Judgment Against Sac City Woman in the Amount $780.48

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    eForm 3.1: Original Notice and Petition for a Money Judgment

    In the Iowa District Court for ________________ CountyPlaintiff(s)________________________________________(Name)

    ________________________________________(Address)

    ________________________________________(Name)

    ________________________________________(Address)

    vs.Defendant(s)________________________________________(Name)

    ________________________________________(Address)

    ________________________________________(Name)

    ________________________________________

    (Address)

    Original Notice and Petition

    for a Money Judgment

    To Defendant(s):

    1. You are notified that Plaintiff(s) demand(s) from you the amount of $ ______________ plus courtcosts based on (state briefly the basis for the demand, not to exceed $5000):

    2. Judgment may be entered against you un less you file an Appearance and Answer within 20 daysof the service of the Original Notice upon you. Judgment may include the amount requested plus interest

    and court costs.3. You must electronically file the Appearance and Answer using the Iowa Judicial Branch Electronic

    Document Management System (EDMS) at https://www.iowacourts.state.ia.us/EFile ,unless you obtainfrom the court an exemption from electronic filing requirements.

    4. If your Appearance and Answer is filed within 20 days and you deny the claim, you will receiveelectronic notification through EDMS of the place and time of the hearing on this matter.

    5. If you electronically file, EDMS will serve a copy of the Appearance and Answer on Plaintiff(s) or on theattorney(s) for Plaintiff(s). The Notice of Electronic Filing will indicate if Plaintiff(s) is (are) exempt from elec-tronic filing, and if you must mail a copy of your Appearance and Answer to Plaintiff(s).6. You must also notify the clerks office of any address change.

    /s/ ________________________________ /s/ ________________________________Filing Plaintiff or Attorney Second Plaintiff, if applicable___________________________________ ___________________________________Law firm, or entity for which filing is made, if applicable Law firm, or entity for which filing is made, if applicable

    eForm 3.1, page 1 of 3

    E-FILED 2013 AUG 28 1:06 PM SAC - CLERK OF DISTRICT COURT

    SAC

    Rasmussen Ford Inc

    1620 No. Lake Ave, Storm Lake, IA 50588

    KERRI SCHUUR

    310 SO. 13TH ST

    SAC CITY, IA 50583

    780.48

    For open account for service work done on vehicle. Original check payment was returned due to insufficient funds.

    Karen SteffenRasmussen Ford Inc

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    ___________________________________ ___________________________________Mailing address Mailing address

    ___________________________________ ___________________________________Telephone number Telephone number

    ___________________________________ ___________________________________Email address Email address

    ___________________________________ ___________________________________Additional email address, if applicable Additional email address, if applicable

    eForm 3.1, page 2 of 3

    E-FILED 2013 AUG 28 1:06 PM SAC - CLERK OF DISTRICT COURT

    1620 No. Lake Ave, Storm Lake, IA 50588

    712-732-1310

    [email protected]

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    eForm 3.27: Verification of Account, Identification of Judgment Debtor, and Certificate Re MilitaryService

    In the Iowa District Court for ________________ County

    Plaintiff(s)

    _______________________________________(Name)

    _______________________________________(Name)

    vs.Defendant(s)

    _______________________________________(Name)

    _______________________________________(Name)

    Verification of Account,Identification of Judgment

    Debtor, and Certificate

    Re Military Service

    Small Claim No. _____________________

    For Defendant: __________________________(This form requi red for each Defendant.)

    1. I, ______________________________________________, am a party or an employee ofPlaintiff(s) whose claim(s) is (are) shown in the attached statement(s). I have personalknowledge that the attached statement(s) is (are) a true copy of the original creditors records

    showing the balance due is true and correct. I further state that the sum of $__________ is thebalance due and owing as of ____________________________ from Defendant(s) to Plaintiff(s)and any interest amount owing is accurately stated in the Petition or Original Notice.

    2. I further state that Defendant resides at __________________________________________,is employed at _________________________________________________________________,and Defendants occupation is ____________________________________________________.

    3. Check A, B, or C for Defendant:A. Defendant is not in the military service of the United States government, I haveverified this fact by (check one):

    Checking the Defense Manpower Data Center (DMDC) (requires name and SSNor name and date of birth) at https://www.dmdc.osd.mil/appj/scra/scraHome.do .

