Section 9-11-106. Form of complaint for money lent

                      IN THE            COURT OF            COUNTY                       
 
 
                               STATE OF GEORGIA                                

 
   A.B.,                           )
         Plaintiff                 )
 
                                   )
            v.                     )     Civil action
 
                                   )     File no.      
 
   C.D.,                           )     (Clerk will insert
         Defendant                 )     number.)
 
 
                                   COMPLAINT                                   

 
   The defendant C.D., herein named, is a resident of            (street),            
(city),            County, Georgia, and is subject to the jurisdiction of this 
court.
 
   Defendant owes plaintiff $10,000.00 for money lent by plaintiff to 
defendant on June 1, 1966.
 
   Wherefore, plaintiff demands judgment against defendant for the sum of 
$10,000.00, interest, costs, and attorney fees (where applicable).
 
                                                                                       
 
                                                 Attorney for plaintiff
 
                                                                               
 
                                                              Address

Ga. L. 1966, p. 609, § 106; Ga. L. 1980, p. 649, § 4.