FORM OF COVER SHEET FOR OTHER PLEADINGS IN THE COURT OF COMMON PLEAS OF BEAVER COUNTY PENNSYLVANIA CIVIL DIVISION JOHN DOE, Plaintiff, vs. RICHARD ROE, Defendant. : : : : : : : : : No. _____ of 2004 Civil Action - Law Answer, Answer/New Matter Counterclaim, Reply, etc. Filed on behalf of: Names of Parties Name of Party or Counsel of Record Individual Name Firm Name Office Address Telephone Number Facsimile Number PA State ID Number American LegalNet, Inc. www.USCourtForms.com