NOTICE OF SMALL CLAIMS EVICTION
CLARK
COUNTY COURTS
501 E. Court Avenue, Jeffersonville, Indiana
Service
by:
□
sheriff
□
certified Mail
CASE NO: ________________________________
________________________________________ ____________________________________________
NAME (PLAINTIFF) NAME (DEFENDANT)
__________________________________________________________ _______________________________________________________________
STREET ADDRESS STREET ADDRESS
__________________________________________________________ _______________________________________________________________
CITY, STATE, ZIP CITY, STATE, ZIP
_____________________ ___________________________________ _______________________ ______________________________________
TELEPHONE EMAIL ADDRESS TELEPHONE EMAIL ADDRESS
IF FILED BY PLAINTIFF’S ATTORNEY
ATTORNEY NAME: ________________________________________ ________________________________________________________________
NAME (DEFENDANT)
STREET ADDRESS: ________________________________________
________________________________________________________________
CITY, STATE, ZIP: _________________________________________ STREET ADDRESS
TELEPHONE NUMBER: _____________________________________ ________________________________________________________________
CITY, STATE, ZIP
ATTORNEY BAR NUMBER: _________________________________
______________________ _________________________________________
EMAIL ADDRESS: __________________________________________ TELEPHONE EMAIL ADDRESS
NOTICE: A copy of the Lease MUST be attached to all copies of your claim.
STATEMENT OF CLAIM
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
The Plaintiff seeks Judgment against the Defendant(s) for $______________, plus additional accrued rent, utilities and attorney fees, plus
court costs and sheriff service fee and Eviction from the rental property.
_________________________________________________________
PLAINTIFF
NOTICE: READ THE FOLLOWING INFORMATION AND THE INFORMATION ON THE BACK OF THIS FORM
YOUR HEARING IS SCHEDULED FOR _______________ AT __________ ____. M. IN MAGISTRATE “B” COURTROOM, ROOM 249.
If you fail to appear in Court on the date and at the time set for trial, the Plaintiff can receive a judgment for the amount claimed, plus costs. If you do
not wish to dispute the claim, you may nonetheless appear for the purpose of allowing the Court to establish a method of payment. If this matter is not
settled and dismissed before the trial date, you will at the time of trial be required to appear with your witnesses and any documents required to prove
your side of the case.
By filing a Small Claim, the Plaintiff has waived the right to a jury trial. You have ten (10) days from receipt of this notice to file a motion
requesting a jury trial. Once a jury trial request has been granted, it may not be withdrawn without the consent of the other party or parties. Within
ten (10) days after the jury trial request has been granted, the party requesting a jury trial shall pay the clerk the additional amount required by statute
to transfer the claim to the plenary docket otherwise the party requesting the jury trial shall be deemed to have waived the request.
An individual,
sole
proprietor,
or a
partner
may appear
in
person
or by an
attorney.
In any claim not exceeding $6,000.00 any Sole Proprietorship, Partnership, Corporate Entities, Limited Liability Company (LLC), Limited
Liability Partnership (LLP) or Trust may be represented by a full-time employee or trustee. However, before a full time employee or trustee may
appear, the Sole Proprietorship, Partnership, Corporate Entity, LLC, LLP or Trust must file a Certificate of Compliance duly adopted in accordance
with Small Claims Rule 8 (C). Additionally, the designated employee or trustee must file an Affidavit in accordance with Small Claims Rule 8 (C).
The Certificate of Compliance and Affidavit MUST be filed in EACH case prior to appearing in Court.
HOWEVER, CLAIMS EXCEEDING $6,000.00 MUST BE DEFENDED OR REPRESENTED BY AN ATTORNEY.
If you
have questions
concerning
this matter
you should
call
812/258-2593.
(1/2022)