E-FILED 2013 AUG 21 3:26 PM SAC - CLERK OF DISTRICT COURT

eForm 3.1: Original Notice and Petition for a Money Judgment

Sac In the Iowa District Court for ________________ County

Plaintiff(s) United Bank Of Iowa ________________________________________
(Name)

301 S. Main Street, Odebolt, IA 51458 ________________________________________

(Address) (Name)

Original Notice and Petition for a Money Judgment

________________________________________ ________________________________________
(Address)

(Name)

vs. Defendant(s) Don Hout ________________________________________

312 Locust Street, Odebolt, IA 51458 ________________________________________

(Address) (Name)

Jane Hout ________________________________________

312 Locust Street, Odebolt. IA 51458 ________________________________________

(Address)

To Defendant(s):

4277.70 1. You are notified that Plaintiff(s) demand(s) from you the amount of $ ______________ plus court costs based on (state briefly the basis for the demand, not to exceed $5000): Failure to repay loan #81639209 as agreed.

2. Judgment may be entered against you unless you file an Appearance and Answer within 20 days of the service of the Original Notice upon you. Judgment may include the amount requested plus interest and court costs. 3. You must electronically file the Appearance and Answer using the Iowa Judicial Branch Electronic Document Management System (EDMS) at https://www.iowacourts.state.ia.us/EFile, unless you obtain from the court an exemption from electronic filing requirements. 4. If your Appearance and Answer is filed within 20 days and you deny the claim, you will receive electronic notification through EDMS of the place and time of the hearing on this matter. 5. If you electronically file, EDMS will serve a copy of the Appearance and Answer on Plaintiff(s) or on the attorney(s) for Plaintiff(s). The Notice of Electronic Filing will indicate if Plaintiff(s) is (are) exempt from electronic filing, and if you must mail a copy of your Appearance and Answer to Plaintiff(s). 6. You must also notify the clerks office of any address change.

Matthew D. Huegerich /s/ ________________________________

Filing Plaintiff or Attorney

/s/ ________________________________ ___________________________________

Law firm, or entity for which filing is made, if applicable Second Plaintiff, if applicable

United Bank of Iowa ___________________________________

Law firm, or entity for which filing is made, if applicable

eForm 3.1, page 1 of 3

E-FILED 2013 AUG 21 3:26 PM SAC - CLERK OF DISTRICT COURT

P.O. Box 456, Odebolt, IA 51458 ___________________________________

Mailing address

___________________________________
Mailing address

712-668-4877 ___________________________________
Telephone number Email address

___________________________________ ___________________________________
Additional email address, if applicable Telephone number Email address

mhuegerich@unitedbk.com ___________________________________
___________________________________
Additional email address, if applicable

___________________________________

eForm 3.1, page 2 of 3

E-FILED 2013 AUG 21 3:26 PM SAC - CLERK OF DISTRICT COURT

eForm 3.27: Verification of Account, Identification of Judgment Debtor, and Certificate Re Military Service

Sac In the Iowa District Court for ________________ County

Plaintiff(s)

United Bank of Iowa _______________________________________

(Name) (Name)

_______________________________________ Defendant(s)
(Name) (Name)

Verification of Account, Identification of Judgment Debtor, and Certificate Re Military Service

Small Claim No. _____________________

vs.

Don Hout _______________________________________

Jane Hout _______________________________________
For Defendant: __________________________
(This form required for each Defendant.)

Matthew D. Huegerich 1. I, ______________________________________________, am a party or an employee of Plaintiff(s) whose claim(s) is (are) shown in the attached statement(s). I have personal knowledge that the attached statement(s) is (are) a true copy of the original creditors records 4277.70 showing the balance due is true and correct. I further state that the sum of $__________ is the 8/21/13 balance due and owing as of ____________________________ from Defendant(s) to Plaintiff(s) and any interest amount owing is accurately stated in the Petition or Original Notice.
312 Locust Street, Odebolt, IA 51458 2. I further state that Defendant resides at __________________________________________, Don - Unemployed, Jane - Self-employed in-home daycare provider. is employed at _________________________________________________________________, Don - Unemployed, Jane - Day care provider. and Defendants occupation is ____________________________________________________.
3. Check A, B, or C for Defendant: A. Defendant is not in the military service of the United States government, I have verified this fact by (check one): Checking the Defense Manpower Data Center (DMDC) (requires name and SSN or name and date of birth) at https://www.dmdc.osd.mil/appj/scra/scraHome.do. Contacting Defendant who informed me. Regularly seeing Defendant and believing Defendant is not active in the U.S. military. OR B. I have investigated, and I am unable to determine whether or not Defendant is in the military service of the United States government. OR C. Defendant is in the military service of the United States government. 4. I also state to the best of my knowledge (check one): Defendant is is not under a disability or confined in a reformatory, jail, or penitentiary. I certify under penalty of perjury and pursuant to the laws of the State of Iowa that these facts are true and correct.

