COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : RELIEF CODES TABLE Index No. Place a check mark after the type(s) relief you are seeking for each claim selected on the front of this : form. APPLIES TO WHAT CLAIM: OTHER OTHER MAIN #1 #2 CODE RELIEF SOUGHT ATF CST` DEP DMG DSS DVP ENF INA INM INT IPP LCA Plaintiff(s) -againstATTORNEY FEES COST DEPOSIT AMOUNT DAMAGES DISSOLUTION DIVISION OF PROPERTY ENFORCEMENT OF JUDGMENT AMOUNT HELD BY INTERPLEADER . INTEREST .AMOUNT. . . . . . . . . . . . . . . ....... ...... INTEREST RATE IMMEDIATE POSSESSION OF PREMISES LATE CHARGE AMOUNT ...... Calendar No. APPLIES TO WHAT CLAIM: OTHER OTHER #1 #2 CODE RELIEF SOUGHT : JUDICIAL SUBPOENA MAIN LCR MED OTH PRO PUN RNT RPP Defendant(s) RPT . . . . . . . . . . . .TAX . ... : : : : .. LATE CHARGE RATE MEDICAL EXPENSES OTHER PROPERTY PUNITIVE DAMAGES RENT DUE RETURN OF PERSONAL PROPERTY AMOUNT OF RENT PER DAY TAX AMOUNT Relief sought more than $25,000? Y/N THE PEOPLEINSTRUCTIONS FOR COMPLETING CIVIL CASE COVER SHEET OF THE STATE OF NEW YORK (Both sides of this form must be completed with every civil case filing) TO 1. Type or print Plaintiff/Petitioner and Defendant/Respondent Name, address, etc,, in the space provided. Additional plaintiffs and defendants must be listed below. 2. Enter Plaintiff and Defendant Attorneys. If you are a plaintiff without an attorney, check the Pro Se box beneath Plaintiff attorney. GREETINGS: 3. Check the Initial Pleading box unless this is an Amended or Supplemental Pleading. aside, you and each of you attend before WE COMMAND YOU, that all business and excuses being laid (If this is an Amended or Supplemental, do not file this form unless the Main claim on your original case is changed.) , the Honorable at the Court 4. If you are asking the court to waive the civil filing fee, check the “I am applying for free process” box. 5. You can only have one main claim (or “cause of action”). Find the type of claim that best describes the main claim in your complaint and check the box under Main. If you have other claims, check the box or boxes under Other that best describe your other claims. For example, if you were filing for injuries and damages resulting from an auto accident, you might check the Main box next to “Personal Injury Auto” and the Other boxes next to “Property Damage Auto” and “Loss of Consortium.” 6. located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to theturn to the Relief Codes Table (above) and placeissued for a maximum penalty of $50 to the relief you aresustained as a party on whose behalf this subpoena was a check mark under the Main column next and all damages seeking for your Next, result of your failure to comply. main claim listed on the Cover Sheet. You may check more than one type of relief for your Main and Other claims. In the example above, if you were seeking medical expenses for your Personal Injury Auto (your “main” claim), you would check the box next to Medical Expenses in the Main column. Witness, Honorable , one of the Justices of the Court in 7. County, day of , 20 If you are seeking more than $25,000 for your claims, place a Y (Yes) in the Main or Other columns as appropriate, otherwise place an N (No). Even if you choose to represent yourself in a claim, you may wish to (Attorneywith an attorney to discuss your rights. consult must sign above and type name below) Court personnel are not authorized to give legal advice. SELECTION OF CLAIMS AND RELIEF CODES ON THIS FORM IS FOR COURT DATA-KEEPING PURPOSES ONLY AND HAS NO SUBSTANTIVE EFFECT ON YOUR CASE. Attorney(s) for LEAVE ITEM BLANK IF INFORMATION IS CONFIDENTIAL OR UNAVAILABLE Person submitting form sign here: _______________________________________ Print name: Additional Plaintiff (s) Name Address City, State, Zip Social Security # Phone Additional Defendant (s) Name Office Address City, State, Zip Social Security # Phone and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . The.civil.cover sheet .and. the information . . . . . . .herein .neither.replace nor supplement the filing and service of pleadings or other CIVIL CASE COVER.SHEET . . . . . . . . . . . . . . . . . . . . contained . . . . . . . ....... . .. papers