COMPLAINT ON A PROMISSORY NOTE
1. Allegation of jurisdiction.
2. Defendant on or about June 1,1935,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 promised to pay to plaintiff or order on June 1,1936 the sum of __________dollars with interest thereon at the rate of six percent per annum].
3. Defendant owes to plaintiff the amount of said note and interest.
Wherefore plaintiff demands judgment against defendant for the sum of _________ dollars, interest, and costs.
Signed: ___________
Attorney for Plaintiff
Address: __________
1. 管辖权声明。
2. 被告于或大约于1935年6月1日签署并交付原告本票一张[以下述文字与数字作成:(在此逐字抄录)];[该本票副本见附件证据A];[因此被告于1936年6月1日承诺支付或指示支付原告___________美元并附加年利息率为6%]。
3. 被告欠原告该本票所载款项及利息。
据此,原告请求判决被告偿付________美元的款项、利息及费用。
签名:___________
原告律师
地址:_____________
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