Legal Complaint Form
Case No.: 
I. Introduction
This court has authority under[State Code] since the incidents related to the complaint happened in[County]. The case is appropriately venued in this court because the cause of action took place in[County], and both parties live within the court's jurisdiction.
II. Statement of Facts
On[Date], the Plaintiff and Defendant entered into a written contract for the sale of goods. The Defendant failed to deliver the goods as agreed.
Allegations
- The Defendant breached the contract by not delivering the goods. 
- The Plaintiff made multiple requests for delivery, which were ignored. 
- As a result, the Plaintiff suffered financial losses amounting to[Amount]. 
III. Legal Claims
IV. Request for Relief
Relief Requested
- Plaintiff requests monetary damages totaling to compensate for the financial loss incurred due to the Defendant’s breach of contract. 
- Plaintiff seeks pre-judgment and post-judgment interest at the legal rate from the date of the breach until payment is made. 
- Plaintiff also requests that the court award any other relief deemed just and equitable, including legal fees and costs associated with bringing this action. 
V. Verification and Signature
I, [Your Name], declare under penalty of perjury that the information provided in this complaint is accurate and complete to the best of my knowledge. This verification is made in accordance with[State Code]. I understand that false statements made in this document may result in legal penalties.
 
Date:  
VI. Exhibits and Attachments
VII. Certificate of Service
I hereby certify that a true and correct copy of this complaint was served upon the Defendant,[Defendant's Name], via certified mail with return receipt requested on[Date]. The return receipt, signed by the Defendant, is attached as proof of service. Additionally, a copy of the complaint was also delivered to the Defendant’s address by personal service on the same date.
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