§ Form 2 Complaint on a Promissory Note

Form 2. Complaint on a Promissory Note

    1. Defendant on or about June 1, 1952, executed and delivered to the 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 1); (whereby defendant promised to
pay to plaintiff or order on June 1, 1953, the sum of one thousand dollars with interest thereon from _______ at the rate of six
percent per annum).

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

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

Signed: ________________________________________________________________________________
Attorney for Plaintiff
Address: ________________________________________________________________________________