`CIVIL COVER SHEET
`
`I. (a) PLAINTIFFS
`——(cid:221) (cid:222)˛(cid:209)(cid:223)(cid:220)(cid:222)(cid:223)(cid:210)(cid:220)(cid:244) (cid:215)(cid:210)(cid:221)(cid:242)
`
`(SEE INSTRUCTIONS ON NEXT PAGE OF THIS FORM.)
`DEFENDANTS
`
`(cid:221)(cid:209)˛(cid:210)(cid:215)(cid:210)(cid:217) (cid:209)—(cid:204)(cid:215)(cid:221)(cid:223)(cid:212) (cid:221)(cid:209)(cid:211)(cid:211)¸(cid:210)(cid:215)(cid:221)(cid:223)(cid:204)(cid:215)(cid:209)(cid:210)˝ ˛(cid:218) (cid:212)(cid:212)(cid:221)
`
`(b)
`
`(cid:209)†–†…¿„¿ (cid:221)–«†‹§
`(EXCEPT IN U.S. PLAINTIFF CASES)
`
`(IN U.S. PLAINTIFF CASES ONLY)
`
`(Firm Name, Address, and Telephone Number)
`
`(c)
`(cid:220)–«„·¿› (cid:214)(cid:242) (cid:210)¿›‚(cid:244) (cid:222)¿fi‰·¿§ (cid:220)¿‡–†(cid:244) (cid:212)(cid:212)—(cid:244) (cid:209)†» —¿fi(cid:181) —·¿‰»(cid:244) (cid:237)(cid:240)(cid:240) ˝(cid:242) ˝‹¿‹»
`˝‹(cid:242)(cid:244) ˝§fi¿‰«›»(cid:244) (cid:210)˙ (cid:239)(cid:237)(cid:238)(cid:240)(cid:238)(cid:244) …†¿›‚(cid:224)(cid:190)¿fi‰·¿§…¿‡–†(cid:242)‰–‡
`
`(If Known)
`
`II. BASIS OF JURISDICTION (Place an “X” in One Box Only)
`
`III. CITIZENSHIP OF PRINCIPAL PARTIES (Place an “X” in One Box for Plaintiff
`(For Diversity Cases Only)
`and One Box for Defendant)
`PTF
`PTF
`DEF
`
`DEF
`
`(U.S. Government Not a Party)
`
`(Indicate Citizenship of Parties in Item III)
`
`or
`
`and
`
`IV. NATURE OF SUIT (Place an “X” in One Box Only)
`CONTRACT
`TORTS
`PERSONAL INJURY
`PERSONAL INJURY
`
`FORFEITURE/PENALTY
`
`BANKRUPTCY
`
`OTHER STATUTES
`
`PROPERTY RIGHTS
`
`PERSONAL PROPERTY
`
`LABOR
`
`SOCIAL SECURITY
`
`REAL PROPERTY
`
`CIVIL RIGHTS
`
`PRISONER PETITIONS
`Habeas Corpus:
`
`FEDERAL TAX SUITS
`
`Other:
`
`IMMIGRATION
`
`V. ORIGIN (Place an “X” in One Box Only)
`
`VI. CAUSE OF ACTION
`
`VII. REQUESTED IN
`COMPLAINT:
`VIII. RELATED CASE(S)
`IF ANY
`
`(cid:237)º ¸(cid:242)˝(cid:242)(cid:221)(cid:242) (cid:238)Ø(cid:239)
`
`—¿‹»†‹ (cid:215)†”fi•†„»‡»†‹
`
`(specify)
`(Do not cite jurisdictional statutes unless diversity)
`
`CLASS ACTION
`
`DEMAND $
`
`JURY DEMAND:
`
`(See instructions):
`
`˝‚¿fi(cid:176)»æ—»»(cid:190)·»›
`
`º(cid:230)(cid:239)(cid:237)(cid:243)‰“(cid:243)(cid:240)(cid:240)º(cid:237)Ł
`
`(cid:240)(cid:238)æ(cid:239)(cid:239)æ(cid:238)(cid:240)(cid:239)Œ
`FOR OFFICE USE ONLY
`
` 0206-3571516
`
`›æ (cid:220)–«„·¿› (cid:214)(cid:242) (cid:210)¿›‚
`
`$400
`
`5:16-cv-162
`
`BKS
`
`TWD
`
`
`
`Case 5:16-cv-00162-GLS-DEP Document 1-7 Filed 02/11/16 Page 2 of 2
`
`INSTRUCTIONS FOR ATTORNEYS COMPLETING CIVIL COVER SHEET FORM JS 44
`
`I.(a)
`
`Plaintiffs-Defendants.
`
`(b) County of Residence.
`
`(c) Attorneys.
`
`II.
`
`Jurisdiction.
`
`cases.
`
`III.
`
`Residence (citizenship) of Principal Parties.
`
`IV.
`
`Nature of Suit.
`
`V.
`
`Origin.
`
`VI.
`
`Cause of Action.
`statutes unless diversity.
`
`VII. Requested in Complaint.
`
`VIII. Related Cases.
`
`Date and Attorney Signature.
`
`.
`
`; NOTE: federal question actions take precedence over diversity
`
`Do not cite jurisdictional
`
`
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