8/21/13 Date:__________________________________
712-668-4877 _______________________________________ Phone # mhuegerich@unitedbk.com _______________________________________ EMail adress
_______________________________________ Additional email address, if appilcable

_______________________________________ Signature of Affiant Matthew D. Huegerich /s/_____________________________________ Filing Plaintiff or Attorney United Bank of Iowa _______________________________________ Law firm, or entity for which filing is made, if applicable

P.O. Box 456, Odebolt, IA 51458 _______________________________________ Mailing Address

E-FILED 2013 SEP 03 12:58 PM SAC - CLERK OF DISTRICT COURT

E-FILED 2013 SEP 03 12:59 PM SAC - CLERK OF DISTRICT COURT

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eForm 3.11: Appearance and Answer of Defendant(s)

In the lowa District Court for

Plaintiff(s)

Sac

County
i

</>o

= < = > o r=oO o 5E --. -jo

United Bank of Iowa

(Name)

Appearance and Answer of Defendant(s)

Small Claim No. S C S C 0 1 5 3 3 1

(Name)

vs. Defendant(s) D o n Hout

(Name) If you need assistance to participate in court due to a disability, call the disability coordinator (information at www.iowacourts.gov/Representing_Yourself/ADAAccess). Persons who are hearing or speech impaired may call Relay lowa TTY (1-800-735-2942). Disability coordinators cannot provide legal advice.

Jane Hout
(Name)

Check only one of the following: (_)The claim is denied. Parties will receive electronic notification of the hearing time and place through the lowa Judicial Branch Electronic Document Management System (EDMS). J^The claim is admitted. Judgment may be entered. O The claim is admitted in part in the amount of $ . Parties will receive electronic notification ofthe hearing time and place through the lowa Judicial Branch Electronic Document Management System (EDMS). ^ e f u k ^ T "pV M ^ f ^ ^ ^ y f y v v * ^ ^ . ^ ^ 1. You must electronically file this Appearance and Answer using EDMS at https://iowacourts.state.ia.us/Efile unless you obtain from the court an exemption from electronic filing requirements. 2. If you electronically file, E D M S will serve a copy of this Appearance and Answer on Plaintiff(s) or on the attorney(s) for Plaintiff(s). The Notice of Electronic Filing will indicate if Plaintiff(s) is (are) exempt from electronic filing, and if you must mail a copy of your Appearance and Answer to Plaintiff(s). 3. You may download this form online at https://iowacourts.state.ia.us/Efile. Unless the court has granted you an exemption from electronic filing, you must scan and electronically file this Answer and Appearance form, or fill out and electronically file the online form, in accordance with Chapter 16 Rules Pertaining to the Use of the Electronic Document Management System. lsl_
Filing Defendant or Attorney Law firm, or entity for which filing is made, if applicable Mailing address Telephone number Email address Additional email address, if applicable

Is/
Second Defendant, if applicable Law firm, or entity for which filing is made, if applicable Mailing address Telephone number Email address Additional email address, if applicable

IN THE IOWA DISTRICT COURT FOR

COUNTY

IN RE THE CONVERSION OF FILES TO ELECTRONIC DOCUMENTS C A S E N O . ^ _ ^ _ _ _ 3 > - (IF APPLICABLE) 7 REQUEST FOR EXEMPTION FROM REGISTRATION AND E-FILING (Rule 16.302(2))
UD

J -r,o^
p o o moc.

Pursuant to Iowa Court Rules Chapter 16.302(2), I, pdA CtCj[ H hereby request to be excused from registering and filing documents by electronic means for the following reason(s):

ZP dp /lot

koivre.

c*m*.ier

ARE Y O U CURRENTLY REGISTERED WITH THE IOWA ELECTRONIC FILING SYSTEM? YES ^ C _ N O Note: This request must be filed in each case you are requesting an exemption for.

Signature of person requesting exemption from registration and E-filing:

What is your role in this case (i.e. "defendant," "plaintiff," etc.)?

Mailing address: / / A p ^ ^ ^ - ^ f h <5f'"e&T~

Telephone No: ^ f 2 . - 0 3 7 f - 3 ( 0 /
Rule 16.302(2) Exceptions. For good cause, the court, or clerk if no judge is available, may authorize a filer to submit a ' document by non-electronic means to the clerk for filing. Upon a showing of exceptional circumstances that it is not feasible for a party to file documents by electronic means, the chief judge ofthe district in which a case is pending or the chief judge's designee may excuse the party from registering to participate in the electronic filing system for purposes of that case.

