Small Claims Settlement Agreement Template

You can open the Small Claims Settlement Agreement Template in multiple formats, including PDF, Word, and Google Docs.


Sample

Small Claims Settlement Agreement Template

Printable | Editable Form




Small Claims Settlement Agreement Template (1)
Between:
[Name of the Claimant]
[Claimant’s ID]
[Claimant’s Address]
[Claimant’s Phone]
[Claimant’s Email]
And:
[Name of the Respondent]
[Respondent’s ID]
[Respondent’s Address]
Introduction:
This Settlement Agreement is made and entered into as of [Date], by and between the Claimant and the Respondent for the purpose of settling the dispute filed in small claims court.
Clause 1: Background
The parties acknowledge that a claim was filed on [Filing Date] regarding [Brief description of the dispute].
Clause 2: Settlement Amount
The Respondent agrees to pay the Claimant a total sum of [Amount] as a full and final settlement of the claim.
Clause 3: Payment Method
The payment will be made through [Specify payment method, e.g., bank transfer, check] and must be completed by [Payment Due Date].
Clause 4: Release of Claims
Upon receipt of the payment, the Claimant agrees to release the Respondent from any further claims related to this dispute.
Clause 5: Confidentiality
The terms of this Agreement shall be kept confidential and not disclosed to any third parties without prior written consent from both parties.
Clause 6: Governing Law
This Agreement shall be governed by the laws of [Jurisdiction].
Signed in [City], [Date].
Sincerely,
[Signature of the Claimant]
[Name of the Claimant]
[Signature of the Respondent]
[Name of the Respondent]
Small Claims Settlement Agreement Template (2)
Between:
[Name of the Claimant]
[Claimant’s ID]
[Claimant’s Address]
[Claimant’s Phone]
[Claimant’s Email]
And:
[Name of the Respondent]
[Respondent’s ID]
[Respondent’s Address]
Introduction:
This Settlement Agreement is established on [Date] to resolve the dispute filed under case number [Case Number] in small claims court.
Clause 1: Dispute Description
The Claimant claims [Detailed description of the claim and circumstances].
Clause 2: Agreed Settlement Terms
The Respondent agrees to pay [Amount] by [Payment Due Date].
Clause 3: Payment Conditions
Payments will be made in [Specify schedule, e.g., installments, lump sum] as confirmed in this Agreement.
Clause 4: Mutual Release
Each party waives any right to claim further damages related to this dispute upon execution of this Agreement.
Clause 5: No Admission of Liability
This Agreement does not constitute an admission of liability by the Respondent.
Clause 6: Legal Fees
Each party shall be responsible for their own legal fees and costs incurred in relation to this dispute.
Clause 7: Governing Jurisdiction
This agreement shall be construed in accordance with the laws of [Jurisdiction].
Signed in [City], [Date].
Sincerely,
[Signature of the Claimant]
[Name of the Claimant]
[Signature of the Respondent]
[Name of the Respondent]

Form

Please complete the form below to create the Small Claims Settlement Agreement Template. All fields must be filled out to ensure a clear and complete agreement. We provide examples to guide you through each step.

Small Claims Settlement Agreement Template

1. Claimant Information


2. Respondent Information


3. Case Details


4. Description of Dispute

5. Settlement Agreement

6. Payment Details

7. Release of Claims

8. Confidentiality Terms

9. Governing Law

10. Signatures and Acceptance

11. Declaration and Signatures




PDF


WORD

Printable

Small Claims Settlement Agreement Template

Printable | Editable Form




Small Claims Settlement Agreement Template