as required by law, except as provided by local rules of court. This form, approved by the Supreme Court of New Mexico is required for the use of the Clerk of : Index No. Court for the purpose of initiating the civil docket. COMPLETE BOTH SIDES OF THIS FORM AND SIGN THE SECOND PAGE Plaintiff Name Address Defendant Name Address City, State, Zip Social Security Number Date of Birth Phone Number Plaintiff(s) City, State, Zip -against- Plaintiff’s Attorneys (Firm Name, Address, and Telephone) Social Security Number Date of Birth Phone Number : Calendar No. : JUDICIAL SUBPOENA : : Defendant’s Attorneys (Firm Name, Address, and Telephone) : Defendant(s) : ...................................................... I do not have an attorney (Pro Se) Initial Pleading Amended/Supplemental Pleading I am applying for free process Complete the cover sheet ONLY if the parties or Main claims (causes of action) are changed by the new pleading. Place an X in the ONE box in the “Main” column (only one in Main column) which describes your Main claim. Mark all “Other” boxes (you may check more than one) that describe your other claims. THE STATE OF NEW YORK THE PEOPLE OF Main Main Main Main Other Appeals & Writs APP Main Other Contract, Debt, Partnership KDM Admin. Appeal with new trial AAN Breach of Contract KBK TO Admin. Appeal on the record AAR Breach of Warranty KBW Appeal DR License ADL Debt and Money Due KDM Appeal fr. lower court, New ALN Contract - Equitable Relief KEQ Appeal fr. lower court on ALR Contract Injunction KIN License DR Dissolution of Partnership, Joint Venture KKD GREETINGS: Certiorari AWC Contract Wrongful Termination KWT Habeas Corpus AWH Replevin, Attachment KRA WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Mandamus, Prohibition AWM Contract Miscellaneous KMS Appeals Miscellaneous AMS the Honorable at the Court Other RES Other Statutory Violations VSO located at Main CountyRealty of Claim of Lien RCL Fair Labor Standards Act VFL in room , on the day , 20 , at o'clock in the noon,VIC at any recessed and Claim of Easement, License REL of Insurance Code Foreclosure VFL or adjourned date, to testify andRFC evidence as a witness inStatutes/Ordinance Viol. Misc. of the give this action on the part Forfeiture RFF Securities Act VSA Govt.: Condemn, Emin. RGA Trade Practices Act VTP Landlord Tenant RLT Claims of Other Equitable REO Your Quiet Title failure to comply with this subpoena is punishable as a contempt of court and will make you liable to RQT Zoning whose the party on Violation behalf this RZV subpoena was issued for a maximum penalty of $50 and all damages sustained as a Real Estate Miscellaneous result of your failure to comply.RMS Other Torts - Auto TAU Main Other Malpractice, Product Liability TMP Personal Injury Auto TAI Legal Malpractice TLM Property Damages, Auto Medical Malpractice , one of the Justices of the TMM Witness, Honorable TAP Loss of Consortium TCS Other Malpractice TOM Court in County, TSB day of , 20 Product Liability Subrogation TPL Wrongful Death, Auto TWA Wrongful Death Product Liability TWP Other Other Torts TRT Main Other Miscellaneous MMS Assault/Battery TAB Driver’s License Restoration MDL Bad Faith TBF Foreign Judgment sign above and type name below) MFJ (Attorney must Loss of Consortium TCS Forfeiture MFR Property Damage TDM Private Arbitration MPA Tort Injunction TIN Petition to Marry MPM Libel / Slander TLS Restraining Order MRO Attorney(s) for Misrepresentation, Fraud TMR Subpoena Witness MSW Nuisance TNU Workers Comp. Judge/WCA Decision MWC Property Damage, Non Auto TPD Wage and Hours Claim MWH Personal Injury, Non Auto TPI Wiretap MWT Securities Fraud TSF Name Change MNC Wrongful Death, Non Auto TWD Miscellaneous, FitsP.O. Address Office and nothing else Specify: MMS No Contract Wrongful TWT Main Other Other OTH Tort Miscellaneous TMS Corp. Dissol., Shareholder Suits OCD Other Damages-not tort, cntrct or statutory ODM Declaratory Relief No.: ODR Telephone Election Contests OEC Facsimile No.: Injunction - Not Contract / Tort OIJ Interpleader Address: OIN E-Mail Tax Case OTX Mobile Tel. No.: Workers Comp (reopen only) OWC American LegalNet, Inc. www.USCourtForms.com ,