In the..................Court of.....................County.

State of.............

.............County ss.

.....................Term, A. D. 19...

Plaintiff..., by......................., Attorney..., complain... of

...................................................................................................................................

..................................................................................................................................

Defendant. . ., summoned, etc., of a plea of trespass on the case:

For That Whereas, The said Plaintiff... heretofore, to-wit: on the in said County, w......lawfully possessed as of ... h......own property of a certain goods and chattels, to-wit:..................................

....................day of....................in the year One Thousand

Nine Hundred and................to-wit: at..........................

.........................................................................................................................................

......................................................................................................................................

of great value, to-wit: of the value of...................................

dollars. And being so possessed thereof, the said Plaintiff... afterwards, to-wit: on the day and year first above mentioned, at the County aforesaid, casually lost the said goods and chattels..................................

............................................................................................................................

out of his possession; and the same afterwards, to-wit: on the same day and year last aforesaid, at the county aforesaid, came to the possession of the said Defendant... by finding. Yet the said Defendant... well knowing the said................................................................

goods and chattels to be the property of the said Plaintiff... and fraudulently intending to deceive and defraud the said Plaintiff... in this behalf, ha___ not as yet delivered the said...........................................

goods and chattels, or any or either of them, or any part thereof, to the said Plaintiff..., although often requested so to do, and ha.... hitherto wholly refused so to do; and afterwards, to-wit: on the same day and year last aforesaid, at the County aforesaid, converted and disposed of the said............

............................................................................................................................

goods and chattels to ... h.....own use.

And Whereas, Also, The said Plaintiff..., on the day last aforesaid, in the County aforesaid, w..... lawfully possessed, as of .. .h..... own property, of certain other goods and chattels, to-wit:......................

............................................................................................................................

of the value of........................Dollars; and being so possessed thereof, the said Plaintiff... afterwards, to-wit: on the same day, there casually lost the last-mentioned goods and chattels out of .. .h.....possession, and the same afterwards, to-wit: on the same day there came to the possession of the said Defendant... by finding; yet the said Defendant..., well knowing the last-mentioned goods and chattels to be the property of the said Plaintiff ..., ha.....not as yet delivered the same, or any or either of them, or any part thereof, to the said Plaintiff___though often thereto requested, but ha.. hitherto refused so to do, and afterwards, to-wit: on the same day, there converted and disposed of the last mentioned goods and chattels to ... h.....own use.

Wherefore, The said Plaintiff... say... that ... he................

injured and ha.....sustained damage to the amount of....................

Dollars, and, therefore, . .. he... bring......h.....suit, etc.

..............................................................................................

ntiff... Attorney...