IN THE (NAME OF COURT-SMALL CLAIMS, GENERAL SESSONS, CIRCUIT, ETC.) COURT FOR (LOCATION OF COURT)
(THE HEADING INFORMATION SHOULD BE COPIED FROM YOUR SUMMONS AND COMPLAINT)
___NAME OF COMPANY SUING YOU__
PLAINTIFF,
VS.
NO. (CASE NUMBER)
____YOUR NAME___________________________
DEFENDANT
SWORN DENIAL ON ACCOUNT
Comes the Defendant, after being duly sworn according to law, and says that he/she does not owe the account on which the Plaintiff has sued him/her and that the same is not true, just, nor correct for the following reason(s):
This is not a valid debt.
This is not my debt.
I did not sign a contract to be responsible for this debt.
I did not sign a contract with this plaintiff.
If I am responsible for this debt, the amount sued for is incorrect.
If I am responsible for this debt, it is barred by any applicable statute of limitations.
_____________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________
_______________________
DEFENDANT (Your Name)
Sworn to and subscribed before me this the
________ day of _____________, 20_______.
_____________________________________
(NAME)
Notary Public
My Commission expires on _____________________________________.
CERTIFICATE OF SERVICE
I certify that a true and exact copy of the foregoing has been served upon
___(Attorney’s name and address______________________________________________________
by proper mailing/hand delivered same on this the _______ day of _______________________,
20_______.
_______________________
DEFENDANT (Your Name)