This form contains 179 fields organized into 60 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name	Type	Description
Affirmative Defense 1 - Debt Paid in Full
I paid this debt in full (satisfied)	Checkbox	Check this box if you have already paid the alleged debt in full and are attaching proof of payment.
Affirmative Defense 10 - Fraud and/or Duress
Improper conduct (fraud and/or duress)	Checkbox	Check this box if you claim the contract should not be enforced because the plaintiff engaged in improper conduct, such as fraud and/or duress.
Affirmative Defense 11 - Failure of Consideration (Defective Goods)
10. Goods purchased were defective (failure of consideration)	Checkbox	Check this box if you contend the goods you bought were defective, so you did not receive the benefit of the bargain (failure of consideration).
Affirmative Defense 12 - Mutual Mistake
11. Mutual mistake (terms did not express parties’ intent)	Checkbox	Check this box if you claim the contract’s written terms do not reflect what both parties actually intended due to a mutual mistake.
Affirmative Defense 13 - Not Credited for All Payments
12. Not credited for all payments	Checkbox	Check this box if you have made payments on the alleged account but you have not been given credit for all of those payments (attach proof of payment).
Affirmative Defense 14 - Other (Explanation)
13. Other	Checkbox	Check this box if you are asserting an affirmative defense not listed above and will explain it on the line provided.
Other Affirmative Defense Explanation	Text	Enter the details explaining the “Other” affirmative defense you are asserting. Fill only if '13. Other' is 'Yes'. Depends on: 13. Other
Affirmative Defense 2 - Statute of Limitations
2. Action barred by statute of limitations	Checkbox	Check this box if you claim the lawsuit was filed too late and is barred by the applicable statute of limitations.
Plaintiff failed to sue within six years (last activity date)	Checkbox	Check this box if the plaintiff did not sue within six years of the last activity on the alleged account.
Last Activity Date (Six-Year Limitations)	Date	Enter the date of the last activity on the alleged account for the six-year statute of limitations defense. Fill only if 'Plaintiff failed to sue within six years (last activity date)' is 'Yes'. Depends on: Plaintiff failed to sue within six years (last activity date)
Plaintiff failed to sue within four years (motor vehicle retail installment or sale of goods; last activity date)	Checkbox	Check this box if the claim involves a motor vehicle retail installment sales contract or sale of goods and the plaintiff did not sue within four years of the last activity on the alleged account.
Last Activity Date (Four-Year Limitations)	Date	Enter the date of the last activity on the alleged account for the four-year statute of limitations defense. Fill only if 'Plaintiff failed to sue within four years (motor vehicle retail installment or sale of goods; last activity date)' is 'Yes'. Depends on: Plaintiff failed to sue within four years (motor vehicle retail installment or sale of goods; last activity date)
Plaintiff failed to sue within three years (mobile home sale contract date)	Checkbox	Check this box if the claim involves a mobile home sale contract and the plaintiff did not sue within three years after the contract date.
Mobile Home Contract Date	Date	Enter the date the alleged contract of sale of the mobile home was made. Fill only if 'Plaintiff failed to sue within three years (mobile home sale contract date)' is 'Yes'. Depends on: Plaintiff failed to sue within three years (mobile home sale contract date)
Affirmative Defense 3 - Accord and Satisfaction (Payment Accepted as Full Payment)
Affirmative Defense 3	Checkbox	Check this box if you are asserting Affirmative Defense 3 (accord and satisfaction/payment accepted as full payment).
I paid an amount accepted as payment in full (accord and satisfaction)	Checkbox	Check this box if you paid an amount that the plaintiff accepted as full payment of the debt (accord and satisfaction) and you can attach proof of payment.
Affirmative Defense 4 - Discharged in Bankruptcy (Case Number)
The debt was discharged in bankruptcy	Checkbox	Check this box if the debt at issue was discharged in bankruptcy and you will provide the bankruptcy case number.
