FORM 1.997. CIVIL COVER SHEET The 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. This form must 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 section 25.075, Florida Statutes. (See instructions for completion.) I. CASE STYLE (Name of Court) Plaintiff vs Defendant Case #: Judge: 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 (is indented under a broader category), place an x in both the main category and subcategory boxes. Homestead residential foreclosure $0-$50,000 Homestead residential foreclosure $50,001-$249,999 Homestead residential foreclosure $250,000 or more Nonhomestead residential foreclosure $0-$50,000 Nonhomestead residential foreclosure $50,001-$249,999 Nonhomestead residential 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 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 January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com Constitutional challenge--proposed amendment Corporate trusts Discrimination--employment or other Insurance claims Intellectual property III. REMEDIES SOUGHT (check all that apply): monetary; nonmonetary declaratory or injunctive relief; punitive NUMBER OF CAUSES OF ACTION: [ ] (specify) IS THIS CASE A CLASS ACTION LAWSUIT? yes no Libel/Slander Shareholder derivative action Securities litigation Trade secrets Trust litigation IV. V. VI. HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED? no yes If "yes," list all related cases by name, case number and court. VII. IS 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, and that I have read and will comply with the requirements of Florida Rule of Judicial Administration 2.425. Signature ___________________________________________ Florida Bar # _________________________ Attorney or party (Bar # if attorney) Print name __________________________________________ (type or print name) _________________________________ Date Revision effective January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com FORM 1.997. INSTRUCTIONS FOR ATTORNEYS COMPLETING CIVIL COVER SHEET Plaintiff must file this cover sheet with first document filed in the action or proceeding (except small claims cases or other county court cases, probate, or family cases). Domestic and juvenile cases should be accompanied by a completed Florida Family Law Rules of Procedure Form 12.928, Cover Sheet for Family Court Cases. Failure to file a civil cover sheet in any civil case other than those excepted above may result in sanctions. I. Case Style. Enter the name of the court, the appropriate case number assigned at the time of filing of the original complaint or petition, the name of the judge assigned (if applicable), and the name (last, first, middle hutial) of plaintiff(s) and defendant(s). II. Type of Case. Place an "X" on the appropriate line. If the cause fits more than one type of case, select the most definitive. If the most definitive label is a subcategory (indented under a broader category label), place an "X" on the category and subcategory lines. Definitions of the cases are provided below in the order they appear on the form. (A) Condominium--all civil lawsuits pursuant to Chapter 718, Florida Statutes, in which a condominium association is a party. (B) Contracts and indebtedness--all contract actions relating to promissory notes and other debts, including those arising from the sale of goods, but excluding contract disputes involving condominium associations. (C) Eminent domain--all matters relating to the taking of private property for public use, including inverse condemnation by state agencies, political subdivisions, or public service corporations. (D) Auto negligence--all matters arising out of a party's allegedly negligent operation of a motor vehicle. (E) Negligence--other--all actions sounding in negligence, including statutory claims for relief on account of death or injury, that are not included in other main categories. (F) Business governance--all matters relating to the management, administration, or control of a company. (G) Business torts - all matters relating to liability for economic loss allegedly caused by interference with economic or business relationships. (H) Environmental/Toxic tort--all matters relating to claims that violations of environmental regulatory provisions or exposure to a chemical caused injury or disease. (I) Third party indemnification--all matters relating to liability transferred to a third party in a financial relationship. (J) Construction defect--all civil lawsuits in which damage or injury was allegedly caused by defects in the construction of a structure. Revision effective January 1, 2017 (K) Mass tort--all matters relating to a civil action involving numerous plaintiffs against one or more defendants. (L) Negligent security--all matters involving injury to a person or property allegedly resulting from insufficient security. (M) Nursing home negligence--all matters involving injury to a nursing home resident resulting from negligence of nursing home staff or facilities. (N) Premises liability--commercial--all matters involving injury to a person or property allegedly resulting from a defect on the premises of a commercial property. (O) Premises liability--residential--all matters involving injury to a person or property allegedly resulting from a defect on the premises of a residential property. (P) Products liability--all matters