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§ 9-11-104 [Form Complaint on Account]

Chapter 11. Civil Practice Act

IN THE COURT OF COUNTY STATE OF GEORGIA A.B., ) Plaintiff ) )

v. ) Civil action ) File no. C.D., ) (Clerk will insert Defendant ) number.)

COMPLAINT The defendant C.D., herein named, is a resident of (street), (city), County, Georgia, and is subject to the jurisdiction of this court.

Defendant owes plaintiff $10,000.00 according to the account hereto annexed as Exhibit A.

Wherefore, plaintiff demands judgment against defendant for the sum of $10,000.00, interest, costs, and attorney fees (where applicable).

Attorney for plaintiff Address