Bankruptcy Case Number	Text	Enter the case number of the bankruptcy proceeding in which the debt was discharged. Fill only if 'The debt was discharged in bankruptcy' is 'Yes'. Depends on: The debt was discharged in bankruptcy
Affirmative Defense 5 - Contract Void/Voidable (Minor, Incompetent, No Valid Contract)
4. Contract is void or voidable	Checkbox	Check this box if you are asserting the affirmative defense that the alleged contract is void or voidable.
Was a minor when contract was made	Checkbox	Check this box if you were under 18 years old when the alleged contract was made.
Not mentally competent when contract was made	Checkbox	Check this box if you were not mentally competent when the alleged contract was made (and provide the probate case number and any conservatorship/guardianship letters as indicated).
Probate Case Number	Text	Enter the probate case number related to the conservatorship or guardianship showing you were not mentally competent when the alleged contract was made. Fill only if 'Not mentally competent when contract was made' is 'Yes'. Depends on: Not mentally competent when contract was made
No valid contract (no meeting of the minds)	Checkbox	Check this box if there was no valid contract because there was no meeting of the minds (and explain the reason in the space provided).
Reason No Valid Contract	Text	Describe why there was no valid contract (no meeting of the minds) for the alleged agreement. Fill only if 'No valid contract (no meeting of the minds)' is 'Yes'. Depends on: No valid contract (no meeting of the minds)
Affirmative Defense 6 - Unconscionable Contract
Contract was unconscionable (severely unjust or extremely one-sided)	Checkbox	Check this box if you claim the alleged contract is so unfair or one-sided that it should not be enforced (unconscionable).
Affirmative Defense 7 - Contributory Negligence
Plaintiff's contributory negligence	Checkbox	Check this box if you claim you are not liable for the alleged damages because the plaintiff’s own contributory negligence caused or contributed to the damages.
Affirmative Defense 8 - Statute of Frauds (Not in Writing)
The alleged contract is unenforceable because it is not in writing (statute of frauds)	Checkbox	Check this box if you claim the alleged contract cannot be enforced because it was not in writing as required by the statute of frauds.
Affirmative Defense 9 - Vehicle Repossessed and Sold Unreasonably
Vehicle repossessed and sold unreasonably	Checkbox	Check this box if your vehicle was repossessed and then sold in a commercially unreasonable manner.
Case number and judge
Judge	Text	Enter the name of the judge assigned to this case.
case number	Text
Case number	Text	Enter the court-assigned case number for this civil matter.
Case Parties Names
plaintiff name	Text
defendant name	Text
Plaintiff Name	Text	Enter the full legal name of the plaintiff in this case.
Defendant Name	Text	Enter the full legal name of the defendant in this case.
Certificate of service delivery method
Personal service	Checkbox	Check this box if you served the answer by delivering it in person to the plaintiff(s) or their attorney(s).
First-class mail	Checkbox	Check this box if you served the answer by first-class mail to the plaintiff(s) or their attorney(s) at their last-known address(es).
Certificate of service signature and date
Certificate of Service Date	Date	Enter the date on which you served a copy of this answer on the plaintiff(s) or their attorney(s).
Certificate of Service Signature	Text	Sign to certify under penalty of perjury that the certificate of service is true and correct.
Continuation on Additional Page(s) Indicator
Continued on additional page(s)	Checkbox	Check this box if you are attaching additional page(s) to continue your answer beyond the space provided on this form.
Continuation to Page 3 Indicator
Continued on page 3	Checkbox	Check this box if your answers continue onto page 3 of this form.
Continued on page 2 indicator
Continued on page 2	Checkbox	Check this box if your answer continues on page 2 (i.e., you are providing additional responses or information on the next page).
Court address and telephone
Court address	Text	Enter the full mailing address of the court handling this case.
Court telephone number	Text	Enter the court’s telephone number.
Court information header
Judicial circuit	Text	Enter the judicial circuit number or designation for the court (e.g., 3rd Judicial Circuit).
Judicial district	Text	Enter the judicial district number or designation for the court (e.g., 2nd Judicial District).
County	Text	Enter the name of the Michigan county where the court is located. Max length: 3 characters
Defendant attorney information
Defendant's attorney contact information	Text	Enter the defendant’s attorney’s name, bar number, address, and telephone number.
