Free Counter Affidavit and Summons - Utah

My Name Address City, State, Zip Phone E-mail I am the Defendant Attorney for the Defendant and my Utah Bar number is _______

In the

District

Justice Court of Utah

__________ Judicial District ________________ County Court Address ______________________________________________________ _____________________________________ Counter Affidavit and Summons
Plaintiff

Case Number ___________________ v. Judge _________________________ _____________________________________
Defendant

And _____________________________________
Defendant

I swear that the following is true. (1) Plaintiff owes me plus the filing fee of for a total of: $ $ $ for the claim described in paragraph (2).

plus prejudgment, if qualified for prejudgment interest.

Counter Affidavit and Summons

Approved Board of District Court Judges September 10, 2008

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(2)

The events happened on ______________________ (date). My claim is based on the following facts.

(3) (4)

I am not suing a government entity. I am not suing a government employee for the employee's on-the-job conduct. I am not suing on a claim that has been assigned to me.

I have not included any non-public information in this document. Date: Sign here Printed Name. Defendant or Defendant's Agent

I certify that __________________________, who is known to me or who presented satisfactory identification, has, while in my presence and while under oath or affirmation, voluntarily signed this document and declared that it is true. Sign here Notary or Court Clerk Notary Seal

Date:

Counter Affidavit and Summons

Approved Board of District Court Judges September 10, 2008

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Summons
The State of Utah to the Plaintiff:

You are summoned to appear at trial to answer the above claim. The trial will be held at the court address shown above. If you fail to appear, judgment may be entered against you for the total amount claimed. The original trial date remains unchanged and is on: has been changed to: Time : a.m. p.m.

Date Room

Notice to the Plaintiff. A small claims case has been filed against you. This imposes upon you certain rights and responsibilities. You may obtain small claims information and instructions at www.utcourts.gov/howto/ Disability Accommodations. If you need accommodation of a disability, contact a judicial service assistant at least 3 days before the hearing.
Date: Sign here Court Clerk

Certificate of Service
I certify that I mailed a copy of this Counter Affidavit to the following people.

Person's Name

Address

Date Sent

Date

Sign here Court Clerk

Counter Affidavit and Summons

Approved Board of District Court Judges September 10, 2008

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