MAGISTRATE COURT OF CHEROKEE COUNTY
The Honorable James E. Drane, III, Chief Magistrate
90 North Street, Suite 150
Canton, GA 30114
678-493-6431
DO NOT WRITE IN THIS SPACE
CASE NO.___________________
Plaintiff: Name/Street address/City/State/Zip Code
______________________________________
______________________________________
______________________________________
Phone: _______________________________
Email: _______________________________
vs
Defendant: Name/Street address/City/State/Zip Code
______________________________________
______________________________________
______________________________________
____________________________________________________________________________________________________________
STATEMENT OF CLAIM
Type of claim (mark with an “X”)
__Suit on a note __ Suit on Account __Other (Explain)
P
laintiff says the defendant is indebted to the plaintiff as follows:
That said claim is in the amount of $________________plus $________________ cost to date; and all future costs of this suit.
S
tate of Georgia, Cherokee County:
___________________________________ being duly sworn on 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 before me,
T
his ____day of ______________, 20____. ___________________________________________
Plaintiff
__________________________________________ ____________________________________________
Notary Public or Attesting Official
NO
TICE AND SUMMONS
To: ______________________________
You are hereby notified that ______________________________has made and filed a claim and is asking for judgment against you in
the sum of $_____________________, as shown by the foregoing statement. YOU ARE REQUIRED TO FILE OR PRESENT AN
ANSWER TO THIS 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 during
regular business hours. You may come with or without an attorney.
____
_________________________________________
Deputy Clerk, Magistrate Court of Cherokee County
