Fla. R. Civ. P. 1.997 Civil Cover Sheet This civil cover sheet and the information contained in it do not replace or 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 FS 25.075 (see instructions for completion). I. CASE STYLE (Name of Court)___________ __________________________________ Plaintiff Case #:__________ vs. __________________________________ Judge: ___________ Defendant II. 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 (indented under a broader category), place an x in both the main category and subcategory boxes. � Condominium � Contracts and indebtedness � Eminent domain � Auto negligence � Negligence - other � Business governance � Business torts � Environmental/Toxic tort � Third party indemnification � Construction defect � Mass tort � Negligent security � Nursing home negligence � Premises liability—commercial � Premises liability—residential � Products liability � 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 American LegalNet, Inc. www.FormsWorkFlow.com 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 � Other � Antitrust/Trade regulation � Business transactions � Constitutional challenge—statute or ordinance � Constitutional challenge—proposed amendment � Corporate trusts � Discrimination—employment or other � Insurance claims � Intellectual property � Libel/Slander � Shareholder derivative action � Securities litigation � Trade secrets � Trust litigation Rev. 10/15/2009 by SC08-1141 III. REMEDIES SOUGHT (check all that apply): � monetary � non-monetary 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 CASES BEEN FILED? � no � yes If “yes”, list all related cases by name, case number, and court: _________________________________________________________________ _________________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com _________________________________________________________________ VII. IS A 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) ___________________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com