B45.02.E Verdict Form E--Single Plaintiff and Defendant--Counterclaim-- Contributory Negligence Alleged--Less Than 50% VERDICT FORM E We, the jury, find for [name of counterplaintiff] and against [name of counterdefendant] and further find the following First: Without taking into consideration the question of reduction of damages due to the negligence of [name of counterplaintiff], if any, we find that the total amount of damages suffered by [name of counterplaintiff] as a proximate result of the occurrence in question is $___________. Second: Assuming that 100% represents the total combined negligence of [name of counterplaintiff] and of [name of counterdefendant] [and of all other persons], we find that the percentage of negligence that was a proximate cause of [name of counterplaintiff]'s [injury] [or] [damage] attributable solely to [name of counterplaintiff] is _____ percent (%). Third: After reducing the total damages sustained by [name of counterplaintiff] by the percentage of negligence attributable to [name of counterplaintiff], we assess [name of counterplaintiff]'s recoverable damages in the sum of $___________, [itemized as follows:] ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________