__[Attorney name]__
__[Address]__
__[Telephone number]__

Attorney for __[e.g., Plaintiff]__, [name]__


            _ _ _ _ _ _ Court, County of _ _ _ _ _ _
                   __[_ _ _ _ _ _ District]__

_ _ _ _ _ _ _ _ _ _ _ _ _  )   No. _ _ _ _ _ _
                               Plaintiff(s))
vs.                                                        )JURY DEMAND
                                                                          )
_ _ _ _ _ _ _ _ _ _ _ _ _  )
                               Defendant(s))
_________________________  )

     __[E.g., Plaintiff]__, __[name]__, demands a trial by jury.

Date: _ _ _ _ _ _                                          [Signature]
                                                                                                         ________________________
                                                                                                                                            __[Typed name]__
                                                                                                         Attorney for _ _ _ _ _ _ _ _ _ _
      

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Legal Forms : Set Two