NEW CIVIL CASE FILING LORI M TYACK, CLERK FRANKLIN COUNTY MUNICIPAL COURT THIS COVER SHEET MUST BE COMPLETED FOR ALL NEW CASE FILINGS (Please check all that apply) CASE TYPE _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ “E” Personal Injury/Property Damage “F” Contracts/Notes/Accounts “F” Cognovit “H” 12 Point / FRA Non-Compliance Petitions “H” BMV Reinstatement Plan “H” Certificate of Judgment “H” Declaratory Judgment “I” Small Claims “N” Photo Red Light Appeal “P” Parking Violations Bureau Petition “CV_” Change of Venue “EV_” Civil Environmental $117.00 $117.00 $117.00 $117.00 $ 20.00 $ 78.00 $117.00 $ 72.00 $117.00 $117.00 $ 91.00 $117.00 NOTE: THE ABOVE FILING FEES INCLUDE SERVICE FOR UP TO 3 DEFENDANTS AND/OR ADDRESSES ISSUING ONE (1) TYPE OF SERVICE. ADDITIONAL DEFENDANTS AND/OR ADDRESSES, AND/OR MORE THAN (1) TYPE OF SERVICE REQUESTED WILL BE CHARGED ADDITIONAL SERVICE FEES BASED ON THE CURRENT COURT FEE SCHEDULE. SERVICE _____ Certified Mail _____ Bailiff Service (Instructions must be filled out) _____ Process Server Appointment $3.00 _____ Other (Instructions must be filled out) _____ Waiver of Notification of Failure (Form CV-81 MUST be completed) _____________________________________________________________________________ CASE TYPE _____ “G” _____ “G” F.E.D. 1 Cause of Action (EVICTION ONLY) F.E.D. 2 Causes of Action (EVICTION WITH MONEY) $127.00 $127.00 NOTE: THE ABOVE FILING FEES INCLUDE ORDINARY MAIL SERVICE PLUS ONE OF THE CHOICES BELOW FOR UP TO 3 DEFENDANTS AND/OR ADDRESSES. REQUESTS FOR ADDITIONAL DEFENDANTS AND/OR ADDRESSES WILL BE CHARGED ADDITIONAL SERVICE FEES BASED ON THE CURRENT COURT FEE SCHEDULE. ORDINARY MAIL SERVICE + _____ Bailiff Service (Instructions must be filled out) _____ Certified Mail (Must be signed for to perfect service) _____ Process Server Appointment $127.00 $127.00 $130.00 Signature of filing Party: ________________________________________________ Phone Number (optional): ________________________________________________ Provision of phone number may assist the court if problems are encountered Refiling Information If this is a REFILING of a previously dismissed case, please complete the following information: Previous Case No.__________________________ Original Judge _________________________ PLEASE PRESENT COMPLETED FORM WITH ORIGINAL & SERVICE COPIES TO CASHIER. MAKE CHECKS OR MONEY Rev 1/10 ORDERS PAYABLE TO FRANKLIN COUNTY MUNICIPAL COURT American LegalNet, Inc. www.FormsWorkFlow.com