Fillable COVER SHEE Civil Case Filing Form (DESOTO COUNTY)

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COVER SHEE Civil Case Filing Form (DESOTO COUNTY)

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The COVER SHEE Civil Case Filing Form (DESOTO COUNTY) form is 6 pages long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for DESOTO COUNTY

BROWSE DESOTO COUNTY (MS) FORMS

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Individual
_
_
Other ____________________
_
COVER SHEE
T
Court Identification Docket #
Case Year Docket Number
Civil Case Filing Form
(To be completed by Attorney/Party County #
Judicial
District
Court ID
(CH, CI, CO)
Prior to Filing of Pleading)
Local Docket ID
Mississippi Supreme Court Form AOC/01 DateMonth Year
Administrative Office of Courts This area to be completed by clerk
(Rev 2020)
Case Number if filed prior to 1/1/94
In the Court of County ― Judicial District
Origin of Suit (Place an "X" in one box only
)
Initial Filin
g
Reinstated Foreign Judgment Enrolled Transfer from Other cour
t
Othe
r
Remanded Reopened Joining Suit/Action Appeal
Plaintiff‐ Party(ies) Initially Bringing Suit Should Be Entered First‐ Enter Additional Plaintiffs on Separate
Form
Individual
Last Name First Name Maiden Name, if M.I.applicabl
e
Jr/Sr/III/IV
____ Check ( x ) if Individual Plainitiff is acting in capacity as Executor(trix) or Administrator(trix) of an Estate, and enter style:
Estate o
_
___ Check ( x ) if Individual Planitiff is acting in capacity as Business Owner/Operator (d/b/a) or State Agency, and enter entit
y
D/B/A or Agenc
y
Business
Enter legal name of business, corporation, partnership, agency‐ If Corporation, indicate the state where incorporated
____ Check ( x ) if Business Planitiff is filing suit in the name of an entity other than the above, and enter below:
D/B/A
Address of Plaintiff
Attorney (Name & Address) MS Bar No.
_
___ Check ( x ) if Individual Filing Initial Pleading is NOT an attorney
Signature of Individual Filing:
Defendant‐ Name of Defendant‐ Enter Additional Defendants on Separate Form
Individual
Last Name First Name Maiden Name, if M.I.applicabl
e
Jr/Sr/III/IV
____ Check ( x ) if Individual Defendant is acting in capacity as Executor(trix) or Administrator(trix) of an Estate, and enter style:
Estate o
____ Check ( x ) if Individual Defendant is acting in capacity as Business Owner/Operator (d/b/a) or State Agency, and enter entity:
D/B/A or Agenc
y
Business
Enter legal name of business, corporation, partnership, agency‐ If Corporation, indicate the state where incorporated
____ Check ( x ) if Business Defendant is acting in the name of an entity other than the above, and enter below:
D/B/A
Attorney (Name & Address)‐ If Known MS Bar No.
Check ( x ) if child support is contemplated as an issue in this suit.*
*If checked, please submit completed Child Support Information Sheet with this Cover Sheet
Nature of Suit (Place an "X" in one box only)
Children/Minors‐ Non‐Domestic
Real Property
Domestic Relation
s
Business/Commercial
Accounting (Business
)
Business Dissolutio
n
Debt Collection
Employment
Alcohol/Drug Commitment (Voluntary)
Other
Adoption‐ Contested
Adoption‐ Uncontested
Consent to Abortion
Minor Removal of Minority
Other _____________________
Foreign Judgment Civil Rights
Garnishmen
t
Elections
Replevin Expungement
Other __________________
_
Habeas Corpus
Probate Post Conviction Relief/Prisone
r
Adverse Possession
Ejectment
Eminent Domain
Eviction
Judicial Foreclosure
Lien Assertion
Partition
Tax Sale: Confirm/Cancel
Title Boundary or Easement
Other __________________
Other ____________________
_
Torts
Contract
Breach of Contrac
t
Installment Contrac
t
Child Custody/Visitatio
n
Child Suppor
t
Contempt
Divorce:Faul
t
Divorce: Irreconcilable Diff.
