STATE OF WISCONSIN, CIRCUIT COURT, COUNTY
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Plaintiff: (Name [first, middle, last], Address, City, State, Zip)
See attached for additional plaintiffs
-vs-
To: Defendant(s) : (Name [first, middle, last], Address, City, State, Zip)
See attached for additional defendants
If you require reasonable accommodations due to a disability to participate in the court process, please call at least 10 working days prior to the scheduled court date. Please note that the court does not provide transportation.
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Amended
Summons and Complaint
Small Claims
Case No.
Claim for money ($10,000 or less) 31001
Return of property (replevin) 31003
Eviction 31004
Eviction due to foreclosure 31002
Arbitration award 31006
Return of earnest money 31008
Tort/Personal injury ($5,000 or less) 31010
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SUMMONS
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To the Defendant(s):
You are being sued as described below. If you wish to dispute this matter:
You must appear at the time and place stated.
AND/OR (Clerk will circle one)
You must file a written answer and provide a copy to the plaintiff or plaintiff’s attorney on or before the date and time stated.
If you do not appear or answer, the plaintiff may win this case and a judgment entered for what the plaintiff is asking.
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When to Appear/File an Answer
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Date
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Time
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Place to Appear/File an Answer
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Clerk/Attorney Signature
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Date Summons Issued
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Date Summons Mailed
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COMPLAINT
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Plaintiff's Demand:
The plaintiff states the following claim against the defendant(s):
1. Plaintiff demands judgment for: (Check as appropriate)
Claim for Money $ Tort/Personal injury $
Return of Earnest Money Eviction Eviction due to foreclosure
Return of property (replevin) (Describe property in 2 below.) Confirmation, vacation, modification or
(Not to include Wis. Stats. 425.205 actions to recover collateral.) correction of arbitration award.
Plus interest, costs, attorney fees, if any, and such other relief as the court deems proper.
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2. Brief statement of dates and facts: (If this is an eviction action and you are seeking money damages, you must also state that claim on this form.)
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See attached for additional information. Provide copy of attachments for court and defendant(s).
Verification: Under oath, I state that the above complaint is true, except as those matters stated upon information and belief, and as to those matters, I believe them to be true.
I am: plaintiff. attorney for the plaintiff.
State of
County of
Subscribed and sworn to before me on
Notary Public/Court Official
Name Printed or Typed
My commission/term expires:
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Signature of Plaintiff or Attorney
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Date
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Attorney’s State Bar Number
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Plaintiff'’s/Attorney's Telephone Number
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Law Firm and Address
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SC-500, 08/11 Summons and Compliant – Small Claims Chapter 799, Wisconsin Statutes
This form shall not be modified. It may be supplemented with additional material.
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