Free Form 12 - Iowa

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Ch 3, p.12

SMALL CLAIMS FORMS

September 2004

Form 3.12: Original Notice - Nonresident Motor Vehicle Owner or Operator.
September 2004

IN THE DISTRICT COURT OF IOWA IN AND FOR ______________________ COUNTY, IOWA (Small Claims Division) 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 court at ________________________________________________ (exact address) in ____________________ (city), Iowa _________ (zip code), within 60 days after the filing of this original notice with the director of transportation of the State of Iowa, judgment shall be rendered against you upon plaintiff's(s') claim together with interest and court costs.
IF YOU DENY THE CLAIM AND APPEAR by filing the attached appearance and answer within 60 days after the filing of this original notice with the director of transportation of the State of Iowa, you will then receive notification

ORIGINAL NOTICE (Nonresident Motor Vehicle Owner or Operator) Small Claim No. ________________ Date Filed _____________________

fromthe clerk's office of the place and time assigned for hearing.

__________________________________________________ __________________________________________________ Plaintiff(s) Judgment Entry: ______________________

[Report September 29, 1987, effective December 1, 1987; November 9, 2001, effective February 15, 2002]