Domestic Abuse
Emancipation
Modification
Paternity
Property Division
Separate Maintenance
Term. of Parental Rights-Chancery
UIFSA (eff 7/1/97; formerly URESA)
Other ____________________ _
Insurance
Appeals
Specific Performanc
e
Other ___________________
Statutes/Rule
s
Bond Validation
Civil Forfeitur
e
Declarator
y
Jud
g
men
t
Declaratory Judgment
Administrative Agency
County Cour
t
Hardship Petition (Driver License
)
Justice Court
MS Dept Employment Security
Municipal Court
Other _____________________
Accounting (Probate)
Birth Certificate Correction
Mental Health Commitment
Conservatorship
Guardianship
Joint Conservatorship & Guardianship
Heirship
Intestate Estate
Minor's Settlement
Muniment of Title
Name Change
Testate Estate
Will Contest
Alcohol/Drug Commitment (Involuntary)
Injunction or Restraining Orde
r
Bad Faith
Fraud
Intentional Tort
Loss of Consortium
Malpractice‐ Legal
Malpractice‐ Medical
Mass Tort
Negligence‐ General
Negligence‐ Motor Vehicle
Premises Liability
Product Liability
Subrogation
Wrongful Death
Other __________________
IN THE COURT OF COUNTY, MISSISSIPPI
JUDICIAL DISTRICT, CITY OF
Docket No. - Docket No. If Filed
File Yr Chronological No. Clerk’s Local ID Prior to 1/1/94
PLAINTIFFS IN REFERENCED CAUSE - Page 1 of Plaintiffs Pages
IN ADDITION TO PLAINTIFF SHOWN ON CIVIL CASE FILING FORM COVER SHEET
Plaintiff #2:
Individual: ( )
Last Name First Name Maiden Name, if Applicable Middle Init. Jr/Sr/III/IV
___Check (T) if Individual Plaintiff is acting in capacity as Executor(trix) or Administrator(trix) of an Estate, and enter style:
Estate of
___Check (T) if Individual Plaintiff is acting in capacity as Business Owner/Operator (D/B/A) or State Agency, and enter that name below:
D/B/A
Business
Enter legal name of business, corporation, partnership, agency - If Corporation, indicate state where incorporated
Check (T) if Business Plaintiff is filing suit in the name of an entity other than the name above, and enter below:
D/B/A
A
TTORNEY FOR THIS PLAINTIFF: Bar # or Name: Pro Hac Vice (T) Not an Attorney(T)
Plaintiff #3:
Individual: ( )
Last Name First Name Maiden Name, if Applicable Middle Init. Jr/Sr/III/IV
___Check (T) if Individual Plaintiff is acting in capacity as Executor(trix) or Administrator(trix) of an Estate, and enter style:
Estate of
___Check (T) if Individual Plaintiff is acting in capacity as Business Owner/Operator (D/B/A) or State Agency, and enter that name below:
D/B/A
Business
Enter legal name of business, corporation, partnership, agency - If Corporation, indicate state where incorporated
Check (T) if Business Plaintiff is filing suit in the name of an entity other than the name above, and enter below:
D/B/A
A
TTORNEY FOR THIS PLAINTIFF: Bar # or Name: Pro Hac Vice (T) Not an Attorney(T)
Plaintiff #4:
Individual: ( )
Last Name First Name Maiden Name, if Applicable Middle Init. Jr/Sr/III/IV
___Check (T) if Individual Plaintiff is acting in capacity as Executor(trix) or Administrator(trix) of an Estate, and enter style:
Estate of
___Check (T) if Individual Plaintiff is acting in capacity as Business Owner/Operator (D/B/A) or State Agency, and enter that name below:
D/B/A
Business
Enter legal name of business, corporation, partnership, agency - If Corporation, indicate state where incorporated
Check (T) if Business Plaintiff is filing suit in the name of an entity other than the name above, and enter below:
D/B/A
A
TTORNEY FOR THIS PLAINTIFF: Bar # or Name: Pro Hac Vice (T) Not an Attorney(T)
IN THE COURT OF COUNTY, MISSISSIPPI
JUDICIAL DISTRICT, CITY OF
Docket No. - Docket No. If Filed
File Yr Chronological No. Clerk’s Local ID Prior to 1/1/94
PLAINTIFFS IN REFERENCED CAUSE - Page of Plaintiffs Pages
IN ADDITION TO PLAINTIFF SHOWN ON CIVIL CASE FILING FORM COVER SHEET
Plaintiff # :
Individual: ( )
Last Name First Name Maiden Name, if Applicable Middle Init. Jr/Sr/III/IV
___Check (T) if Individual Plaintiff is acting in capacity as Executor(trix) or Administrator(trix) of an Estate, and enter style:
Estate of
