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1IN THE COURT OF________________

IN AND FOR COUNTY, STATE OF___________


CIVIL COURT
[name of bank] , CASE NO/Doke! No"#
$%a&n!&ff,
'("
[)o*+ name] ,
Defen,an!"
/
ANSWER AND AFFIRMATIVE DEFENSE
Defen,an! [)o*+ name] an &n,&'&,*a% +e(&,en! of __[)o*+ (!a!e]___
+e(&,&n- a! __[a,,+e((]___ ,b) .a) of an(.e+ !o !/e om0%a&n!, (a)(#
AS TO THE FIRST COUNT
(Number and write in your anwer !ere"
1HEREFORE Defen,an!, 2Name3, ,eman,( 4*,-men! &n fa'o+ of Defen,an! an, !/e
Co*+! ,&(m&((&n- !/e om0%a&n! an, fo+ (*/ an, f*+!/e+ +e%&ef a( !/&( Co*+! ,eem( 4*(! an,
0+o0e+"
AFFIRMATIVE DEFENSE
1" 2Write in your de#ene !ere"
1HEREFORE Defen,an!, 2Name3, ,eman,( 4*,-men! &n fa'o+ of Defen,an! an, !/e
Co*+! ,&(m&((&n- !/e om0%a&n! an, fo+ (*/ an, f*+!/e+ +e%&ef a( !/&( Co*+! ,eem( 4*(! an,
0+o0e+"
VERIFICATION
I /a'e +ea, !/e fo+e-o&n- an(.e+ !o !/e om0%a&n!" T/e ma!!e+( (!a!e, &n !/e an(.e+ a+e
!+*e !o !/e be(! of m) o.n kno.%e,-e e5e0! !/o(e ma!!e+( (!a!e, on &nfo+ma!&on an, be%&ef, an,
a( !o !/o(e ma!!e+( I be%&e'e !/em !o be !+*e.
I ,e%a+e !/a! !/e fo+e-o&n- &( !+*e an, o++e!"
Da!e______________ [S&-n )o*+ name /e+e]
[T)0e o+ 0+&n! )o*+ name /e+e]
CERTIFICATE OF SERVICE
I HERE6Y CERTIFY !/a! a !+*e an, o++e! o0) of !/e abo'e an, fo+e-o&n- /a( been
f*+n&(/e, b) U"S" 7a&% !o# [name an, a,,+e(( of $%a&n!&ff8( / 6ank8( / 7o+!-a-e Com0an)8(/
La.f&+m , !/&( ______ ,a) of [mon!/] , 9::;
[S&-n )o*+ name /e+e]
[T)0e o+ 0+&n! )o*+ name /e+e]