PIMA COUNTY CONSOLIDATED JUSTICE COURT 115 NORTH CHURCH AVENUE, TUCSON, AZ 85701-1130 (520)740-3171/TTY#(520)740-3019 PLAINTIFF DEFENDANT CASE NO. ______________________________ DISCLOSURE STATEMENT (Name/Address/Telephone): I am the □ Plaintiff (Name/Address/Telephone): □ Defendant The undersigned party, pursuant to Rule 26.1(b)(1), ARCP, discloses the following and certifies that such disclosure includes all information in his/her possession, custody and control, as well as any information which can be determined, learned or obtained by reasonable investigation: 1. Factual Basis for each claim/defense: 2. A description of the damage(s) and copies of any exhibits that show how you calculated the dollar value of the damages. Bring a copy of these documents/exhibits to any scheduled Pretrial Conference. 3. The legal theory upon which each claim/defense is based: 4. On a separate page entitled "List of Witnesses", and made a part of this Disclosure, list the names, addresses and telephone numbers of any witnesses whom the undersigned party expects to call at trial. (Include a brief summary of their testimony). 5. On a separate page entitled "List of Documents and Other Information": A. List the documents or evidence which would be available for review by the Court which supports the claim(s) of the undersigned party. Bring a copy of these documents and description of the evidence to any scheduled Pretrial Conference. B. Any other information, documents, or witnesses of which the undersigned party has knowledge, or that a reasonable person would recognize as leading to the discovery of such knowledge pertaining to this matter, is outlined on a separate page and made a part of this disclosure. I state under penalty of perjury that the foregoing is true and correct. Date: Signature □ Plaintiff JP67 (Rev. 06-01-09)/ec/mt/an/mm □ Defendant Original-Plaintiff Canary/Pink-Defendant(s) American LegalNet, Inc. www.FormsWorkFlow.com