15 Sample Petitions for Money Claim COA

Sample Petition Four

Subject: Petition for Money Claim – Personal Loan Default

Dear Honorable Court,

I, Michael Brown, am filing this petition for a money claim against my former friend, David Wilson, for defaulting on a personal loan. On August 1, 2021, I loaned Mr. Wilson the sum of $10,000 with the understanding that he would repay the loan within one year. We signed a written agreement outlining the terms of the loan, including a 5% annual interest rate. Despite numerous attempts to collect the debt, Mr. Wilson has failed to make any payments toward the principal or interest. I have sent written notices and attempted to negotiate a repayment plan, but my efforts have been unsuccessful. I respectfully request that the court order Mr. Wilson to pay the full amount owed, along with the agreed-upon interest and any legal fees incurred.

Sincerely,

Michael Brown

Sample Petition Five

Subject: Petition for Money Claim – Damages from Car Accident

Dear Honorable Court,

I, Emily Davis, am filing this petition for a money claim against the negligent driver, James Thompson, for damages resulting from a car accident. On March 15, 2023, Mr. Thompson rear-ended my vehicle while I was stopped at a red light. The collision caused significant damage to my car and left me with severe neck and back injuries. Mr. Thompson’s insurance company has refused to cover the full extent of the damages, leaving me with substantial medical bills and repair costs. I have provided documentation of the accident, including a police report and medical records, to support my claim. I respectfully request that the court order Mr. Thompson to pay for the full amount of damages, including medical expenses, lost wages, and property damage.

Sincerely,

Emily Davis

Sample Petition Six

Subject: Petition for Money Claim – Breach of Service Contract

Dear Honorable Court,

I, Andrew Wilson, owner of Wilsons Landscaping, am filing this petition for a money claim against my client, Susan Roberts, for breach of a service contract. On April 1, 2022, Ms. Roberts hired Wilson Landscaping to provide landscaping services at her property for one year. We agreed upon a monthly fee of $500, payable on the first of each month. Despite fulfilling our obligations under the contract, Ms. Roberts has failed to pay for the last four months of service, totaling $2,000 in unpaid fees. I have sent multiple invoices and attempted to collect the outstanding balance, but Ms. Roberts has not responded. I respectfully request that the court order Ms. Roberts to pay the full amount owed, along with any applicable interest and legal costs.

Sincerely,

Andrew Wilson

Wilsons Landscaping

Sample Petition Seven

Subject: Petition for Money Claim – Failure to Pay for Goods

Dear Honorable Court,

I, Elizabeth Johnson, owner of Johnson’s Furniture, am filing this petition for a money claim against my customer, Robert Davis, for failure to pay for goods purchased. On December 10, 2022, Mr. Davis purchased a custom-made dining room set from my store for $8,500. He agreed to pay a 50% deposit of $4,250 and the remaining balance upon delivery. Despite receiving the dining room set on January 15, 2023, Mr. Davis has failed to pay the outstanding balance of $4,250. I have made numerous attempts to collect the debt, including sending written notices and making phone calls, but Mr. Davis has not responded. I respectfully request that the court order Mr. Davis to pay the full amount owed, along with any applicable interest and legal expenses.

Sincerely,

Elizabeth Johnson

Johnson’s Furniture

Sample Petition Eight

Subject: Petition for Money Claim – Unpaid Freelance Services

Dear Honorable Court,

I, Mark Thompson, am filing this petition for a money claim against my client, ABC Marketing, for unpaid freelance services. On September 1, 2022, I entered into a written agreement with ABC Marketing to provide graphic design services for three months. I completed all assigned projects and submitted invoices totaling $6,000 for my services. Despite numerous attempts to collect payment, ABC Marketing has failed to pay the outstanding balance. I have sent written reminders and attempted to negotiate a payment plan, but my efforts have been unsuccessful. I respectfully request that the court order ABC Marketing to pay the full amount owed, along with any applicable interest and legal fees.

Sincerely,

Mark Thompson

Sample Petition Nine

Subject: Petition for Money Claim – Security Deposit Refund

Dear Honorable Court,

I, Jennifer Davis, am filing this petition for a money claim against my former landlord, John Smith, for failure to refund my security deposit. I rented an apartment from Mr. Smith for two years, from March 1, 2020, to February 28, 2022. Upon moving in, I paid a security deposit of $1,500. After vacating the apartment and leaving it in pristine condition, Mr. Smith failed to return my security deposit within the legally required 30 days. I have made numerous attempts to contact Mr. Smith and request a refund, but he has not responded. I have provided documentation, including the lease agreement and move-out inspection report, to support my claim. I respectfully request that the court order Mr. Smith to refund my full security deposit, along with any applicable interest and legal costs.

Sincerely,

Jennifer Davis

Sample Petition Ten

Subject: Petition for Money Claim – Breach of Partnership Agreement

Dear Honorable Court,

I, David Wilson, am filing this petition for a money claim against my former business partner, Sarah Johnson, for breach of our partnership agreement. On January 1, 2021, Ms. Johnson and I entered into a written partnership agreement to operate a consulting firm. We agreed to share profits and losses equally. However, Ms. Johnson has failed to contribute her share of the capital investment and has not participated in the day-to-day operations of the business. Despite numerous attempts to resolve the issue, Ms. Johnson has not fulfilled her obligations under the partnership agreement. I respectfully request that the court order Ms. Johnson to pay her share of the capital investment, which amounts to $25,000, and compensate me for any losses incurred due to her breach of the agreement.

