Georgia Statement Claim Fulton Form – Fill Out and Use This PDF

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Defendant: Name, Street Address, City/State, Zip Code			Plaintiff’s Attorney: Name/Address/Zip Code/Phone No.
		STATEMENT OF CLAIM
Type of Suit: Γ Account	Γ Contract	Γ Note	Γ Tort	Γ Trover	Γ Personal Injury

1.Defendant named resides in Fulton County and is subject to the jurisdiction of this Court.

2.Defendant is indebted to Plaintiff in the sums of $ ____________, principal, $ ____________, interest,

____________ attorney fees and $ ____________ costs to date as follows:

(State your claim here) _________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

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3. WHEREFORE, Plaintiff demands judgment against Defendant in the amounts as alleged in paragraph 2 herein.

STATE OF GEORGIA, FULTON COUNTY:

After being duly sworn on oath, says the foregoing is a just and true statement of the amounts owing by Defendant to Plaintiff, exclusive of all setoffs and just grounds of defense.

Sworn to and subscribed before me, this	________________________________________________
_________________________, _________.	Plaintiff’s Signature
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Deputy Clerk or Notary Public
	SUMMONS

TO THE ABOVE-NAMED DEFENDANT:

You are hereby required to file with the Clerk of said Court and to serve a copy on Plaintiff or Plaintiff’s Attorney, an answer to the complaint which is herewith served on you, within thirty (30) days after service on you, exclusive of the day of service. If you fail to do so, judgment by default will be taken against you for the relief demanded in the complaint, plus cost of this action.

Your answer may be filed in writing or may be given orally (in person) to the Court. If you mail in your answer it must be notarized. Upon receipt of your answer a hearing date will be set and you will be notified by mail. At said hearing, bring your witnesses, books, receipts or other writings bearing on your claim or defense. Failure to appear at the time of hearing my result in judgment being entered against you.

SERVED: ________________________, _______.	_________________________________________ Deputy Clerk
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		You may file an answer at one of these locations:
Deputy Marshal		185 Central Avenue, S.W., Room TG100
		North Annex: 7741 Roswell Road, Room 231
		South Annex: 5600 Stonewall-Tell Road, Room 213