E-FILED 2013 SEP 10 8:33 AM SAC - CLERK OF DISTRICT COURT

IN THE IOWA DISTRICT COURT FOR SAC COUNTY Case No. 02811 SCSC015331 Order for Exemption from Registering re Electronic Filing (Rule 16.302(2))

ORDER Pursuant to Rule 16.302(2), the undersigned hereby grants Don Hout an exemption from registering to participate in the electronic filing system for purposes of this case. When submitting future paper filings in this case, said filer must include a notice to the Clerk of Court indicating that he/she has been granted an exemption from registration and eFiling. Dated this 09/10/2013 /s/ Donna Geery Brenda McClure, Designee per 16.302(2)

Rule 16.302(2) Exceptions. For good cause, the court, or clerk if no judge is available may authorize a filer to submit a document by non-electronic means to the clerk for filing. Upon a showing of exceptional circumstances that it is not feasible for a party to file documents by electronic means, the chief judge of the district in which a case is pending or the chief judge's designee may excuse the party from registering to participate in the electronic filing system for purposes of that case.

Recipient List Case ID : 02811 SCSC015331 - UNITED BANK OF IOWA VS. DON AND JANE HOUT E-FILED 2013 SEP 10 8:33 AM SAC - CLERK OF DISTRICT COURT Event Cd : OREF DONALD C HOUT filed

E-FILED 2013 SEP 10 6:30 PM SAC - CLERK OF DISTRICT COURT

IN THE IOWA DISTRICT COURT IN AND FOR SAC COUNTY

Plaintiff(s), UNITED BANK OF IOWA PO BOX 456 301 S MAIN STREET ODEBOLT IA 51458

SMALL CLAIMS DIVISION Case: 02811 SCSC015331

vs. JUDGMENT ENTRY Defendant(s), DONALD C HOUT 112 E 5TH ST #4 BOX 153 ODEBOLT IA 51458 JANE HOUT 312 LOCUST ST PO BOX 262 ODEBOLT IA 51458

Defendant Donald C. Hout has filed an answer admitting the claim and requesting a $100.00 per month payment plan. That request is granted. It is therefore Ordered that judgment is entered in favor of the plaintiff and against the defendant in the amount of $ 4,277.70 with interest at the rate of 2.12 % from the 21st day of August, 2013 and court costs.

YOU ARE HEREBY NOTIFIED that you have a right to appeal the decision to the District Court by giving written notice to the Small Claims Office within 20 days of the filing of this order. Fee:$185.00

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E-FILED 2013 SEP 10 6:30 PM SAC - CLERK OF DISTRICT COURT

State of Iowa Courts Case Number SCSC015331 Type: Case Title UNITED BANK OF IOWA VS. DON AND JANE HOUT ORDER FOR JUDGMENT So Ordered

Electronically signed on 2013-09-10 18:30:19

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E-FILED 2013 SEP 12 10:39 PM SAC - CLERK OF DISTRICT COURT

IN THE IOWA DISTRICT COURT FOR SAC COUNTY UNITED BANK OF IOWA Plaintiff VS 02811 SCSC015331

ORDER
DONALD C HOUT JANE HOUT

Defendant

The $100 per month payments shall commence on October 15, 2013 and then on the 15th of each month thereafter until paid in full.

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E-FILED 2013 SEP 12 10:39 PM SAC - CLERK OF DISTRICT COURT

State of Iowa Courts Case Number SCSC015331 Type: Case Title UNITED BANK OF IOWA VS. DON AND JANE HOUT OTHER ORDER So Ordered

Electronically signed on 2013-09-12 22:39:27

2 of 2

E-FILED 2013 SEP 19 9:28 AM SAC - CLERK OF DISTRICT COURT

IN THE IOWA DISTRICT COURT FOR SAC COUNTY UNITED BANK OF IOWA Petitioner, VS 02811 SCSC015331

ORDER
DONALD C HOUT JANE HOUT

Respondent.

The defendant Jane Hout has been served and the time to answer has passed and she is in default. Judgment is ordered entered in favor of plaintiff and against Jane Hout in the amount of $4,277.70 with interest at the rate of 2.13% per annum and the costs of this action.

1 of 2

E-FILED 2013 SEP 19 9:28 AM SAC - CLERK OF DISTRICT COURT

State of Iowa Courts Case Number SCSC015331 Type: Case Title UNITED BANK OF IOWA VS. DON AND JANE HOUT OTHER ORDER So Ordered

Electronically signed on 2013-09-19 09:27:47

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