Defendant contact information
Defendant name, address, and telephone number	Text	Enter the defendant’s full name along with their mailing address and telephone number.
Defendant/Attorney Signature and Date
Signature Date	Date	Enter the date the defendant or the defendant’s attorney signs this form.
Defendant/Attorney Signature	Text	Provide the signature of the defendant or the defendant’s attorney.
Printed Name	Text	Enter the name of the person who signed above, typed or printed.
Defendant/Attorney signature block
Defendant/Attorney Signature	Text	Enter the signature of the defendant or the defendant’s attorney.
Signature Date	Date	Enter the date the defendant or attorney signed this answer.
Printed Name	Text	Enter the name of the person signing the form, typed or printed.
General
total pages	Text
case number	Text
Form Instructions 3	Button
total pages	Text
Case Number and Judge	Text	Enter the court case number and the name of the judge assigned to this case.
Plaintiff's Name	Text	Enter the full name of the plaintiff in this case.
Defendant's Name	Text	Enter the full name of the defendant in this case.
total pages	Text
Page Count Fields (Page 1 Header)
Page Number	Text	Enter the current page number for this form.
Total Pages	Text	Enter the total number of pages included in this form.
Plaintiff attorney information
Plaintiff's attorney contact information	Text	Enter the plaintiff’s attorney’s name, bar number, mailing address, and telephone number.
Plaintiff contact information
Plaintiff name, address, and telephone number	Text	Enter the plaintiff’s full name along with their mailing address and telephone number.
Responder Role (Defendant or Attorney for Defendant)
Defendant	Checkbox	Check this box if the person completing and signing this Answer is the defendant.
Attorney for defendant	Checkbox	Check this box if the person completing and signing this Answer is an attorney representing the defendant.
Responder type (Defendant or Attorney for defendant)
Defendant	Checkbox	Check this box if the person completing and filing this answer is the defendant in the case.
Attorney for defendant	Checkbox	Check this box if the person completing and filing this answer is the defendant’s attorney.
Response to Paragraph 1
Agree	Checkbox	Check this box if you agree with the statements in paragraph 1 of the complaint.
Disagree	Checkbox	Check this box if you disagree with the statements in paragraph 1 of the complaint (and provide the reason in the space provided).
Paragraph 1 Disagreement Explanation	Text	Enter the reason(s) you disagree with the statements made in paragraph 1 of the complaint. Fill only if 'Disagree' is 'Yes'. Depends on: Disagree
Do not know if true	Checkbox	Check this box if you do not know whether the statements in paragraph 1 of the complaint are true.
Response to Paragraph 10 (Agree/Disagree/Unknown + Disagreement Reason)
Agree (Paragraph 10)	Checkbox	Check this box if you agree with the statements in paragraph 10.
Disagree (Paragraph 10)	Checkbox	Check this box if you disagree with the statements in paragraph 10 and will state the reason for the disagreement on the provided line.
Paragraph 10 Disagreement Reason	Text	Provide the reason you disagree with the statements in paragraph 10. Fill only if 'Disagree (Paragraph 10)' is 'Yes'. Depends on: Disagree (Paragraph 10)
Do not know (Paragraph 10)	Checkbox	Check this box if you do not know whether the statements in paragraph 10 are true.
Response to Paragraph 11 (Agree/Disagree/Unknown + Disagreement Reason)
Agree with statements in paragraph 11	Checkbox	Check this box if you agree with the statements made in paragraph 11.
Disagree with statements in paragraph 11	Checkbox	Check this box if you disagree with the statements in paragraph 11 and will provide your reason on the line that follows.
Paragraph 11 Disagreement Reason	Text	Enter the reason you disagree with the statements in paragraph 11. Fill only if 'Disagree with statements in paragraph 11' is 'Yes'. Depends on: Disagree with statements in paragraph 11
Do not know if statements in paragraph 11 are true	Checkbox	Check this box if you do not know whether the statements in paragraph 11 are true.
Response to Paragraph 12 (Agree/Disagree/Unknown + Disagreement Reason)
Agree with statements in paragraph 12	Checkbox	Check this box if you agree that the statements in paragraph 12 are true.
