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A complaint shall be in writing and signed by the plaintiff or his or her attorney, if any. It shall also: (a) state the names of the parties, the nature and basis of the claim, and the nature and amount of the relief sought; (b) warn the defendant to file a written answer with the clerk of the court, and to serve a copy to the plaintiff or his or her attorney, within 30 days after service of the complaint upon him; (c) warn the defendant that failure to file an answer may result in a default judgment being entered against him; (d) recite the address of the plaintiff or his or her attorney, if any; and (e) contain a proof of service form which shall be completed by the person serving the defendant. No separate summons is required.


___________ Court of ___________, Arkansas

___________________________________, Plaintiff


vs.                                                                  No. _______________________


 _________ ___________________________________, Defendant

 Plaintiff's Address: ____________________________

Defendant’s Address: ____________________________

Nature of Claim: ____________________________

Nature and Amount of Relief Claimed: ____________________________ ____________________________

____________________________ ____________________________

Date Claim Arose: ____________________________

Factual Basis of Claim: ____________________________

Plaintiff's Attorney, if any, and Address: ____________________________




               [Signature of Attorney, if any, or of Plaintiff]


You are hereby warned to file a written answer with the clerk of the court within 30 days after the date that you receive this complaint and to send a copy to the plaintiff or to his or her attorney. If you do not file an answer within 30 days, or if you fail to file an answer, a default judgment may be entered against you.


                                                               [Signature of Clerk or Judge]



CITY OF ______________________________

I, _______________________, hereby certify that I served the within

complaint on the defendant, ________________________, at o'clock _____.m.

on ____________ 2_____, by [state method of service].


                                                      [Signature and Office, if any]

Subscribed and sworn to before me this _____ day of _________ 2_____,

[To be completed if service is by someone other than sheriff or constable.]


                                                    Notary Public or Court Clerk

My Commission Expires: ____________

History Text: 

History. Amended November 18, 1996, effective March 1, 1997; revised December 9, 2004, effective January 1, 2005; amended June 2, 2011, effective July 1, 2011.

Associated Court Rules: 
District Court Rules