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Form 1. 997 Civil Cover Sheet The civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or other papers as required by law. This form shall be filed by the plaintiff or petitioner for the use of the Clerk of Court for the purpose of reporting judicial workload data pursuant to Florida Statutes section 25. 075. See instructions for completion. I. CASE STYLE CIRCUIT COURT EIGHTEENTH JUDICIAL CIRCUIT IN AND FOR SEMINOLE COUNTY FLORIDA CASE PLAINTIFF VS. JUDGE DEFENDANT II. Form 1. 997 Civil Cover Sheet The civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or other papers as required by law. This form shall be filed by the plaintiff or petitioner for the use of the Clerk of Court for the purpose of reporting judicial workload data pursuant to Florida Statutes section 25. 075. See instructions for completion. I. CASE STYLE CIRCUIT COURT EIGHTEENTH JUDICIAL CIRCUIT IN AND FOR SEMINOLE COUNTY FLORIDA CASE PLAINTIFF VS* JUDGE DEFENDANT II. 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 in both the main category and subcategory boxes. 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 Products Liability Real Property/Mortgage Foreclosure Commercial Foreclosure 0 - 50 000 Homestead Residential Foreclosure 0 - 50 000 NonHomestead Residential Foreclosure 0 - 50 000 GEN1209. 114 Other Real Property Actions 0 - 50 000 50 001 - 249 999 250 000 or More Professional Malpractice Malpractice-Business Malpractice-Medical Malpractice-Other Professional Other Antitrust/Trade Regulation Business Transactions Constitutional Challenge Statute or Ordinance Corporate Trusts Discrimination-Employment Insurance Claims Intellectual Property Libel/Slander Shareholder Derivative Action Securities Litigation Trade Secrets Trust Litigation REMEDIES SOUGHT check all that apply Monetary Nonmonetary Declaratory or Injunctive Relief Punitive IV. NUMBER OF CAUSES OF ACTION Specify V. IS THIS CASE A CLASS ACTION LAWSUIT Yes No VI. HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED If Yes list all related cases by Name Case Number and Court. IS JURY TRIAL DEMANDED IN COMPLAINT I CERTIFY that the information I have provided in this cover sheet is accurate to the best of my knowledge and belief* Signature Fla* Bar Attorney or Party Type or Print Name Bar if attorney Date. Form 1. 997 Civil Cover Sheet The civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or other papers as required by law. This form shall be filed by the plaintiff or petitioner for the use of the Clerk of Court for the purpose of reporting judicial workload data pursuant to Florida Statutes section 25.

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