NC-500: NC 500 Form | CA Small Claims

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p1_header

Atty Bar No

Name

Atty Firm

Street

City

State

Zip

Phone

Fax

Email

Atty For

Crt County

Crt Street

Crt Mailing Add

Crt City Zip

Crt Branch

Party1 Ft

Case Number Ft

Petitioner Cb

2

list

3

p1_footer

Court Link

4

p2_caption

Party1 Ft

Case Number Ft

5

declaration

fill text 44

Dgender

6

date

Sig Date

T

Sig Date

T

Sig Date

T

Sig Date

T

Date

Print Name

7

last_page

T

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