(CAPTION) STATEMENT OF CLAIM Plaintiff, ______________________, sues defendant, ______________________, and alleges: 1. This is an action for damages that do not exceed the jurisdictional amount pursuant to Florida Small Claims Rule 7.010(b). 2. Before the institution of this action, plaintiff and defendant had business transactions between them and on .....(date)....., they agreed to the resulting balance. 3. Plaintiff rendered a statement of account to defendant, a copy being attached, and defendant did not object to the statement. 4. Defendant owes plaintiff $__________ that is due with interest since .....(date)....., on the account. WHEREFORE, plaintiff demands judgment for damages against defendant.
This is an official court form used to sue for a specific type of debt called an "account stated." This applies when two parties have had business dealings, one party sends a statement showing a final balance due, and the other party receives the statement and does not object to it within a reasonable time, thereby implicitly agreeing that the amount is correct. A copy of the statement must be attached to this form.