Disagree with statements in paragraph 12	Checkbox	Check this box if you disagree with the statements in paragraph 12 and will provide a reason for the disagreement on the line provided.
Paragraph 12 Disagreement Reason	Text	Enter the reason you disagree with the statements in paragraph 12. Fill only if 'Disagree with statements in paragraph 12' is 'Yes'. Depends on: Disagree with statements in paragraph 12
Do not know if statements in paragraph 12 are true	Checkbox	Check this box if you do not know whether the statements in paragraph 12 are true.
Response to Paragraph 13 (Agree/Disagree/Unknown + Disagreement Reason)
Agree with statements in paragraph 13	Checkbox	Check this box if you agree that the statements in paragraph 13 are true.
Disagree with statements in paragraph 13	Checkbox	Check this box if you disagree with any statement in paragraph 13 (and provide the reason in the space that follows).
Paragraph 13 Disagreement Reason	Text	If you disagree with the statements in paragraph 13, explain the reason for your disagreement. Fill only if 'Disagree with statements in paragraph 13' is 'Yes'. Depends on: Disagree with statements in paragraph 13
Do not know if statements in paragraph 13 are true	Checkbox	Check this box if you do not know whether the statements in paragraph 13 are true.
Response to Paragraph 14 (Agree/Disagree/Unknown + Disagreement Reason)
Agree (Paragraph 14)	Checkbox	Check this box if you agree with the statements in paragraph 14.
Disagree (Paragraph 14)	Checkbox	Check this box if you disagree with the statements in paragraph 14 (and provide the reason on the line).
Paragraph 14 Disagreement Reason	Text	If you disagree with the statements in paragraph 14, enter the reason you disagree. Fill only if 'Disagree (Paragraph 14)' is 'Yes'. Depends on: Disagree (Paragraph 14)
Do not know (Paragraph 14)	Checkbox	Check this box if you do not know whether the statements in paragraph 14 are true.
Response to Paragraph 15 (Agree/Disagree/Unknown + Disagreement Reason)
Agree with the statements in paragraph 15	Checkbox	Check this box if you agree with the statements made in paragraph 15.
Disagree with the statements in paragraph 15 (because)	Checkbox	Check this box if you disagree with the statements in paragraph 15 and will state the reason for your disagreement on the provided line.
Paragraph 15 Disagreement Reason	Text	Enter the reason you disagree with the statements in paragraph 15. Fill only if 'Disagree with the statements in paragraph 15 (because)' is 'Yes'. Depends on: Disagree with the statements in paragraph 15 (because)
Do not know if the statements in paragraph 15 are true	Checkbox	Check this box if you do not know whether the statements in paragraph 15 are true.
Response to Paragraph 16 (Agree/Disagree/Unknown + Disagreement Reason)
Agree (Paragraph 16)	Checkbox	Check this box if you agree with the statements in paragraph 16.
Disagree (Paragraph 16)	Checkbox	Check this box if you disagree with the statements in paragraph 16 (and provide the reason on the line).
Paragraph 16 Disagreement Reason	Text	If you disagree with the statements in paragraph 16, explain the reason for your disagreement. Fill only if 'Disagree (Paragraph 16)' is 'Yes'. Depends on: Disagree (Paragraph 16)
Do Not Know (Paragraph 16)	Checkbox	Check this box if you do not know whether the statements in paragraph 16 are true.
Response to Paragraph 17 (Agree/Disagree/Unknown + Disagreement Reason)
Agree with statements in paragraph 17	Checkbox	Check this box if you agree that the statements in paragraph 17 are true.
Disagree with statements in paragraph 17	Checkbox	Check this box if you disagree with one or more statements in paragraph 17 (and will state the reason in the provided “because” line).
Paragraph 17 Disagreement Reason	Text	Enter the reason you disagree with the statements in paragraph 17. Fill only if 'Disagree with statements in paragraph 17' is 'Yes'. Depends on: Disagree with statements in paragraph 17
Do not know if statements in paragraph 17 are true	Checkbox	Check this box if you do not know whether the statements in paragraph 17 are true.
