1. On or about the ___________ day of ____________________, 20__________, defendant and plaintiff were negotiating concerning the purchase by plaintiff from defendant of the following described property:
[describe property].
2. At that time defendant represented to plaintiff that [here set out representations with particularity].
3. The representations made by defendant were false [and defendant knew that they were false] [and defendant, without knowledge of the true facts, recklessly misrepresented them] [and were made with the intention that plaintiff should rely upon them].
4. Plaintiff believed the representations and in reliance upon them purchased the property.
Wherefore plaintiff demands judgment against defendant in the sum of _______________ dollars and costs.
Miss. R. Civ. P. Form 19