1)
Plaintiff Information
Please complete all the requested information below. If you
have any questions please call us at
1-800-595-2948.
Your Name
Your Title
If you are a DBA you must provide your DBA number and
expiration date
(Date of expiration is 5 years from date of
filing)
Your DBA Number
Expiration Date
We can obtain your DBA number to satisfy
this requirement for $50.
Are you suing as a business? If
yes, please enter business name and type.
Your Business Name
Your Business Type
Your
Current Address
It’s your responsibility to provide
the correct address to serve your lawsuit. If you do not have
a correct address we can help just call the office.
Your Home Phone Number
Your Business Phone Number
Your Cell
Phone Number
Your Fax Number
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2)
How
many defendants would you like us to serve?
Please contact our
office if there are more than three defendants.
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3)
Defendant Information
Defendant 1
Name
If it is a business, please enter business name and type.
DBA or Business name:
Type
Current Address for Agent of Service
Defendant 1 Phone Number
Defendant 1 Fax Number
a) Is the defendant a
corporation?
b) If yes, would you like us to obtain
corporate agent for service of the lawsuit?
If no, you must provide us with name and address of
corporate agent for service of the lawsuit:
You must provide the Agent
for Service for your lawsuit. Our fee to attempt to locate
the Agent is $35. (Please check the appropriate box in the Optional
Services section)
Name Of Corporate
Agent for Service
Current Address
Phone Number
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Defendant 2
(optional)
Name
If it is a business, please enter business name and type.
DBA or Business name
Type
Current Address for Agent of Service
Defendant 2 Phone Number
Defendant 2 Fax Number
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Defendant 3 (optional)
Name
If it is a business, please enter business name and type.
DBA or Business name
Type
Please contact our
office if there are more than three defendants.
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4) Suit Information
Defendant owes me the sum of:
$
(not including attorney fee, court costs or interest.)
Date of incident
Reason(s) for suit:
If it involves an accident, where did it occur?
County
City
Zip
If it involves a contract, or breach of
contract, where does the defendant(s) reside, or where is the
defendant(s) place of business located?
County
City
Zip
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5) Additional Information
Have you filed more than one
other small claims action anywhere in California during this
calendar year in which the amount demanded is more than
$2,500?
Have you filed more than 12
small claims, including this claim, during the previous 12
months?
Are any of the defendants in
the military service?
Please provide any other additional information that may help
us in filing your suit (i.e. unavailable court dates).
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6)
Billing Information
Name On Credit Card:
Credit Card Type:
Credit Card #
Expiration Date (ex. 12/02/2005)
3 digit security code
(located on back of credit card):
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7)
Authorization
I hereby authorize The Law Offices Of Franklin Radoff to
charge the credit card, mentioned herein, the sum of: (our minimum fee is
$293 not including optional services)
Attorney fees and unexpended cost are not refundable for any
reasons.
*Total Amount = $175 +
$85 + Filing Fee (See above and select correct fee to enter
below)
Total Amount:
$
Your Name:
Mr. Radoff recommends that
you should never appear in court without legal advice.
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If you have any questions please contact Mr. Radoff at
800-595-2948.
If you are not using our
services to file a small claims court case, Mr. Radoff charges 39.95 per call,
charged to your bank or credit card. Please have
your card ready when you call. |
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Mr. Radoff will receive this form via email. His office will
complete your small claims complaint and you will receive it
back by fax or mail. |