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Utah Civil Cover Sheet Form

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COVER SHEET FOR CIVIL FILING ACTIONS - Page 1 Party Identification (Attach additional sheets as necessary) PLAINTIFF/PETITIONER ATTY FOR PLAINTIFF/PETITIONER Name Name Address Address PLAINTIFF/PETITIONER Name Address ATTY FOR PLAINTIFF/PETITIONER Name Address DEFENDANT/RESPONDENT Name Address ATTY FOR DEFENDANT/RESPONDENT Name Address DEFENDANT/RESPONDENT Name Address ATTY FOR DEFENDANT/RESPONDENT Name Address TOTAL CLAIM FOR DAMAGES $____________________ JURY DEMAND q Yes q No SCHEDULE OF FEES: §78-7-35. CHECK ANY THAT APPLY. (See Case Types for Filing Fees for Complaints other than Claim for Damages.) ---- COMPLAINT FOR DAMAGES ----$50 q Civil or Interpleader: $2000 or less $95 q Civil or Interpleader: $2001 $9999 $155 q Civil or Interpleader: $10,000 and over $155 q Civil Unspecified ---------- SMALL CLAIMS --------$45 q Small Claims: $2000 or less $70 q Small Claims: $2001-$7500 ---------- MISCELLANEOUS --------$75 q Jury Demand $2 q Vital Statistics §26-2-25 per form Effective:05/01/07