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SMALL CLAIMS COMPLAINT (Contract, Security Deposit, Rent, or Tort) SUPERIOR COURT OF NEW JERSEY LAW DIVISON SPECIAL CIVIL PART County
Address
Telephone No.
Attorney for Plaintiff Address Telephone No. From Plaintiff: Name: Address Telephone No. To Defendant:
SMALL CLAIMS SECTION CIVIL ACTION COMPLAINT
Check One See Instruction A for Form A
Name: Address Telephone No. Contract Security Deposit Rent Personal Injury or Property Damage(other than motor vehicle)
COMPLAINT (See instruction B for form A)
Demand: $ ________________plus costs. Plaintiff says:
(You may attach more sheets if you need to)
IMPORTANT: Plaintiffs and defendants must bring all witnesses, photos, and documents, and other evidence to the hearing. Subpoena forms are available at the Clerk's office to require the attendance of witnesses. Plaintiff will use an interpreter fluent in the __________________________ language at the hearing. I certify that the matter in controversy is not the subject of any other court action or arbitration proceeding, now pending or contemplated, and that no other parties should be joined in this action. _________________
Dated:
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Your Signature
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Your Name Typed, Stamped or Printed
Revised 09/01/2007, CN 10532-English
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