    Contacting Defendant who informed me.

    Regularly seeing Defendant and believing Defendant is not active in the U.S.military.

    OR B. I have investigated, and I am unable to determine whether or not Defendant is inthe military service of the United States government.

    OR C. Defendant is in the military service of the United States government.

    4. I also state to the best of my knowledge (check one):Defendant is is not under a disability or confined in a reformatory, jail, orpenitentiary.

    I certify under penalty of perjury and pursuant to the laws of the State of Iowa that these facts aretrue and correct.

    Date:__________________________________ _______________________________________Signature of Affiant

    _______________________________________ /s/_____________________________________

    Phone # Filing Plaintiff or Attorney

    _______________________________________ _______________________________________EMail adress Law firm, or entity for which filing is made, if applicable

    _______________________________________ _______________________________________Additional email address, if appilcable Mailing Address

    E-FILED 2013 AUG 28 1:06 PM SAC - CLERK OF DISTRICT COURT

    SAC

    Rasmussen Ford Inc

    KERRI SCHUUR

    Karen Steffen

    780.4808-28-2013

    310 SO. 13TH ST, SAC CITY, IA 50583

    8-28-13

    712-732-1310 Karen Steffen

    [email protected] Rasmussen Ford Inc

    1620 No. Lake Ave, Storm Lake, IA 50588

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    E-FILED 2013 AUG 28 1:06 PM SAC - CLERK OF DISTRICT COURT

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    E-FILED 2013 AUG 28 1:06 PM SAC - CLERK OF DISTRICT COURT

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    E-FILED 2013 AUG 28 1:06 PM SAC - CLERK OF DISTRICT COURT

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    E-FILED 2013 OCT 10 10:36 AM SAC - CLERK OF DISTRICT COURT

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    eForm 3.11:Appearance and Answer of Defendant(s)

    In the Iowa District Court for ________________ County

    Plaintiff(s)

    _______________________________________(Name)

    _______________________________________(Name)

    vs.

    Defendant(s)

    _______________________________________(Name)

    _______________________________________(Name)

    Appearance and Answerof Defendant(s)

    Small Claim No. ______________________

    If you need assistance to participate in court due to a disability,call the disability coordinator (information atwww.iowacourts.gov/Representing_Yourself/ADAAccess).Persons who are hearing or speech impaired may call RelayIowa TTY (1-800-735-2942). Disability coord inators cannotprovide legal advice.

    Check only one of the following:

    The claim is denied. Parties will receive electronic notification of the hearing time and pl acethrough the Iowa Judicial Branch Electronic Document Management System (EDMS).

    The claim is admitted. Judgment may be entered.

    The claim is admitted in part in the amount of $_____________. Parties will receive electronicnotification of the hearing time and place through the Iowa Judicial Branch Electronic DocumentManagement System (EDMS).

    1. You must electronically file WKLV Appearance and Answer using EDMS at

    unless you obtain from the court an exemption from electronic filing requirements.

    2. If you electronically file, EDMS will serve a copy of this Appearance and Answer on Plaintiff(s) or on the

    attorney(s) for Plaintiff(s). The Notice of Electronic Filing will indicate if Plaintiff(s) is (are) exempt from electronic

    filing and if you must mail a copy of your Appearance and Answer to Plaintiff(s).

    3. You may download this form online at https://iowacourts.state.ia.us/Efile . Unless the court has granted

    you an exemption from electronic filing, you must scan and electronically file this Answer and Appearance

    form, or fill out and electronically file the online form, in accordance with Chapter 16 Rules Pertaining to

    the Use of the Electronic Document Management System.

    /s/ ________________________________ /s/ ________________________________Filing Defendant or Attorney Second Defendant, if applicable

    ___________________________________ ___________________________________Law firm, or entity for which filing is made, if applicable Law firm, or entity for which filing is made, if applicable

    ___________________________________ ___________________________________Mailing address Mailing address

    ___________________________________ ___________________________________Telephone number Telephone number

    ___________________________________ ___________________________________Email address Email address

    ___________________________________ ___________________________________Additional email address, if applicable Additional email address, if applicable

    https://iowacourts.state.ia.us/Efile

    E-FILED 2013 OCT 14 3:07 PM SAC - CLERK OF DISTRICT COURT

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    eForm 3.11:Appearance and Answer of Defendant(s)

    In the Iowa District Court for ________________ County

    Plaintiff(s)

    _______________________________________(Name)

    _______________________________________(Name)

    vs.

