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

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

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FORM 1.997. CIVIL COVER SHEET
Page 1 of 3
Form 1.997 (Revised 08/14/2020)
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 of the purpose of reporting uniform data pursuant to
section 25.075, Florida Statutes. (See instructions for completion.)
1. CASE STYLE
In the Circuit Court of the Fourth Judicial Circuit for Clay County, Florida
Case Number:
Plaintiff(s)
Division:
vs.
Defendant(s)
2. AMOUNT OF CLAIM
Please indicate the estimated amount of the claim, rounded to the nearest dollar. The estimated
amount of the claim is requested for data collection and clerical processing purposes only. The
amount of the claim shall not be used for any other purposes.
$8,000 or less
$8,001-$30,000
$30,001-$50,000
$50,001-$75,000
$75,001-$100,000
Over $100,000.00
3. 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.
CIRCUIT CIVIL
☐
Condominium
☐
Homestead residential foreclosure $50,001 - $249,999
☐
Contracts and indebtedness
☐
Homestead residential foreclosure $250,000 or more
☐
Eminent domain
☐
Non-homestead residential Foreclosure $0 - $50,000
☐
Auto negligence
☐
Non-homestead residential Foreclosure $50,001 -
$249,999
☐
Negligence – Other
☐
Non-homestead residential Foreclosure $250,000 or
more
☐
Business governance
☐
Other
☐
Business torts
☐
Antitrust/trade regulation
☐
Environmental/Toxic tort
☐
Business transactions
☐
Third party indemnification
☐
Constitutional challenge – statute or ordinance
☐
Construction defect
☐
Constitutional challenge – proposed amendment
FORM 1.997. CIVIL COVER SHEET
Page 2 of 3
Form 1.997 (Revised 08/14/2020)
☐
Mass torts
☐
Corporate trusts
☐
Negligent security
☐
Discrimination – employment or other
☐
Nursing home negligence
☐
Insurance claims
☐
Premises liability - commercial
☐
Intellectual property
☐
Premises liability - residential
☐
Libel / Slander
☐
Products liability
☐
Shareholder derivative action
☐
Real Property / Mortgage foreclosure
☐
Securities litigation
☐
Commercial foreclosure $0 - $50,000
☐
Trade secrets
☐
Commercial foreclosure $50,001 - $249,999
☐
Trust litigation
☐
Commercial foreclosure $250,000 or more
☐
Homestead residential foreclosure $0 -
$50,000
COUNTY CIVIL
☐ Small Claims
☐ Civil
☐ Real property/Mortgage foreclosure
☐ Replevins
☐ Evictions
☐ Residential Evictions
☐ Non-Residential Evictions
☐ Other civil (non-monetary)
4. REMEDIES SOUGHT (Check all that apply):
☐ Monetary;
☐ Non-monetary declaratory or injunctive relief;
☐ Punitive
5. NUMBER OF CAUSES OF ACTION:
(Specify)
6. IS THIS CASE A CLASS ACTION LAWSUIT?
☐ Yes
☐ No
7. HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?
☐ No
☐ Yes. If “Yes”, list all related cases by name, case number and court.
8. IS JURY TRIAL DEMANDED IN COMPLAINT?
☐ Yes
☐ No
FORM 1.997. CIVIL COVER SHEET
Page 3 of 3
Form 1.997 (Revised 08/14/2020)
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 (Attorney or Party) FL Bar Number (Bar Number if attorney)
Type or Print Name Date
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FORM 1.997. CIVIL COVER SHEET: The civil cover (Clay County Florida Clerk of Court and Comptroller)

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Completed 30 July 2021

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