Response to Paragraph 18 (Agree/Disagree/Unknown + Disagreement Reason)
Agree with statements in paragraph 18	Checkbox	Check this box if you agree that the statements in paragraph 18 are true.
Disagree with statements in paragraph 18	Checkbox	Check this box if you disagree with the statements in paragraph 18 (and provide your reason on the line that follows).
Paragraph 18 Disagreement Reason	Text	Provide the reason you disagree with the statements in paragraph 18. Fill only if 'Disagree with statements in paragraph 18' is 'Yes'. Depends on: Disagree with statements in paragraph 18
Do not know if statements in paragraph 18 are true	Checkbox	Check this box if you do not know whether the statements in paragraph 18 are true.
Response to Paragraph 19 (Agree/Disagree/Unknown + Disagreement Reason)
Agree with paragraph 19	Checkbox	Check this box if you agree with the statements in paragraph 19.
Disagree with paragraph 19	Checkbox	Check this box if you disagree with the statements in paragraph 19 (and provide your reason on the line that follows).
Paragraph 19 Disagreement Reason	Text	Enter the reason you disagree with the statements in paragraph 19. Fill only if 'Disagree with paragraph 19' is 'Yes'. Depends on: Disagree with paragraph 19
Do not know if paragraph 19 is true	Checkbox	Check this box if you do not know whether the statements in paragraph 19 are true.
Response to Paragraph 2
Agree with statements in paragraph 2	Checkbox	Check this box if you admit and agree that the statements in paragraph 2 of the complaint are true.
Disagree with statements in paragraph 2	Checkbox	Check this box if you deny or disagree with the statements in paragraph 2 of the complaint (and provide the reason in the space provided).
Paragraph 2 Disagreement Explanation	Text	Enter the reason you disagree with the statements in paragraph 2 of the complaint. Fill only if 'Disagree with statements in paragraph 2' is 'Yes'. Depends on: Disagree with statements in paragraph 2
Do not know if statements in paragraph 2 are true	Checkbox	Check this box if you do not have enough information to admit or deny whether the statements in paragraph 2 of the complaint are true.
Response to Paragraph 20 (Agree/Disagree/Unknown + Disagreement Reason)
Paragraph 20 - Agree	Checkbox	Check this box if you agree with the statements in paragraph 20.
Paragraph 20 - Disagree	Checkbox	Check this box if you disagree with the statements in paragraph 20 (and provide the reason after “because”).
Paragraph 20 Disagreement Reason	Text	Enter the reason you disagree with the statements in paragraph 20. Fill only if 'Paragraph 20 - Disagree' is 'Yes'. Depends on: Paragraph 20 - Disagree
Paragraph 20 - Do not know	Checkbox	Check this box if you do not know whether the statements in paragraph 20 are true.
Response to Paragraph 21 (Agree/Disagree/Unknown + Disagreement Reason)
Agree (Paragraph 21)	Checkbox	Check this box if you agree with the statements in paragraph 21.
Disagree (Paragraph 21)	Checkbox	Check this box if you disagree with the statements in paragraph 21 (and provide the reason on the line that follows).
Paragraph 21 Disagreement Reason	Text	Provide the reason you disagree with the statements in paragraph 21. Fill only if 'Disagree (Paragraph 21)' is 'Yes'. Depends on: Disagree (Paragraph 21)
Do not know (Paragraph 21)	Checkbox	Check this box if you do not know whether the statements in paragraph 21 are true.
Response to Paragraph 22 (Agree/Disagree/Unknown + Disagreement Reason)
Agree with paragraph 22	Checkbox	Check this box if you agree with the statements in paragraph 22.
Disagree with paragraph 22	Checkbox	Check this box if you disagree with the statements in paragraph 22 (and provide the reason on the line after “because”).
Paragraph 22 Disagreement Reason	Text	Enter the reason you disagree with the statements in paragraph 22. Fill only if 'Disagree with paragraph 22' is 'Yes'. Depends on: Disagree with paragraph 22
Do not know if paragraph 22 is true	Checkbox	Check this box if you do not know whether the statements in paragraph 22 are true.
