(CAPTION)
STATEMENT OF CLAIM
Plaintiff, ______________________, sues defendant, ______________________, and alleges: There is now due, owing, and unpaid from defendant to plaintiff $____________ for money lent by plaintiff to defendant on .....(date)....., with interest thereon since .....(date)......
WHEREFORE, plaintiff demands judgment for damages against defendant.
This is an official court form that provides a simple, fill-in-the-blank template for a lawsuit to recover money that was loaned to someone and has not been repaid. The plaintiff fills in the names, the amount of the loan, and the relevant dates to create their official "Statement of Claim."
