Fla. Sm. Clm. R. Form 7.334

As amended through May 30, 2024

Form 7.334 - STATEMENT OF CLAIM (PROMISSORY NOTE)

(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. On .....(date)....., defendant executed and delivered to plaintiff a promissory note, a copy being attached, in ______County, Florida.

3. Defendant failed to pay

(a) said note when due; or

(b) the installment payment due on said note on .....(date)....., and plaintiff (has/has not) elected to accelerate payment of the balance.

4. There is now due, owing, and unpaid from defendant to plaintiff $ on said note with interest since .....(date)......

WHEREFORE, plaintiff demands judgment for damages against defendant.

FL. Sm. Clm. R. Form 7.334

Amended by 285 So.3d 896, effective 1/1/2020.

Committee Notes

1972 Amendment. Attach copy of note to each copy of the statement of claim. Use 3(a) or (b) and 5 as applicable.