STATE OF NORTH CAROLINA COUNTY OF CUMBERLAND IN THE GENERAL COURT OF JUSTICE DISTRICT COURT DIVISION District Court File Number MAGISTRATE APPEAL COVER SHEET Original Small Claims File Number CVD File Date Name Plaintiff 3 Address & Telephone Number OFFICIAL USE ONLY Name Plaintiff 1 Address & Telephone Number Name of Attorney (Provide address if not local) Name of Attorney (Provide address if not local) Name Plaintiff 2 Address & Telephone Number Name Plaintiff 4 Address & Telephone Number Name of Attorney (Provide address if not local) Name of Attorney (Provide address if not local) VERSUS Name Defendant 1 Address & Telephone Number Name Defendant 3 Address & Telephone Number Name of Attorney (Provide address if not local) Name of Attorney (Provide address if not local) Name Defendant 2 Name Defendant 4 Address & Telephone Number Address & Telephone Number Name of Attorney (Provide address if not local) Name of Attorney (Provide address if not local) CASE TYPE MONEY OWED EVICTION/SUMMARY EJECTMENT OTHER (describe) _________________________________________________________________________________________________ NOTE: All papers filed in a civil action shall include as the first page of the filing a completed cover sheet; to include the most current address provided in the court file, and attached to the filing. Cumberland County District Court Civil Calendaring Rule 1.9 CLERK PLEASE FORWARD COVER SHEET TO THE TRIAL COURT ADMINISTRATOR CCLF-CV-010 Rev. 4/16 American LegalNet, Inc. www.FormsWorkFlow.com