(CAPTION)
STATEMENT OF CLAIM
Plaintiff, ______, sues defendant, ______, and alleges: There is now due, owing, and unpaid from defendant to plaintiff $ ______ for money lent by plaintiff to defendant on .....(date)....., with interest thereon since .....(date)......
WHEREFORE, plaintiff demands judgment for damages against defendant.
Fl. Sm. Clm. R. form 7.333