104 PUBLIC LAWS-CH. 43 -MAR. 5, 1938 [52 STAT. of claim, and it shall constitute prima-facie evidence of service upon the defendant. By private indi- (C) When served by a private individual, as above provided, he shall make proof of service by affidavit before the clerk, showing the time and place of such service. cost of service. (d) When served by the marshal, or by registered mail, the actual cost of service shall be taxable as costs. When served by an individ- ual, as above provided, the cost of service, if any, shall not be taxable as costs. Statement of claim, (e) The statement of claim, verification, and notice shall be in the notice. following or equivalent form, and shall be in lieu of any forms now employed and of any form of summons now provided by law: Form. MUNICIPAL COURT OF THE DISTRICT OF COLUMBIA SMALL CLAIMS AND CONCILIATION BRANCH (Location of room in courthouse) (Address of court) WASHINGTON, D . C.
"panif"
--- --- --
Plaintiff
Address No.----- _-- - .---------------- vs. Defendant STATEMENT OF CLAIM (Here the plaintiff, or at his request the clerk, will insert a statement of the plaintiff's claim, and the original, to be filed with the clerk, may, if action is on a contract, express or implied, be verified by the plaintiff or his agent, as follows:) DISTRICT OF COLUMBIA, 88:
being first duly sworn on oath says the fore- going is a just and true statement of the amount owing by defendant to plain- tiff, exclusive of all set-offs and just grounds of defense. Plaintiff (or agent) Subscribed and sworn to before me this -- __ day of ----- __---- _ , 19--. Clerk (or notary public) NOTICE To: --------------------.- ---- ---- Iefendant
Home address
Business address You are hereby notified that ----- _----------_-----_ has made a claim and is requesting judgment against you in the sum of -------- dollars ($------) , as shown by the foregoing statement. The court will hold a hearing upon this claim on ------------------ at ------. m. in the small claims and conciliation branch, (address of court). You are required to be present at the hearing in order to avoid a judgment by default. If you have witnesses, books, receipts, or other writings bearing on this claim, you should bring them with you at the time of the hearing. If you wish to have witnesses summoned, see the clerk at once for assistance. If you admit the claim, but desire additional time to pay, you must come to the hearing in person and state the circumstances to the court. You may come with or without an attorney. [SEAL] Clerk of the small claims and conciliation branch, municipal court.
�
