Free IN THE DISTRICT COURT FOR THE STATE OF ALASKA AT - Alaska

IN THE DISTRICT COURT FOR THE STATE OF ALASKA AT ) ) ) Plaintiff(s), ) ) ) ) ) ) Defendant(s). ) )

vs.

CASE NO. COMPLAINT

SC

Plaintiff

is a corporation that has paid its taxes due the state and filed its required reports. is not a corporation.

Defendant is indebted to the plaintiff in the principal amount of $ plus interest and court costs as a result of

which occurred at or near or about
(month/day/year)

, Alaska, on .

Plaintiff has demanded relief from the defendant, but defendant has failed to comply. Plaintiff requests small claims procedure, gives up the right to a jury trial and formal procedure in this case, and waives all of this claim which exceeds $10,000. If the court enters an order applying the formal Rules of Civil Procedure rather than the Small Claims Rules to this action, this waiver will be null and void. This action is filed at a court which will not cause unnecessary expense or inconvenience to the defendant and is the court nearest to: (Check applicable boxes.) the residence or place of employment of defendant. where personal injury or property damage occurred. where the defendant does or solicits business.
Print Name and Title (if applicable) Date Mailing Address Home Phone Plaintiff (Signature) City State ZIP

Work Phone

Instructions: If you are filing documents supporting your claim (for example: promissory notes, checks, receipts, bills), you must also attach a copy of each document for each defendant.
SC-1 (9/04)(st.3) COMPLAINT Dist. Ct. Civ. R. 10(a) and 12(a) AS 10.06.848