Fillable FORM 1.997. CIVIL COVER SHEET: (Clay County Florida Clerk of Court and Comptroller)

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FORM 1.997. CIVIL COVER SHEET: (Clay County Florida Clerk of Court and Comptroller)

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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 use by the
Clerk of Court for the purpose of reporting judicial workload data pursuant to Florida Statues section 25.075. (See
instructions for completion.)
I. CASE STYLE
(Name of Court)
Plaintiff _____________________________________________ Case #: _____________
Judge: _____________
vs.
Defendant: _____________________________________________
II. TYPE OF CASE
(If the case fits more that 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 Non-homestead residential foreclosure $50,001 - $249,999
Contracts and indebtedness Non-homestead residential foreclosure $250,000 or more
Eminent domain Other real property actions $0 - $50,000
Auto negligence Other real property actions $50,001 - $249,999
Negligence - Other Other real property actions $250,000 or more
Business governance Professional malpractice
Business torts Malpractice - business
Environmental / Toxic tort Malpractice - medical
Third party indemnification Malpractice – other professional
Construction defect Other
Mass tort Antitrust / Trade regulation
Negligent security Business transactions
Nursing home negligence Constitutional challenge - statute or ordinance
Premises liability --- commercial Constitutional challenge –propose amendment
Premises liability --- residential Corporate trusts
Products liability Discrimination –employment or other
Real property / Mortgage foreclosure Insurance claims
Commercial foreclosure $0 - $50,000 Intellectual property
Commercial foreclosure $50,001 - $249,999 Libel / Slander
Commercial foreclosure $250,000 or more Securities litigation
Homestead residential foreclosure $0 - $50,000 Shareholder derivative action
Homestead residential foreclosure $50,001 - $249,999 Trade secrets
Homestead residential foreclosure $250,000 or more Trust litigation
Non-homestead residential foreclosure $0 - $50,000
III. 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 KNOW RELATED CASE BEEN FILED?
No
Yes If “yes”, list all related cases by name, case number and court.
VII. 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.
Signature _________________________________________________________ Fla. Bar #______
___________________________________________________ ______________
(type or print name) (Date)
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FORM 1.997. CIVIL COVER SHEET: (Clay County Florida Clerk of Court and Comptroller)

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Completed 30 July 2021

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