    Defendant(s)

    _______________________________________(Name)

    _______________________________________(Name)

    Appearance and Answerof Defendant(s)

    Small Claim No. ______________________

    If you need assistance to participate in court due to a disability,call the disability coordinator (information atwww.iowacourts.gov/Representing_Yourself/ADAAccess).Persons who are hearing or speech impaired may call RelayIowa TTY (1-800-735-2942). Disability coord inators cannotprovide legal advice.

    Check only one of the following:

    The claim is denied. Parties will receive electronic notification of the hearing time and pl acethrough the Iowa Judicial Branch Electronic Document Management System (EDMS).

    The claim is admitted. Judgment may be entered.

    The claim is admitted in part in the amount of $_____________. Parties will receive electronicnotification of the hearing time and place through the Iowa Judicial Branch Electronic DocumentManagement System (EDMS).

    1. You must electronically file WKLV Appearance and Answer using EDMS at

    unless you obtain from the court an exemption from electronic filing requirements.

    2. If you electronically file, EDMS will serve a copy of this Appearance and Answer on Plaintiff(s) or on the

    attorney(s) for Plaintiff(s). The Notice of Electronic Filing will indicate if Plaintiff(s) is (are) exempt from electronic

    filing and if you must mail a copy of your Appearance and Answer to Plaintiff(s).

    3. You may download this form online at https://iowacourts.state.ia.us/Efile . Unless the court has granted

    you an exemption from electronic filing, you must scan and electronically file this Answer and Appearance

    form, or fill out and electronically file the online form, in accordance with Chapter 16 Rules Pertaining to

    the Use of the Electronic Document Management System.

    /s/ ________________________________ /s/ ________________________________Filing Defendant or Attorney Second Defendant, if applicable

    ___________________________________ ___________________________________Law firm, or entity for which filing is made, if applicable Law firm, or entity for which filing is made, if applicable

    ___________________________________ ___________________________________Mailing address Mailing address

    ___________________________________ ___________________________________Telephone number Telephone number

    ___________________________________ ___________________________________Email address Email address

    ___________________________________ ___________________________________Additional email address, if applicable Additional email address, if applicable

    https://iowacourts.state.ia.us/Efile

    E-FILED 2013 OCT 14 3:07 PM SAC - CLERK OF DISTRICT COURT

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    IN THE IOWA DISTRICT COURT IN AND FOR SAC COUNTY

    Plaintiff(s), SMALL CLAIMS DIVISIONRASMUSSEN FORD INC1620 NO LAKE AVESTORM LAKE IA 50588

    Case: 02811 SCSC015335

    vs.

    JUDGMENT ENTRYDefendant(s),

    KERRI SCHUUR310 SO 13TH STSAC CITY IA 50583

    Defendant has appeared and admitted the claim and requested a payment plan, which is granted.

    It is therefore Ordered that judgment is entered in favor of the plaintiff and against the defendant

    in the amount of $ 780.48 with interest at the rate of 2.12 % from the 28th day of August, 2013 andcourt costs.

    The forgoing judgment shall be paid at the rate of $75.00 per month with the first payment due on11-1-13 and on the first day of each month thereafter until paid in full..

    YOU ARE HEREBY NOTIFIED that you have a right to appeal the decision to the District Court bygiving written notice to the Small Claims Office within 20 days of the filing of this order. Fee:$185.00

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    E-FILED 2013 OCT 14 7:42 PM SAC - CLERK OF DISTRICT COURT

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    State of Iowa Courts

    Case Number Case TitleSCSC015335 RASMUSSEN FORD VS KERRI SCHUUR

    Type: ORDER FOR JUDGMENT

    So Ordered

    Electronically signed on 2013-10-14 19:42:29

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    E-FILED 2013 OCT 14 7:42 PM SAC - CLERK OF DISTRICT COURT