Free Counterclaim - Hawaii

COUNTERCLAIM; CERTIFICATE OF SERVICE; DECLARATION IN THE DISTRICT COURT OF THE THIRD CIRCUIT ______________________________ DIVISION STATE OF HAWAI`I
Plaintiff(s)

Form #3DC14

Reserved for Court Use

Court Date: $

REC. # Civil No.

Defendant(s)

Defendant(s)/Defendant(s)' Attorney (Name, Attorney Number, Firm Name (if applicable), Address, Telephone and Facsimile Numbers)

1.

On or about (Attach continuation page, if necessary).

COUNTERCLAIM , Plaintiff(s) owed money to Defendant(s) as follows:

2.

Defendant(s) asks for judgment against Plaintiff(s) in the sum of $ the Court may award court costs, interest and reasonable attorney's fees.

. In addition,

CERTIFICATE OF SERVICE I certify that a copy of this Counterclaim was served at the last known address(es) of the Opposing Party(ies) or Opposing Party(ies)' attorney on by G Hand-delivery or G Mail, Postage Prepaid, at the following address(es):

Signature of Defendant(s)/Defendant(s)' Attorney: Date: Print/Type Name:

DECLARATION I have read this Counterclaim, know the contents and verify that the statements are true to my personal knowledge and belief. I DECLARE UNDER PENALTY OF PREJURY UNDER THE LAWS OF THE STATE OF HAWAI`I THAT THE ABOVE IS TRUE AND CORRECT. Signature of Declarant: Date: Print/Type Name:

In accordance with the Americans with Disabilities Act if you require an accommodation for your disability, please contact the ADA Coordinator at PHONE NO. 934-5788 FAX 935-1959, or TTY 961-7525 at least ten (10) working days in advance of your hearing or appointment date.
COUNTCLM.X (Amended 4/18/97)v
3D-P-267

I certify that this is a full, true, and correct copy of the original on file in this office. Clerk, District Court of the above Circuit, State of Hawai`i
Reprographics (11/06)

Clear form