Free Sample Complaint (Pro Se)  - Tennessee


File Size: 8.0 kB
Pages: 3
Date: July 19, 2006
File Format: PDF
State: Tennessee
Category: Court Forms - Federal
Author: USDC
Word Count: 196 Words, 4,083 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.tned.uscourts.gov/docs/forms/sample_complaint.pdf

Download Sample Complaint (Pro Se)  ( 8.0 kB)


Preview Sample Complaint (Pro Se) 
UNITED STATES DISTRICT COURT EASTERN DISTRICT OF TENNESSEE AT
_____________________________ _____________________________ _____________________________ Name of plaintiff (s) v. _____________________________ _____________________________ _____________________________ Name of defendant (s) ) ) ) ) ) ) ) ) ) ) ) ) ) ) )

Case No. _________________________ (to be assigned by Clerk)

COMPLAINT 1. A short and plain statement of the grounds for filing this case in federal court (include federal statutes and/or U.S. Constitutional provisions, if you know them): ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 2. Plaintiff, ______________________________________________ resides at ______________________________________, ________________________ street address city ___________________, __________, _____________, ____________________. county state zip code telephone number (if more than one plaintiff, provide the same information for each plaintiff below) ______________________________________________________________________________ ______________________________________________________________________________

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3. Defendant, ____________________________________ lives at, or its business is located at _________________________________________________, ___________________________, street address city ___________________________________, ___________________, __________________. county state zip code (if more than one defendant, provide the same information for each defendant below) ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 4. Short and plain statement of your claim (state as briefly as possible the facts of your case and how each defendant is involved. You may use additional paper if necessary): ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________

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5. A demand for judgment for the relief you seek (list what you want the Court to do): a. __________________________________________________________________ __________________________________________________________________ b. __________________________________________________________________ __________________________________________________________________ c. __________________________________________________________________ __________________________________________________________________ d. __________________________________________________________________ __________________________________________________________________

I (We) hereby certify under penalty of perjury that the above petition is true to the best of my (our) information, knowledge and belief. Signed this ______________________ day of _______________________, 20_____.

_____________________________________ _____________________________________ _____________________________________ _____________________________________ Signature of plaintiff (s)

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