(To be utilized when filing an original complaint) IN THE CIRCUIT COURT OF THE SEVENTEENTH JUDICIAL CIRCUIT IN AND FOR BROWARD COUNTY, FLORIDA NOTICE OF INTENT TO FILE NEW CASE IN COMPLEX BUSINESS OR TORT DIVISION THIS ACTION IS APPROPRIATE FOR ASSIGNMENT TO A COMPLEX BUSINESS OR TORT DIVISION AND COMPLIES WITH REQUIRMENTS FOR FILING IN SUCH DIVISION AS SET FORTH IN ADMINISTRATIVE ORDER 2014-16-Civ Is this a tort case which meets criteria of Administrative Order 2014-16-Civ? YES NO Is this a business case which meets criteria of Administrative Order 2014-16-Civ? YES NO Is this a class action case? YES NO I CERTIFY the information herein is accurate and this case meets criteria pursuant to Administrative Order 2014-16-Civ for filing in the complex business or tort division of the 17thJudicial Circuit. Signature of attorney Florida Bar # Name, Address and Phone Number American LegalNet, Inc. www.FormsWorkFlow.com