77 STAT. ]
PUBLIC LAW 88-241-DEC. 23, 1963
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DISTKICT OF COLUMBIA COURT OF GENERAL SESSIONS SMALL CLAIMS AND CONCTLIAHON BRANCH
(Location of room in courthouse) Washington, D.C.
(Address of court)
Plaintiff Address vs.
No.
Defendant STATEMENT OF CLAIIC
(Here the plaintiff, or at his request the clerk, will insert a statement of the plaintiff's claim, and the original^ to be filed with the (ilerk, may, if action is on a contract, express or implied, be verified by the plaintiff or his agent, as follows:) DisTRicrr OF COLUMBIA, SS: being first duly sworn on oath says the foregoing is a just and true statement of the amount owing by defendant to plaintiff, exclusive of all set-offs and just grouncb of defense. Subscribed and sworn to before me this 19 .
Plaintiff (or agent) day of , Clerk (or notary public)
NoncB To: Defendant Home address Business address You are hereby notified that has made a claim and is requesting judgment against you in the sum of 1 dollars ($ ), as shown by ttie foregoing statement. The Court will hold a hearing upon this claim on ——I at m. in the Small Claims and Conciliation Branch (address of Court). You are required to be present at the hearing in order to avoid a judgment by default. If you have witnesses, books, receipts, or other writings bearing on this claim, you should bring them with you at the time of the hearing. If you wish to have witnesses summoned, see the clerk at once for assistance. If you admit the claim, but desire additional time to pay, you must come to the hearing in person and state the circumstances to the court. You may come with or without an attorney. [SSAL] ——•— Clerk of the Small Claims and Conciliation Branch, Court of General Sessions. 93-025 0 - 6 4 - 4 1
609
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