Free Form 1 - Iowa

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February 2002

SMALL CLAIMS FORMS

Ch 3, p.1

CHAPTER 3 STANDARD FORMS OF PLEADINGS FOR SMALL CLAIMS ACTIONS
[Pursuant to Iowa Code section 631.15]

Form 3.1: Original Notice - Action for Money Judgment.
February 2002

IN THE DISTRICT COURT OF IOWA IN AND FOR ______________________ COUNTY, IOWA Plaintiff(s) (Name) (Address) (Name) (Address) vs. Defendant(s) (Name) (Address) (Name) (Address) TO THE ABOVE-NAMED DEFENDANT(S): YOU ARE HEREBY NOTIFIED that the plaintiff(s) demand(s) from you the amount of $ ___________ based on ________________________________________________________ (state briefly the basis for the demand). UNLESS YOU APPEAR by completing and filing the attached appearance and answer form with the clerk of the at ___________________________________ (exact address) in _______________________________ (city), Iowa court ______ (zip code), within 20 days after service of this original notice upon you, judgment shall be rendered against you upon plaintiff's claim together with interest and court costs. IF YOU DENY THE CLAIM AND APPEAR by filing the attached appearance and answer within 20 days after service of this original notice upon you, you will then receive notification from the clerk's office of the place and time as-signed for hearing. _________________________________________________ _________________________________________________ Plaintiff(s) Judgment Entry: _____________________ ORIGINAL NOTICE (Action for money judgment) Small Claim No. _________________ Date Filed ______________________

[Court Order December 11, 1975, received for publication February 28, 1984; June 29, 1984; Letter May 12, 1987 (obsolete reference to "town" stricken); November 9, 2001, effective February 15, 2002]