COVER SHEET FOR CIVIL FILING ACTIONS - Page 1 Party Identification (Attach additional sheets as necessary) PLAINTIFF/PETITIONER ATTY FOR PLAINTIFF/PETITIONER Name Name Address Address PLAINTIFF/PETITIONER Name Address ATTY FOR PLAINTIFF/PETITIONER Name Address DEFENDANT/RESPONDENT Name Address ATTY FOR DEFENDANT/RESPONDENT Name Address DEFENDANT/RESPONDENT Name Address ATTY FOR DEFENDANT/RESPONDENT Name Address TOTAL CLAIM FOR DAMAGES $____________________ JURY DEMAND q Yes q No SCHEDULE OF FEES: §78-7-35. CHECK ANY THAT APPLY. (See Case Types for Filing Fees for Complaints other than Claim for Damages.) ---- COMPLAINT FOR DAMAGES ----$50 q Civil or Interpleader: $2000 or less $95 q Civil or Interpleader: $2001 $9999 $155 q Civil or Interpleader: $10,000 and over $155 q Civil Unspecified ---------- SMALL CLAIMS --------$45 q Small Claims: $2000 or less $70 q Small Claims: $2001-$7500 ---------- MISCELLANEOUS --------$75 q Jury Demand $2 q Vital Statistics §26-2-25 per form Effective:05/01/07 American LegalNet, Inc. www.FormsWorkflow.com COVER SHEET FOR CIVIL FILING ACTIONS Case Type (Check Only One Category) Fee Case Type ---------------- APPEALS --------------$155 q Administrative Agency Review Civil (78-7-35.(1)(h)) $205 q Small Claims Trial de Novo $75 q -------- GENERAL CIVIL --------$155 q Sch q $0 q $155 q Sch q Sch q Sch q $65 q $155 q $155 q Sch q Sch q Sch q Sch q Sch q $155 q $155 q Sch q Sch q Sch Sch $155 Sch Sch $155 Sch q q q q q q q Attorney Discipline Civil Rights Civil Stalking Condemnation/Eminent Domain Contract Debt Collection Eviction/Forcible Entry and Detainer Expungement (Fee is $0 under circumstances of §77-18-10(2)) Extraordinary Relief Forfeiture of Property Interpleader Lien/Mortgage Foreclosure Malpractice Miscellaneous Civil Personal Injury Post Conviction Relief: Capital Post Conviction Relief: Non-capital Property Damage Property/Quiet Title Sexual Harassment Tax Unsolicited Communication Water Rights Wrongful Death Wrongful Lien Wrongful Termination -------------- DOMESTIC -----------$0 $155 $155 $155 q q q q Cohabitant Abuse Common Law Marriage Custody/Visitation/Support Divorce/Annulment q Check if child support, custody or visitation will be part of decree q Check if a Temporary Separation has been filed $25 q $155 q $155 q Foreign Domestic Decree/Judgements Grandparent Visitation Paternity/Parentage $40 $155 $25 $25 q q q q $25 q - Page 2 Modify Divorce Decree Separate Maintenance Temporary Separation Uniform Child Custody Jurisdiction Act (UCCJA) Uniform Interstate Family Support Act (UIFSA) -------------- JUDGMENTS -----------$25 q Abstract of Foreign Judgment or Decree $40 q Abstract of Judgment or Order of Utah Court/Agency $30 q Abstract of Judgment/Order of Utah State Tax Commission $25 q Judgment by Confession $155 $155 $155 $155 $25 $155 $155 $155 $155 $155 $155 $155 $155 -------------- PROBATE -----------q Adoption q Conservatorship q Estate Personal Rep - Formal q Estate Personal Rep - Informal q Foreign Probate or Child Custody Document q Gestational Agreement q Guardianship q Involuntary Commitment q Minor’s Settlement q Name Change q Supervised Administration q Trusts q Unspecified Probate --------- SPECIAL MATTERS -------$25 q $0 q $0 q $25 q $25 q $25 q Arbitration Award Determination of Competency in Criminal Case Hospital Lien Judicial Approval of Document not part of a Pending Case Notice of deposition in out-of-state case Open Sealed Record Effective 05/01/07 American LegalNet, Inc. www.FormsWorkflow.com