§ FORM 3. Complaint on a Promissory Note

FORM 3. Complaint on a Promissory Note

1. Defendant on or about June 1, 1954, executed and delivered to plaintiff a promissory note [in the following words and figures: (here set out the note verbatim) ]; [a copy of which is hereto annexed as Exhibit A]; [whereby defendant promised to pay to plaintiff or order on June 1, 1954 the sum of ten thousand dollars with interest thereon at the rate of six per cent per annum].

2. Defendant owes to plaintiff the amount of said note and interest.

Wherefore plaintiff demands judgment against defendant for the sum of ten thousand dollars, interest, and costs.

Signed: ________________________________________________________________________________
Attorney for Plaintiff
Address: ________________________________________________________________________________