§ FORM 4 COMPLAINT-PROMISSORY NOTE

FORM 4. COMPLAINT--PROMISSORY NOTE

    [Caption and signature block as in Form 1]

    Plaintiff alleges:

    1. Plaintiff is a resident of _______ County, Utah.

    2. Defendant is a resident of _______ County, Utah.

    3. Venue is proper in this court because this action involves a contract to be performed in this county.

    4. On _______, defendant executed and delivered to plaintiff a promissory note under which defendant promised to pay to plaintiff on demand the sum of $_______, with interest at the rate of _______ percent per annum. A copy of the promissory note is attached hereto as Exhibit A.

    5. Defendant is in default under the note and owes plaintiff $_______ in principal, plus interest from _______ until the note is paid.

    6. Under the terms of the promissory note, plaintiff is entitled to recover attorneys' fees and other costs of collection.

    Wherefore, plaintiff requests relief as follows:

    a. For judgment in the amount of $_______;

    b. For interest as provided by law from the date of judgment until paid;

    c. For attorneys fees and other costs of collection;

    d. For costs of court; and

    e. For such further relief as the court deems just.