Response to Paragraph 23 (Agree/Disagree/Unknown + Disagreement Reason)
Agree (Paragraph 23)	Checkbox	Check this box if you agree with the statements in paragraph 23.
Disagree (Paragraph 23)	Checkbox	Check this box if you disagree with the statements in paragraph 23 (and provide your reason on the line after “because”).
Paragraph 23 Disagreement Reason	Text	Enter the reason you disagree with the statements in paragraph 23. Fill only if 'Disagree (Paragraph 23)' is 'Yes'. Depends on: Disagree (Paragraph 23)
Do Not Know (Paragraph 23)	Checkbox	Check this box if you do not know whether the statements in paragraph 23 are true.
Response to Paragraph 24 (Agree/Disagree/Unknown + Disagreement Reason)
Paragraph 24 - Agree	Checkbox	Check this box if you agree with the statements in paragraph 24.
Paragraph 24 - Disagree	Checkbox	Check this box if you disagree with the statements in paragraph 24 and will state the reason in the space provided.
Paragraph 24 Disagreement Reason	Text	Explain why you disagree with the statements in paragraph 24. Fill only if 'Paragraph 24 - Disagree' is 'Yes'. Depends on: Paragraph 24 - Disagree
Paragraph 24 - Do not know	Checkbox	Check this box if you do not know whether the statements in paragraph 24 are true.
Response to Paragraph 25 (Agree/Disagree/Unknown + Disagreement Reason)
Agree with statements in paragraph 25	Checkbox	Check this box if you agree with the statements in paragraph 25.
Disagree with statements in paragraph 25	Checkbox	Check this box if you disagree with the statements in paragraph 25 (and provide the reason in the blank that follows).
Paragraph 25 Disagreement Reason	Text	Explain why you disagree with the statements in paragraph 25. Fill only if 'Disagree with statements in paragraph 25' is 'Yes'. Depends on: Disagree with statements in paragraph 25
Do not know if statements in paragraph 25 are true	Checkbox	Check this box if you do not know whether the statements in paragraph 25 are true.
Response to Paragraph 26 (Agree/Disagree/Unknown + Disagreement Reason)
Paragraph 26 - Agree	Checkbox	Check this box if you agree with the statements in paragraph 26.
Paragraph 26 - Disagree	Checkbox	Check this box if you disagree with the statements in paragraph 26 (and provide your reason in the space provided).
Paragraph 26 Disagreement Reason	Text	Provide the reason you disagree with the statements in paragraph 26. Fill only if 'Paragraph 26 - Disagree' is 'Yes'. Depends on: Paragraph 26 - Disagree
Paragraph 26 - Do not know	Checkbox	Check this box if you do not know whether the statements in paragraph 26 are true.
Response to Paragraph 27 (Agree/Disagree/Unknown + Disagreement Reason)
Agree (Paragraph 27)	Checkbox	Check this box if you agree with the statements in paragraph 27.
Disagree (Paragraph 27)	Checkbox	Check this box if you disagree with the statements in paragraph 27 and will state the reason on the line provided.
Paragraph 27 Disagreement Explanation	Text	Provide the reason you disagree with the statements in paragraph 27. Fill only if 'Disagree (Paragraph 27)' is 'Yes'. Depends on: Disagree (Paragraph 27)
Do not know (Paragraph 27)	Checkbox	Check this box if you do not know whether the statements in paragraph 27 are true.
Response to Paragraph 3
Agree (Paragraph 3)	Checkbox	Check this box if you agree with the statements in paragraph 3 of the complaint.
Disagree (Paragraph 3)	Checkbox	Check this box if you disagree with the statements in paragraph 3 of the complaint.
Paragraph 3 Disagreement Explanation	Text	Provide the reason you disagree with the statements in paragraph 3 of the complaint. Fill only if 'Disagree (Paragraph 3)' is 'Yes'. Depends on: Disagree (Paragraph 3)
Do not know (Paragraph 3)	Checkbox	Check this box if you do not know whether the statements in paragraph 3 of the complaint are true.
