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(Form 1.997 Civil Rules of Procedure 9/2020)
CIRCUIT COURT, PINELLAS COUNTY, FLORIDA
CIVIL DIVISION
CIVIL COVER SHEET
FORM 1.997 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
Plaintiff _________________________________
________________________________________
Vs.
Defendant _______________________________
________________________________________
Case No.:
Section:
II. 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 purpose.
$8,000 or less
$50,001 - $75,000
$8,001 - $30,000
$75,001 - $100,000
$30,001 - $50,000
Over $100,000
III. 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.
Real property/Mortgage foreclosure
Commercial foreclosure $0 - $50,000
Commercial foreclosure $50,001 - $249,999
Commercial foreclosure $250,000 or more
Homestead residential foreclosure $0 - $50,000
Homestead residential foreclosure $50,001 - $249,999
Homestead residential foreclosure $250,000 or more
Non-homestead residential foreclosure $0 - $50,000
Non-homestead residential foreclosure $50,001 - $249,999
Non-homestead residential foreclosure $250,000 or more
Other real property actions $0 - $50,000
Other real property actions $50,001 - $249,999
Other real property actions $250,000 or more
Professional malpractice
Malpractice—business
Malpractice—medical
Malpractice—other professional
(Form 1.997 Civil Rules of Procedure 9/2020)
County Civil
Civil
Real property/Mortgage foreclosure
Replevins
Evictions
Residential Evictions
Non-residential Evictions
Other Civil (non-monetary)
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 KNOWN 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 #
Attorney or party (Bar # if attorney)
(type or print name) Date
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Completed 18 November 2020

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