Fillable In The County Court Of The Seventh Judicial (LAURA E. ROTH Clerk of the Circuit Court, Volusia County Florida)

Fill Online, Printable, Fillable, Blank In The County Court Of The Seventh Judicial (LAURA E. ROTH Clerk of the Circuit Court, Volusia County Florida) Form

Use Fill to complete blank online LAURA E. ROTH CLERK OF THE CIRCUIT COURT, VOLUSIA COUNTY FLORIDA pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

In The County Court Of The Seventh Judicial (LAURA E. ROTH Clerk of the Circuit Court, Volusia County Florida)

On average this form takes 4 minutes to complete

The In The County Court Of The Seventh Judicial (LAURA E. ROTH Clerk of the Circuit Court, Volusia County Florida) form is 2 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 17 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your LAURA E. ROTH Clerk of the Circuit Court, Volusia County Florida forms online.

BROWSE LAURA E. ROTH CLERK OF THE CIRCUIT COURT, VOLUSIA COUNTY FLORIDA FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
In The County Court Of The Seventh Judicial
Circuit In And For Volusia County, Florida
Number:
Judge:
STATEMENT OF CLAIM
Plaintiff(s) Defendant(s)
Address: Address:
Telephone: Telephone:
This
is an action for damages which do not exceed the sum of $8,000.00 exclusive of costs, interest and attorney’s fees. Plaintiff(s) sues
defendant(s) and alleges: (GIVE BRIEF STATEMENT EXPLAINING REASONS FOR FILING SUIT. Example: loan, accident, etc.)
** Please continue to next page if you have additional information. (If applicable a copy of the
written instrument is attached hereto.)
WHEREFORE, Plaintiff requests judgment in the amount of $ damages, $ interest, attorney’s
fees (if applicable) and costs of this action.
STATE OF FLORIDA
COUNTY OF VOLUSIA
The above named Plaintiff being duly sworn states the foregoing claim is a just and true statement of the amount owing by the
Defendant to the Plaintiff, exclusive of all setoffs and just grounds of defense. Plaintiff states that the Defendant is not in the Military
Service of the United States. This action has been brought in the County in which venue is proper, pursuant to Chapter 47, Florida Statutes.
Plaintiff or Plaintiff’s Attorney
Address:
Telephone:
CL-0219-2001
(USE THE REVERSE SIDE FOR ADDITIONAL CLAIM INFORMATION)
Sues
(CONTINUATION OF STATEMENT OF CLAIM)
FOR YOUR INFORMATION
LAURA E. ROTH
CLERK OF COURT
125 E. Orange Avenue
Daytona Beach, FL 32115-2401
LAURA E. ROTH
CLERK OF COURT
101 N Alabama Avenue
DeLand, FL 32721-6043
386-736-5907
386-257-6081
**Mailing Address for Clerk of Court
P.O. Box 6043
DeLand, FL 32721-6043
CL-0219-2001
REQUESTS FOR ACCOMMODATIONS BY PERSONS WITH DISABILITIES If you are a
person with a disability who needs an accommodation in order to participate in this proceeding, you
are entitled, at no cost to you, to the provision of certain assistance. Please contact Court
Administration, 125 E. Orange Ave., Ste. 300, Daytona Beach, FL 32114, (386) 257-6096, at least 7
days before your scheduled court appearance, or immediately upon receiving this notification if the
time before the appearance is less than 7 days; if you are hearing or voice impaired, call 711.
THESE ARE NOT COURT INFORMATION NUMBERS
SOLICITUD DE ADAPTACIONES PARA PERSONAS CON DISCAPACIDADES
Si usted es una persona con discapacidad que necesita una adaptación para poder participar en este
procedimiento, usted tiene el derecho a que se le proporcione cierta asistencia, sin incurrir en gastos.
Comuníquese con la Oficina de Administración Judicial (Court Administration), 125 E. Orange
Ave., Ste. 300, Daytona Beach, FL 32114, (386) 257-6096, con no menos de 7 días de antelación de
su cita de comparecencia ante el juez, o de inmediato al recibir esta notificación si la cita de
comparecencia está dentro de un plazo menos de 7 días; si usted tiene una discapacidad del habla o
del oído, llame al 711.
ESTOS NUMEROS TELEFONICOS NO SON PARA OBTENER INFORMACION JUDICIAL
CL-0219-2001
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

In The County Court Of The Seventh Judicial (LAURA E. ROTH Clerk of the Circuit Court, Volusia County Florida)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 20 May 2022

Message

View Audit Log
Print With Audit Log
Duplicate Document