格式 6
关于已得款项的起诉状 字串5
1.管辖权声明。
2.被告于1936年6月1日从G.H.处得到应支付给原告的一笔款项 ___________ 美元，被告应将该款项偿付原告。 字串3
据此……（同格式1） 字串4
Form 6 字串1
COMPLAINT FOR MONEY HAD AND RECEIVED
字串4
1.Allegation of jurisdiction. 字串8
2.Defendant owes p0laintiff __________ dollars for money had and received from one G.H. on June 1， 1936， to be paid by defendant to plaintiff. 字串9
Wherefore （ etc .as in Form1）。 字串2
格式 7 字串1
要求偿还债务并宣告欺诈性财产转让为无效的起诉状 字串1
A.B.，原告 字串9
诉 起诉状 字串4
C.D.及E.F.，被告
字串3
1.管辖权声明。
2.被告C.D.在或大约在______________签发给原告一张本票[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]；[在该本票中被告C.D.承诺或指示在__________支付原告5000美元并附加年利息率为_____%的利息]. 字串5
1.被告C.D.欠原告该本票所载款项及利息。 字串3
2.被告C.D.于或大约于____________将其所有财产，包括动产和不动产（或者详列）转让给被告E.F.以欺骗原告并妨碍、拖延原告取得由上述本票所证明的欠款。 字串3
因此，原告要求： 字串6
（1）判决被告C.D.支付原告___________美元及利息；
（2）宣告向E.F.转让财产的行为无效，判决对该财产的留置权； 字串2
（3）判决被告支付诉讼费用。
字串8
Form 7
COMPLAINT ON CLAIM FOR DEBT AND TO SET ASIDE
FRAUDULENT CONVEYANCE
A.B.，Plaintiff
v. Complaint
C.D. and E.F.，Defendants
1.Allegation of jurisdiction. 字串1
2.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 five thousand dollars with interest thereon at the rate of _________ percent， per annum].
字串7
3.Defendant C.D. owes to plaintiff the amount of said note and interest .
4.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： 字串8
（1） That plaintiff have judgment against defendant C.D. for ___________ dollars 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；
字串8
（3） That plaintiff have judgment against the defendants for costs.
字串1
二、关于过失、疏忽及人身伤害损害 字串4
赔偿之诉起诉状
字串6
格式 8 字串7
关于过失的起诉状
1.管辖权声明。
字串8
2.1936年6月1日，被告在马萨诸塞州波士顿市一条名为波依斯顿街的公路上，疏于驾驶而将正步行跨越公路的原告撞倒。
3.于被告撞击造成的腿部骨折及其他伤害，使原告不能工作，并遭受了身体和精神的巨大痛苦原告还为此支出医疗护理费和住院费共1000美元。
据此，原告请求判决被告支付 __________ 美元的赔偿金并支付诉讼费用。
字串6
（注：因共同过失为积极抗辩，故起诉书无需包含关于原告应有注意的声明。）
Form 8
COMPLAINT FOR NEGLIGENCE 字串5
1.Allegation of jurisdiction. 字串9
2.On June 1， 1936， in a public highway called Boylston Street in Boston， Massachusetts， defendant negligently drove a motor vehicle against p0laintiff who was then crossing said highway. 字串7
3.As a result plaintiff was thrown down and had his leg broken and was otherwise injured， was prevented from transacting his business， suffered great pain of body and mind ， and incurred expenses for medical attention and hospitalization in the sum of one thousand dollars. 字串2
Wherefore plaintiff demands judgment against defendant in the sum of __________ dollars and costs.
（NOTE： Since contributory negligence is an affirmative defense ，the complaint need contain no allegation of due care of plaintiff.） 字串2
