Section 9-11-113. Form of complaint on claim for debt and to set aside fraudulent conveyance under Code Section 9-11-18

                      IN THE            COURT OF            COUNTY                       
 
 
                               STATE OF GEORGIA                                

 
   A.B.,                           )
         Plaintiff                 )
 
                                   )
            v.                     )     Civil action
 
                                   )     File no.      
 
   C.D. and E.F.,                  )     (Clerk will insert
         Defendants                )     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. (Add appropriate statement about domicile of defendant E.F.)
 
 
                                      1.                                       

 
   Defendant C.D. on or about                  executed and delivered to plaintiff a 
promissory note in the following words and figures: (here set out the note 
verbatim); (a copy of which is hereto annexed as Exhibit A); whereby defendant 
C.D. promised to pay to plaintiff or order on         the sum of $5,000.00 
with interest thereon at the rate of      percent per annum.
 
 
                                      2.                                       

 
   Defendant C.D. owes to plaintiff the amount of said note and interest.
 
 
                                      3.                                       

 
   Defendant C.D. on or about          conveyed all his property, real and 
personal (or specify and describe), to defendant E.F. for the purpose of 
defrauding plaintiff and hindering and delaying the collection of the 
indebtedness evidenced by the note above-referred to.

Wherefore, plaintiff demands:

   (1) That plaintiff have judgment against defendant C.D. for $10,000.00 and interest;

   (2) That the aforesaid conveyance to defendant E.F. be declared void and the judgment herein be declared a lien on said property;

   (3) That plaintiff have judgment against the defendants for costs.
 
                                                                               
 
                                                         Attorney for plaintiff
 
                                                                               
 
                                                                        Address

Ga. L. 1966, p. 609, § 113; Ga. L. 1980, p. 649, § 11.