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FORM 1.997.	CIVIL COVER SHEET

The civil cover sheet and the information contained in it neither replace nor supplement the filing and service of pleadings or other documents as required by law. This form must be filed by the plaintiff or petitioner with the Clerk of Court for the purpose of reporting uniform data pursuant to section 25.075, Florida Statutes. (See instructions for completion.)

CASE STYLE

IN THE CIRCUIT COURT, [judCrct] JUDICIAL CIRCUIT,

IN AND FOR [couNm] COUNTY, FLORIDA

[plfName]	)	Case No (LT)
Plaintiff	)	[ltNo]
)	Judge:	[jdgName]
v.	)
)
[defName]	)
Defendant	)

AMOUNT OF CLAIM

Please indicate the estimated amount of the claim, rounded to the nearest dollar:

TYPE OF CASE

(If the case fits more than one type of case, select the most definitive category.) If the most descriptive label is a subcategory (is indented under a broader category), place an X on both the main category and subcategory lines.
CIRCUIT CIVIL
Condominium
Contracts and Indebtedness
Eminent Domain
Auto Negligence
Negligence - Other
Business Governance
Business Torts
Environmental/Toxic Tort
Third Party Indemnification
Construction Defect
Mass Tort
Negligent Security
Nursing Home Negligence
Premises Liability – Commercial
Premises Liability – Residential
Products Liability
Real Property/Mortgage Foreclosure
Commercial Foreclosure
Homestead Residential Foreclosure
Non-Homestead Residential Foreclosure
Other Real Property Actions
Professional Malpractice
Malpractice – Business
Malpractice – Medical
Malpractice – Other Professional
Other
Antitrust/Trade Regulation
Business Transactions
Constitutional Challenge – Statute or Ordinance
Constitutional Challenge – Proposed Amendment
Corporate Trusts
Discrimination – Employment or Other
Insurance Claims
Libel/Slander
Shareholder Derivative Action
Securities Litigation
Trade Secrets
Trust Litigation
COUNTY CIVIL
Civil
Replevins
Evictions
Other Civil (Non-Monetary)

REMEDIES SOUGHT (check all that apply)

Monetary;
Nonmonetary Declaratory or Injunctive Relief;
Punitive;

NUMBER OF CAUSES OF ACTION [__]

(Specify)

IS THIS CASE A CLASS ACTION LAWSUIT?

Yes
No

HAS NOTICE OF ANY KNOWN RELATED CASES BEEN FILED?

No
Yes | If “yes” list all related cases by name, case number, and court.

IS JURY TRIAL DEMANDED IN COMPLAINT?

Yes
No

I CERTIFY that the information I have provided in this cover sheet is accurate to the best of my knowledge and belief, and that I have read and will comply with the requirements of Florida Rule of Judicial Administration 2.425.

Signature	Fla. Bar #
(Attorney or Party)	(Bar # if attorney)
Name	Date
(type or print name)	(Date)
How-To Guide	TextBookDiscrimination.com/Guides/FileComplaint-State
Instructions (CV)	TextBookDiscrimination.com/Handbooks/Forms/CV/FL/
Samples	TextBookDiscrimination.com/Files/ComplaintState
Templates	TextBookDiscrimination.com/Templates/Duval/0a_Notice_001_CVL.dotx

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