Response to Paragraph 4 (Agree/Disagree/Unknown + Disagreement Reason)
Agree (Paragraph 4)	Checkbox	Check this box if you agree with the statements in paragraph 4.
Disagree (Paragraph 4)	Checkbox	Check this box if you disagree with the statements in paragraph 4.
Paragraph 4 Disagreement Reason	Text	Enter the reason you disagree with the statements in paragraph 4. Fill only if 'Disagree (Paragraph 4)' is 'Yes'. Depends on: Disagree (Paragraph 4)
Do Not Know (Paragraph 4)	Checkbox	Check this box if you do not know whether the statements in paragraph 4 are true.
Response to Paragraph 5 (Agree/Disagree/Unknown + Disagreement Reason)
Agree (Paragraph 5)	Checkbox	Check this box if you agree with the statements in paragraph 5.
Disagree (Paragraph 5)	Checkbox	Check this box if you disagree with the statements in paragraph 5 and will state your reason on the provided line.
Paragraph 5 Disagreement Reason	Text	Enter the reason you disagree with the statements in paragraph 5. Fill only if 'Disagree (Paragraph 5)' is 'Yes'. Depends on: Disagree (Paragraph 5)
Do Not Know (Paragraph 5)	Checkbox	Check this box if you do not know whether the statements in paragraph 5 are true.
Response to Paragraph 6 (Agree/Disagree/Unknown + Disagreement Reason)
Agree with paragraph 6	Checkbox	Check this box if you agree with the statements in paragraph 6.
Disagree with paragraph 6	Checkbox	Check this box if you disagree with the statements in paragraph 6 (and provide your reason in the blank that follows).
Paragraph 6 Disagreement Reason	Text	Provide the reason you disagree with the statements in paragraph 6. Fill only if 'Disagree with paragraph 6' is 'Yes'. Depends on: Disagree with paragraph 6
Do not know if paragraph 6 is true	Checkbox	Check this box if you do not know whether the statements in paragraph 6 are true.
Response to Paragraph 7 (Agree/Disagree/Unknown + Disagreement Reason)
Agree with the statements in paragraph 7	Checkbox	Check this box if you agree that all statements in paragraph 7 are true.
Disagree with the statements in paragraph 7	Checkbox	Check this box if you disagree with any statement in paragraph 7 and will state the reason in the space provided.
Paragraph 7 Disagreement Reason	Text	Provide the reason you disagree with the statements in paragraph 7. Fill only if 'Disagree with the statements in paragraph 7' is 'Yes'. Depends on: Disagree with the statements in paragraph 7
Do not know if the statements in paragraph 7 are true	Checkbox	Check this box if you do not know whether the statements in paragraph 7 are true.
Response to Paragraph 8 (Agree/Disagree/Unknown + Disagreement Reason)
Agree (Paragraph 8)	Checkbox	Check this box if you agree with the statements in paragraph 8.
Disagree (Paragraph 8)	Checkbox	Check this box if you disagree with the statements in paragraph 8 (and provide your reason on the line that follows).
Paragraph 8 Disagreement Reason	Text	Enter the reason you disagree with the statements in paragraph 8. Fill only if 'Disagree (Paragraph 8)' is 'Yes'. Depends on: Disagree (Paragraph 8)
Do Not Know (Paragraph 8)	Checkbox	Check this box if you do not know whether the statements in paragraph 8 are true.
Response to Paragraph 9 (Agree/Disagree/Unknown + Disagreement Reason)
Agree (Paragraph 9)	Checkbox	Check this box if you agree with the statements in paragraph 9.
Disagree (Paragraph 9)	Checkbox	Check this box if you disagree with the statements in paragraph 9 (and provide your reason on the line that follows).
Paragraph 9 Disagreement Reason	Text	If you disagree with the statements in paragraph 9, explain the reason for your disagreement. Fill only if 'Disagree (Paragraph 9)' is 'Yes'. Depends on: Disagree (Paragraph 9)
Do not know/Unknown (Paragraph 9)	Checkbox	Check this box if you do not know whether the statements in paragraph 9 are true.

Form MC 03, Answer, Civil Instructions