
This is your case, and if you are acting as your own lawyer, you are responsible in seeing that your claim is successfully presented
at each stage of the procedure until it is concluded.
The clerk of the court has a brochure which tells you how to handle a Small Claims case. This brochure is free to you on request..
1. You must complete one of these forms for each defendant you wish to sue. Each defendant must be described by his/her
correct legal name and address (not a post office box). Be as brief as possible but include every important name, date
and place
2. To start your case you must file the completed form with the clerk assigned to Small Claims cases. The clerk will stamp
a copy for you to show that the case has been filed and will insert the number of the case on the front of this form.
3. You are responsible for seeing that each defendant receives a copy of this form. If you haven’t heard from anyone about
the case in about fourteen days, then check with the clerk’s office, to make sure that each defendant has been served.
4. If any of the defendants ask for a trial you will be notified of the place, the date, and the time. You must be present or your
case will be dismissed. You may take a judgment by default fourteen (14) days after the defendant has received a copy
of this form, if the defendant fails to file his/her Answer.
5. You are responsible to see to the enforcement of any judgment that is awarded to you. The Small Claims brochure will
tell you how to go about recovering your money. It is not the responsibility of the court or the clerk to collect the judgment
for you.
ANY TIME YOU CONTACT THE CLERK ABOUT THIS CASE YOU MUST REFER TO THE CASE NUMBER ON THE FRONT.
INSTRUCTIONS TO SHERIFF OR PROCESS SERVER
To Any Sheriff or Any Person Authorized by Rule 4.1(b)(1) or 4.1(b)(2) of the Alabama Rules of Civil Procedure to Effect Service in
the State of Alabama.
You are hereby commanded to serve this summons and a copy of the Statement of Claim in this action upon the defendant(s)
named __________________________________________________________________________________________________
________________________________________________________________________________________________________
and make proper return to this court.
Date ________________________ _____________________________________ By__________
Clerk
RETURN ON SERVICE:
Served on defendant(s) named _______________________________________________________________________________
________________________________________________________________________________________________________
by delivering a copy of the Summons and Statement of Claim to him/her in ____________________________________________
County, Alabama, on (Date) ______________________________________________________________________,
____________________________________________________
Process Server Signature
____________________________________________________
Title of Process Server
This service by certified mail of this Summons and Statement of Claim is initiated upon the request of _______________________
______________________________ pursuant to Rule 4.1.(c) of the Alabama Rules of Civil Procedure.
Date Requested ___________________________________ Date Mailed __________________________________________
Return Receipt Date _______________________________ ______________________________ By___________________
Clerk
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Form SM-1 (front) Rev. 395: STATEMENT OF CLAIM (Madison County Circuit Clerk, AL)

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Completed 4 August 2020

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