JS 44 (Rev. 07/16) CIVIL COVER SHEET DEFENDANTS The JS 44 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, except as provided by local rules of court. This form, approved by the Judicial Conference of the United States in September 1974, is required for the use of the Clerk of Court for the purpose of initiating the civil docket sheet. (SEE INSTRUCTIONS ON NEXT PAGE OF THIS FORM.) I. (a) PLAINTIFFS (b) County of Residence of First Listed Plaintiff (EXCEPT IN U.S. PLAINTIFF CASES) County of Residence of First Listed Defendant NOTE: (IN U.S. PLAINTIFF CASES ONLY) IN LAND CONDEMNATION CASES, USE THE LOCATION OF THE TRACT OF LAND INVOLVED. (c) Attorneys (Firm Name, Address, Email and Telephone Number) Attorneys (If Known) II. BASIS OF JURISDICTION (Place an "X" in One Box Only) '1 U.S. Government Plaintiff U.S. Government Defendant '3 Federal Question (U.S. Government Not a Party) Diversity (Indicate Citizenship of Parties in Item III) III. CITIZENSHIP OF PRINCIPAL PARTIES (Place an "X" in One Box for Plaintiff (For Diversity Cases Only) PTF Citizen of This State '1 Citizen of Another State Citizen or Subject of a Foreign Country FORFEITURE/PENALTY ' 625 Drug Related Seizure of Property 21 USC 881 ' 690 Other '2 '3 DEF '1 ' ' 2 3 and One Box for Defendant) PTF DEF Incorporated or Principal Place '4 '4 of Business In This State Incorporated and Principal Place of Business In Another State Foreign Nation '5 '6 '5 '6 '2 '4 IV. NATURE OF SUIT (Place an "X" in One Box Only) CONTRACT ' ' ' ' ' ' ' 110 Insurance 120 Marine 130 Miller Act 140 Negotiable Instrument 150 Recovery of Overpayment & Enforcement of Judgment 151 Medicare Act 152 Recovery of Defaulted Student Loans (Excludes Veterans) 153 Recovery of Overpayment of Veteran's Benefits 160 Stockholders' Suits 190 Other Contract 195 Contract Product Liability 196 Franchise REAL PROPERTY 210 Land Condemnation 220 Foreclosure 230 Rent Lease & Ejectment 240 Torts to Land 245 Tort Product Liability 290 All Other Real Property ' ' ' ' ' ' ' ' ' ' PERSONAL INJURY 310 Airplane 315 Airplane Product Liability 320 Assault, Libel & Slander 330 Federal Employers' Liability 340 Marine 345 Marine Product Liability 350 Motor Vehicle 355 Motor Vehicle Product Liability 360 Other Personal Injury 362 Personal Injury Medical Malpractice CIVIL RIGHTS 440 Other Civil Rights 441 Voting 442 Employment 443 Housing/ Accommodations 445 Amer. w/Disabilities Employment 446 Amer. w/Disabilities Other 448 Education TORTS PERSONAL INJURY ' 365 Personal Injury Product Liability ' 367 Health Care/ Pharmaceutical Personal Injury Product Liability ' 368 Asbestos Personal Injury Product Liability PERSONAL PROPERTY ' 370 Other Fraud ' 371 Truth in Lending ' 380 Other Personal Property Damage ' 385 Property Damage Product Liability PRISONER PETITIONS Habeas Corpus: ' 463 Alien Detainee ' 510 Motions to Vacate Sentence ' 530 General ' 535 Death Penalty Other: ' 540 Mandamus & Other ' 550 Civil Rights ' 555 Prison Condition ' 560 Civil Detainee Conditions of Confinement BANKRUPTCY ' 422 Appeal 28 USC 158 ' 423 Withdrawal 28 USC 157 PROPERTY RIGHTS ' 820 Copyrights ' 830 Patent ' 840 Trademark OTHER STATUTES ' 375 False Claims Act ' 376 Qui Tam (31 USC 3729(a)) ' 400 State Reapportionment ' 410 Antitrust ' 430 Banks and Banking ' 450 Commerce ' 460 Deportation ' 470 Racketeer Influenced and Corrupt Organizations ' 480 Consumer Credit ' 490 Cable/Sat TV ' 850 Securities/Commodities/ Exchange ' 890 Other Statutory Actions ' 891 Agricultural Acts ' 893 Environmental Matters ' 895 Freedom of Information Act ' 896 Arbitration ' 899 Administrative Procedure Act/Review or Appeal of Agency Decision ' 950 Constitutionality of State Statutes ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' LABOR ' 710 Fair Labor Standards Act ' 720 Labor/Management Relations ' 740 Railway Labor Act ' 751 Family and Medical Leave Act ' 790 Other Labor Litigation ' 791 Employee Retirement Income Security Act ' ' ' ' ' SOCIAL SECURITY 861 HIA (1395ff) 862 Black Lung (923) 863 DIWC/DIWW (405(g)) 864 SSID Title XVI 865 RSI (405(g)) FEDERAL TAX SUITS ' 870 Taxes (U.S. Plaintiff or Defendant) ' 871 IRS--Third Party 26 USC 7609 IMMIGRATION ' 462 Naturalization Application ' 465 Other Immigration Actions V. ORIGIN (Place an "X" in One Box Only) ' 1 Original Proceeding ' 2 Removed from State Court '3 Remanded from Appellate Court ' 4 Reinstated or Reopened ' 5 Transferred from Another District (specify) ' 6 Multidistrict Litigation Transfer ' 8 Multidistrict Litigation Direct File Cite the U.S. Civil Statute under which you are filing (Do not cite jurisdictional statutes unless diversity): VI. CAUSE OF ACTION Brief description of cause: ' CHECK IF THIS IS A CLASS ACTION VII. REQUESTED IN UNDER RULE 23, F.R.Cv.P. COMPLAINT: VIII. RELATED CASE(S) (See instructions): IF ANY JUDGE DATE FOR OFFICE USE ONLY RECEIPT # AMOUNT APPLYING IFP JUDGE MAG. JUDGE American LegalNet, Inc. www.FormsWorkFlow.com DEMAND $ CHECK YES only if demanded in complaint: ' Yes ' No JURY DEMAND: DOCKET NUMBER SIGNATURE OF ATTORNEY OF RECORD JS 44 Reverse (Rev. 07/16) INSTRUCTIONS FOR ATTORNEYS COMPLETING CIVIL COVER SHEET FORM JS 44 Authority For Civil Cover Sheet The JS 44 civil cover sheet and the information contained herein neither replaces nor supplements the filings and service of pleading or other papers as required by law, except as provided by local rules of court. This form, approved by the Judicial Conference of the United States in September 1974, is required for the use of the Clerk of Court for the purpose of initiating the civil docket sheet. Consequently, a civil cover sheet is submitted to the Clerk of Court for each civil complaint filed. The attorney filing a case should complete the form as follows: I.(a) (b) (c) II. Plaintiffs-Defendants. Enter names (last, first, middle initial) of plaintiff and defendant. If the plaintiff or defendant is a government agency, use only the full name or standard abbreviations. If the plaintiff or defendant is an official within a government agency, identify first the agency and then the official, giving both name and title. County of Residence. For each civil case filed, except U.S. plaintiff cases, enter the name of the county where the first listed plaintiff resides at the time of filing. In U.S. plaintiff cases, enter the name of the county in which the first listed defendant resides at the