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;_____________
Form1
COMPLAINTONAPROMIORYNOTE
1.Allegationofjurisdiction.
2.DefendantonoraboutJune1,1935,executedanddeliveredtoplaintiffapromiorynote[inthefollowingwordsandfigures(heresetoutthenoteverbatim)];[acopyofwhichisheretoaexedasExhibitA];[wherebydefendantpromisedtopaytoplaintiffororderonJune1,1936thesumof__________dollarswithinterestthereonattherateofsixpercentperaum].
3.Defendantowestoplaintifftheamountofsaidnoteandinterest.
Whereforeplaintiffdemandsjudgmentagaitdefendantforthesumof_________dollars,interest,andcosts.
Signed:___________
AttorneyforPlaintiff
Addre:__________
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