IN THE MAGISTRATE COURT OF ROCKDALE COUNTY
STATE OF GEORGIA
Rockdale County Courthouse
P. O. Box 289 Case No.: 2019-MAG-
945 Court Street Date Filed:
Conyers, Georgia 30012
PLAINTIFF: DEFENDANT:
Telephone Number: Telephone Number:
STATEMENT OF CLAIM
[ ] Suit on a Note [ ] Suit on Account [ ] Other (Explain)
Plaintiff says the defendant is indebted to the plaintiff as follows:
That said claim is the amount of $ plus $ costs to date and all future costs of this suit.
State of Georgia, Rockdale County:
, being duly sworn under oath, says the foregoing is a just and true statement of the
claim made by plaintiff against defendant, exclusive of all set offs and just grounds of defense.
Sworn and subscribed to before me
(Plaintiff or Agent for Plaintiff)
This ______ day of __________________________, 2019
Notary Public or Attesting Official (If agent, title/capacity)
NOTICE AND SUMMONS
TO: All Defendant(s) You are hereby notified that the above named Plaintiff(s) has/have made a claim and is requesting judgment
against you in the sum shown by the foregoing statement. YOU ARE REQUIRED TO FILE OR PRESENT A SIGNED ANSWER
TO THE CLAIM WITHIN 30 DAYS AFTER SERVICE OF THIS CLAIM UPON YOU. IF YOU DO NOT ANSWER,
JUDGMENT BY DEFAULT WILL BE ENTERED AGAINST YOU. YOUR ANSWER MAY BE FILED IN WRITING OR
MAY BE GIVEN ORALLY TO THE CLERK OR JUDGE. If you choose to file your answer orally, it MUST BE IN PERSON
within the 30 day period, at Rockdale County Magistrate Court, 945 Court Street, Conyers, Georgia. NO ANSWERS ARE
PERMITTED BY TELEPHONE OR FACSIMILE. If you have a claim against the Plaintiff(s), you should notify the court by
immediately filing a written answer and counterclaim. If you admit to the Plaintiff(s)’ claim but need additional time to pay, you must
come to the hearing in person and tell the court your financial circumstances. If you are uncertain whether your answer will timely arrive
by mail, file your answer in person at the clerk’s office during normal business hours, 8:30 A.M. – 4:30 P.M. The court will hold a
hearing upon this claim at a time to be set after your answer is filed. You may come to court with or without an attorney. If you have
witnesses, books, receipts, or other writings bearing on this claim, you should bring them to court at the time of your hearing. If you want
witnesses or documents subpoenaed, see a staff person in the Clerk’s office for assistance.
This _______ day of __________________________
, 2019
Magistrate/Clerk/ Deputy Clerk
Rockdale County Magistrate Court