___Check (T) if Individual Plaintiff is acting in capacity as Business Owner/Operator (D/B/A) or State Agency, and enter that name below:
D/B/A
Business
Enter legal name of business, corporation, partnership, agency - If Corporation, indicate state where incorporated
Check (T) if Business Plaintiff is filing suit in the name of an entity other than the name above, and enter below:
D/B/A
A
TTORNEY FOR THIS PLAINTIFF: Bar # or Name: Pro Hac Vice (T) Not an Attorney(T)
Plaintiff # :
Individual: ( )
Last Name First Name Maiden Name, if Applicable Middle Init. Jr/Sr/III/IV
___Check (T) if Individual Plaintiff is acting in capacity as Executor(trix) or Administrator(trix) of an Estate, and enter style:
Estate of
___Check (T) if Individual Plaintiff is acting in capacity as Business Owner/Operator (D/B/A) or State Agency, and enter that name below:
D/B/A
Business
Enter legal name of business, corporation, partnership, agency - If Corporation, indicate state where incorporated
Check (T) if Business Plaintiff is filing suit in the name of an entity other than the name above, and enter below:
D/B/A
A
TTORNEY FOR THIS PLAINTIFF: Bar # or Name: Pro Hac Vice (T) Not an Attorney(T)
Plaintiff # :
Individual: ( )
Last Name First Name Maiden Name, if Applicable Middle Init. Jr/Sr/III/IV
___Check (T) if Individual Plaintiff is acting in capacity as Executor(trix) or Administrator(trix) of an Estate, and enter style:
Estate of
___Check (T) if Individual Plaintiff is acting in capacity as Business Owner/Operator (D/B/A) or State Agency, and enter that name below:
D/B/A
Business
Enter legal name of business, corporation, partnership, agency - If Corporation, indicate state where incorporated
Check (T) if Business Plaintiff is filing suit in the name of an entity other than the name above, and enter below:
D/B/A
A
TTORNEY FOR THIS PLAINTIFF: Bar # or Name: Pro Hac Vice (T) Not an Attorney(T)
Reset Form
IN THE COURT OF COUNTY, MISSISSIPPI
JUDICIAL DISTRICT, CITY OF
Docket No. - Docket No. If Filed
File Yr Chronological No. Clerk’s Local ID Prior to 1/1/94
DEFENDANTS IN REFERENCED CAUSE - Page 1 of Defendants Pages
IN ADDITION TO DEFENDANT SHOWN ON CIVIL CASE FILING FORM COVER SHEET
Defendant #2:
Individual: ( )
Last Name First Name Maiden Name, if Applicable Middle Init. Jr/Sr/III/IV
___Check (T) if Individual Defendant is acting in capacity as Executor(trix) or Administrator(trix) of an Estate, and enter style:
Estate of
___Check (T)
if Individual Defendant is acting in capacity as Business Owner/Operator (D/B/A) or State Agency, and enter that name below:
D/B/A
Business
Enter legal name of business, corporation, partnership, agency - If Corporation, indicate state where incorporated
Check (T) if Business Defendant is being sued in the name of an entity other than the name above, and enter below:
D/B/A
A
TTORNEY FOR THIS DEFENDANT: Bar # or Name: Pro Hac Vice (T) Not an Attorney(T)
Defendant #3:
Individual: ( )
Last Name First Name Maiden Name, if Applicable Middle Init. Jr/Sr/III/IV
___Check (T) if Individual Defendant is acting in capacity as Executor(trix) or Administrator(trix) of an Estate, and enter style:
Estate of
___Check (T)
if Individual Defendant is acting in capacity as Business Owner/Operator (D/B/A) or State Agency, and enter that name below:
D/B/A
Business
Enter legal name of business, corporation, partnership, agency - If Corporation, indicate state where incorporated
Check (T) if Business Defendant is being sued in the name of an entity other than the name above, and enter below:
D/B/A
A
TTORNEY FOR THIS DEFENDANT: Bar # or Name: Pro Hac Vice (T) Not an Attorney(T)
Defendant #4:
Individual: ( )
Last Name First Name Maiden Name, if Applicable Middle Init. Jr/Sr/III/IV
___Check (T) if Individual Defendant is acting in capacity as Executor(trix) or Administrator(trix) of an Estate, and enter style:
Estate of
___Check (T)
if Individual Defendant is acting in capacity as Business Owner/Operator (D/B/A) or State Agency, and enter that name below:
D/B/A
Business
Enter legal name of business, corporation, partnership, agency - If Corporation, indicate state where incorporated