Sincerely,

David Wilson

Sample Petition Eleven

Subject: Petition for Money Claim – Unpaid Overtime Wages

Dear Honorable Court,

I, Michael Thompson, am filing this petition for a money claim against my former employer, XYZ Corporation, for unpaid overtime wages. During my employment with XYZ Corporation from January 1, 2022, to December 31, 2022, I regularly worked over 40 hours per week. Despite being a non-exempt employee entitled to overtime pay, XYZ Corporation failed to compensate me for the additional hours worked at the legally required rate of 1.5 times my regular hourly wage. I have provided documentation, including time sheets and pay stubs, to support my claim. I have made numerous attempts to resolve this issue with XYZ Corporation, but my efforts have been unsuccessful. I respectfully request that the court order XYZ Corporation to pay the full amount of unpaid overtime wages, along with any applicable interest and legal fees.

Sincerely,

Michael Thompson

Sample Petition Twelve

Subject: Petition for Money Claim – Failure to Pay for Services Rendered

Dear Honorable Court,

I, Emily Davis, owner of Davis Catering, am filing this petition for a money claim against my client, Robert Johnson, for failure to pay for services rendered. On June 15, 2023, Mr. Johnson hired Davis Catering to provide food and beverage services for his wedding reception. We agreed upon a total cost of $12,500, with a 50% deposit due upon signing the contract and the remaining balance due on the day of the event. Despite successfully providing the agreed-upon services, Mr. Johnson has failed to pay the outstanding balance of $6,250. I have made numerous attempts to collect the debt, including sending written invoices and making phone calls, but Mr. Johnson has not responded. I respectfully request that the court order Mr. Johnson to pay the full amount owed, along with any applicable interest and legal expenses.

Sincerely,

Emily Davis

Davis Catering

Sample Petition Thirteen

Subject: Petition for Money Claim – Breach of Equipment Rental Agreement

Dear Honorable Court,

I, Andrew Wilson, owner of Wilson’s Equipment Rentals, am filing this petition for a money claim against my customer, Susan Roberts, for breach of an equipment rental agreement. On September 1, 2022, Ms. Roberts rented a skid steer loader from my company for one month. She agreed to pay a rental fee of $3,500 and signed a written agreement outlining the terms and conditions of the rental. Despite using the equipment for the entire rental period, Ms. Roberts has failed to pay the agreed-upon rental fee. I have made numerous attempts to collect the outstanding balance, including sending written notices and making phone calls, but Ms. Roberts has not responded. I respectfully request that the court order Ms. Roberts to pay the full rental fee, along with any applicable interest and legal costs.

Sincerely,

Andrew Wilson

Wilson’s Equipment Rentals

Sample Petition Fourteen

Subject: Petition for Money Claim – Failure to Pay for Construction Services

Dear Honorable Court,

I, Mark Thompson, owner of Thompson Construction, am filing this petition for a money claim against my client, ABC Development, for failure to pay for construction services. On April 1, 2023, ABC Development hired Thompson Construction to build a custom home. We entered into a written contract outlining the scope of work and payment schedule. Despite completing the project according to the agreed-upon specifications and timeline, ABC Development has failed to pay the final installment of $75,000. I have made numerous attempts to collect the outstanding balance, including sending written notices and engaging in negotiations, but ABC Development has not fulfilled its contractual obligations. I respectfully request that the court order ABC Development to pay the full amount owed, along with any applicable interest and legal fees.

Sincerely,

Mark Thompson

Thompson Construction

Sample Petition Fifteen

Subject: Petition for Money Claim – Failure to Pay for Medical Services

Dear Honorable Court,

I, Dr. Jennifer Davis, am filing this petition for a money claim against my patient, John Smith, for failure to pay for medical services rendered. On January 15, 2023, Mr. Smith visited my medical practice for a comprehensive physical examination and laboratory tests. He was provided with a detailed invoice for the services, totaling $1,500, and agreed to pay the amount within 30 days. Despite numerous attempts to collect the outstanding balance, including sending written notices and making phone calls, Mr. Smith has failed to make any payments. I have provided documentation, including the patient’s signed consent form and the itemized invoice, to support my claim. I respectfully request that the court order Mr. Smith to pay the full amount owed for the medical services, along with any applicable interest and legal expenses.

Sincerely,

 Dr. Jennifer Davis

Conclusion

These fifteen sample petitions for money claims demonstrate the various situations in which individuals and businesses may need to seek legal intervention to recover outstanding debts.

By carefully crafting a compelling petition that clearly outlines the facts of the case, the amount owed, and the efforts made to collect the debt, petitioners can increase their chances of a successful outcome in court.

Remember to include all relevant documentation, such as contracts, invoices, and correspondence, to support your claim.

If you find yourself in a situation where you are owed money and have exhausted all other options, filing a petition for a money claim with the Court of Appeals may be the necessary next step to secure the funds you are rightfully owed.