AOC-185 Rev. 2-03 Page 1 of 1
Doc. Code: CC
01/9/2007 11:34 am Ver. 1.01
Case No. Court SMALL CLAIMS COUNTER-CLAIM
Other
Commonwealth of Kentucky Court of Justice www.kycourts.net KRS 24A.290
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District Small Claims
County
Individual
PLAINTIFF
Name: Address:
VS.
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Individual
Other
DEFENDANT
Name: Address:
1.
Defendant claims Plaintiff: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________
2.
Defendant claims the following sum from Plaintiff for damages brought about by the above Complaint: $___________________, (amount not to exceed $1,500.00, exclusive of interest and costs) plus interest in the amount of $_______________.
3. Date:
Defendant also claims court costs. ____________________, 2____. _____________________________________________ Defendant's Signature
Instructions: This counter-claim shall be filed with the Clerk and a copy delivered to the Plaintiff at least five (5) days prior to the time of the hearing.
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