Check (T) if Business Defendant is being sued in the name of an entity other than the above, and enter below:
D/B/A
A
TTORNEY FOR THIS DEFENDANT: Bar # or Name: Pro Hac Vice (T) Not an Attorney(T)
IN THE COURT OF COUNTY, MISSISSIPPI
JUDICIAL DISTRICT, CITY OF
Docket No. - Docket No. If Filed
File Yr Chronological No. Clerk’s Local ID Prior to 1/1/94
DEFENDANTS IN REFERENCED CAUSE - Page of Defendants Pages
IN ADDITION TO DEFENDANT SHOWN ON CIVIL CASE FILING FORM COVER SHEET
Defendant # :
Individual: ( )
Last Name First Name Maiden Name, if Applicable Middle Init. Jr/Sr/III/IV
___Check (T) if Individual Defendant is acting in capacity as Executor(trix) or Administrator(trix) of an Estate, and enter style:
Estate of
___Check (T)
if Individual Defendant is acting in capacity as Business Owner/Operator (D/B/A) or State Agency, and enter that name below:
D/B/A
Business
Enter legal name of business, corporation, partnership, agency - If Corporation, indicate state where incorporated
Check (T) if Business Defendant is being sued in the name of an entity other than the name above, and enter below:
D/B/A
A
TTORNEY FOR THIS DEFENDANT: Bar # or Name: Pro Hac Vice (T) Not an Attorney(T)
Defendant # :
Individual: ( )
Last Name First Name Maiden Name, if Applicable Middle Init. Jr/Sr/III/IV
___Check (T) if Individual Defendant is acting in capacity as Executor(trix) or Administrator(trix) of an Estate, and enter style:
Estate of
___Check (T)
if Individual Defendant is acting in capacity as Business Owner/Operator (D/B/A) or State Agency, and enter that name below:
D/B/A
Business
Enter legal name of business, corporation, partnership, agency - If Corporation, indicate state where incorporated
Check (T) if Business Defendant is being sued in the name of an entity other than the name above, and enter below:
D/B/A
A
TTORNEY FOR THIS DEFENDANT: Bar # or Name: Pro Hac Vice (T) Not an Attorney(T)
Defendant # :
Individual: ( )
Last Name First Name Maiden Name, if Applicable Middle Init. Jr/Sr/III/IV
___Check (T) if Individual Defendant is acting in capacity as Executor(trix) or Administrator(trix) of an Estate, and enter style:
Estate of
___Check (T)
if Individual Defendant is acting in capacity as Business Owner/Operator (D/B/A) or State Agency, and enter that name below:
D/B/A
Business
Enter legal name of business, corporation, partnership, agency - If Corporation, indicate state where incorporated
Check (T) if Business Defendant is being sued in the name of an entity other than the name above, and enter below:
D/B/A
A
TTORNEY FOR THIS DEFENDANT: Bar # or Name: Pro Hac Vice (T) Not an Attorney(T)
Reset Form
CHILD SUPPORT INFORMATION SHEET
Please include all information known
I
N THE COURT OF COUNTY, MISSISSIPPI
JUDICIAL DISTRICT, CITY OF
Docket No.
File Yr
-
Chronological No. Clerk’s Local ID
Docket No. If Filed
Prior to 1/1/94
Father:
Last First M/I Jr/Sr etc. Date of Birth Social Security #
Address: ( )
Phone # Drivers License #
Employer Name and Address: ( )
Employer Phone #
Mother:
Last First M/I Jr/Sr etc. Date of Birth Social Security #
Address: ( )
Phone # Drivers License #
Employer Name and Address: ( )
Employer Phone #
Child:
Last First M/I Jr/Sr etc. Date of Birth Social Security #
Address: ( )
Phone #
Child:
Last First M/I Jr/Sr etc. Date of Birth Social Security #
Address: ( )
Phone #
Child:
Last First M/I Jr/Sr etc. Date of Birth Social Security #
Address: ( )
Phone #
Child:
Last First M/I Jr/Sr etc. Date of Birth Social Security #
Address: ( )
Phone #
FOR ADDITIONAL CHILDREN, PLEASE ATTACH ADDITIONAL FORMS
MANDATED PURSUANT TO:
Federal Social Security Act Title IV-D, Information will be sent to the
§§ 454(26)(A) and 454A(e)(4); ADMINISTRATIVE OFFICE OF COURTS AND
Miss. Code Ann. §43-19-31(l)(iii) (Supp. 1999) MDHS CHILD SUPPORT ENFORCEMENT DIVISION
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COVER SHEE Civil Case Filing Form (DESOTO COUNTY)

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Completed 17 July 2020

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