[ch]]SC-100[/ch]
Plaintiff (list names): John Flower
Case Number (for clerk):
One.
The Plaintiff (the person, business, or public entity that is suing) is:
Name: John Flower
Phone: 898-094
Street Address (Street, City, State, Zip: Blueberry Complex Apartment - Apartment 2 - 68836
Mailing Address (if different): N/A
If more than one Plaintiff, list next Plaintiff here:
Name:
Phone:
Street Address (Street, City, State, Zip):
Mailing Address (if different):
Two.
The Defendant (the person, business, or public entity being sued) is:
Name: San Andreas Police Department
Phone: 211
Street Address (Street, City, State, Zip): Dillimore Police Station
Mailing Address (if different): N/A
If more than one Defendant, list next Defendant here:
Name:
Phone:
Street Address (Street, City, State, Zip):
Mailing Address (if different):
Three.
The Plaintiff claims the Defendant owes $1,000,000.00
Four.
List the evidence you have regarding the claims listed in three.
Five.
You must ask the Defendant (in person, in writing, or by phone) to pay you before you sue. Have you done this?
Six.
I understand that by filing a claim in court, I have no right to appeal this claim.
I declare, under penalty of perjury under San Andreas State law, that the information above and on any attachments to this form is true and correct.
Date: 14.12.2016 John Flower John Flower
Date: INSERT 2ND PLAINTIFFS NAME 2ND PLAINTIFFS NAME
Plaintiff (list names): John Flower
Case Number (for clerk):
One.
The Plaintiff (the person, business, or public entity that is suing) is:
Name: John Flower
Phone: 898-094
Street Address (Street, City, State, Zip: Blueberry Complex Apartment - Apartment 2 - 68836
Mailing Address (if different): N/A
If more than one Plaintiff, list next Plaintiff here:
Name:
Phone:
Street Address (Street, City, State, Zip):
Mailing Address (if different):
Two.
The Defendant (the person, business, or public entity being sued) is:
Name: San Andreas Police Department
Phone: 211
Street Address (Street, City, State, Zip): Dillimore Police Station
Mailing Address (if different): N/A
If more than one Defendant, list next Defendant here:
Name:
Phone:
Street Address (Street, City, State, Zip):
Mailing Address (if different):
Three.
The Plaintiff claims the Defendant owes $1,000,000.00
[*=left]Why does the Defendant owe the Plaintiff money? Because my vehicle was impounded by police just because they found a gun on me which i didnt have a license for.
[*=left]When did this happen? (Date): 14.12.2016
[*=left]If no specific date, give the time period: Date started:
[*=left]How did you calculate the money owed to you?: The SAPD impounded my car for 2-3 days and i couldnt use it (i am a big business man and my time is expensive). And also police officer cuffed me and didnt even buckle me up and on the way to prison he crashed into police FBI rancher and i hit my head really bad.
Four.
List the evidence you have regarding the claims listed in three.
- Evidence 4.1
- Detail the items/pictures name: Police Dashcam ((Post your logs or screenshots if have))
- The actual evidence http://imgur.com/a/GgF3D
- Description of the evidence presented.
- Evidence 4.2
- Detail the items/pictures name
- The actual evidence
- Description of the evidence presented.
Five.
You must ask the Defendant (in person, in writing, or by phone) to pay you before you sue. Have you done this?
[*=left][X] Yes ---------- [ ] No
Six.
I understand that by filing a claim in court, I have no right to appeal this claim.
I declare, under penalty of perjury under San Andreas State law, that the information above and on any attachments to this form is true and correct.
Date: 14.12.2016 John Flower John Flower
Date: INSERT 2ND PLAINTIFFS NAME 2ND PLAINTIFFS NAME