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