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Mississippi Cover Sheet

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Mississippi Cover Sheet
Mississippi Cover Sheet
Individual
_
_
_
MS
Testate
Estate
Other
____________________
_
Other__________________
_
Other____________________
_
Other_________________
_
COVERSHEE
T
CourtIdentificationDocket#
CaseYear DocketNumber
CivilCaseFilingForm
(TobecompletedbyAttorney/Party County#
Judicial
District
CourtID
(CH,CI,CO)
PriortoFilingofPleading)
LocalDocketID
MississippiSupremeCourt FormAOC/01 DateMonth Year
AdministrativeOfficeofCourts (Rev Thisareatobecompletedbyclerk2009) CaseNumberiffiledpriorto1/1/94
Inthe Courtof County JudicialDistrict
OriginofSuit(Placean"X"inoneboxonly
)
InitialFilin
Reinstated ForeignJudgmentEnrolled TransferfromOthercour
t
Othe
r
Remanded Reopened Joining Suit/Action Appeal
Plaintiff‐Party(ies)InitiallyBringingSuitShouldBeEnteredFirst‐EnterAdditionalPlaintiffsonSeparateForm
Individual
LastName FirstName MaidenName,if
M.I.applicabl
e
Jr/Sr/III/IV
____Check(x)ifIndividualPlainitiffisactingincapacityasExecutor(trix)orAdministrator(trix)ofanEstate,andenterstyle:
Estateo
f
_
___Check(x)ifIndividualPlanitiffisactingincapacityasBusinessOwner/Operator(d/b/a)orStateAgency,andenterentit
y
D/B/AorAgenc
y
Business
Enterlegalnameofbusiness,corporation,partnership,agency‐IfCorporation,indicatethestatewhereincorporated
____Check(x)ifBusinessPlanitiffisfilingsuitinthenameofanentityotherthantheabove,andenterbelow:
D/B/A
AddressofPlaintiff
Attorney(Name&Address) MSBarNo.
_
___Check(x)ifIndividualFilingInitialPleadingisNOTanattorney
SignatureofIndividualFiling:
Defendant‐NameofDefendant‐EnterAdditionalDefendantsonSeparateForm
Individual
LastName FirstName MaidenName,if
M.I.applicabl
e
Jr/Sr/III/IV
____Check(x)ifIndividualDefendantisactingincapacityasExecutor(trix)orAdministrator(trix)ofanEstate,andenterstyle:
Estateo
f
____Check(x)ifIndividualDefendantisactingincapacityasBusinessOwner/Operator(d/b/a)orStateAgency,andenterentity:
D/B/AorAgenc
y
Business
Enterlegalnameofbusiness,corporation,partnership,agency‐IfCorporation,indicatethestatewhereincorporated
____Check(x)ifBusinessDefendantisactinginthenameofanentityotherthantheabove,andenterbelow:
D/B/A
Attorney(Name&Address)‐IfKnown MSBarNo.
DamagesSought:
Compensatory$ Punitive$ Check(x)ifchildsupportiscontemplatedasanissueinthissuit.*
*Ifchecked,pleasesubmitcompletedChildSupportInformationSheetwiththisCoverShe
et
NatureofSuit(Placean"X"inoneboxonly
)
Children/Minors‐NonDomestic RealProperty
DomesticRelation
s
Business/Commercial Adoption‐Contested AdversePossession
ChildCustody/Visitatio
n
Accounting(Business
)
Adoption‐Uncontested Ejectment
ChildSuppor
t
BusinessDissolutio
n
ConsenttoAbortionMino
r
EminentDomain
Contempt DebtCollection
RemovalofMinorit
y
Eviction
Divorce:Faul
t
Employment Other____________________
_
JudicialForeclosur
e
Divorce:IrreconcilableDiff
.
ForeignJudgment CivilRights LienAssertion
DomesticAbuse
Garnishmen
t
Elections Partition
Emancipation Replevin Expungement TaxSale:Confirm/Cancel
Modification
Other
__________________
_
HabeasCorpus TitleBoundaryorEasemen
t
Paternit
y
Probate
PostConvictionRelief/Prisone
r
Other_________________
_
PropertyDivision Accounting(Probate) Other____________________
_
Torts
SeparateMaintenanc
e
BirthCertificateCorrectio
n
Contract BadFaith
TerminationofParentalRight
s
Commitment BreachofContrac
t
Fraud
UIFSA(eff7/1/97;formerlyURESA)
Conservatorshi
p
InstallmentContrac
t
LossofConsortium
Other____________________ Guardianship Insurance Malpractice‐Legal
Appeals Heirship
SpecificPerformanc
e
Malpractice‐Medica
l
AdministrativeAgenc
y
IntestateEstat
e
Other___________________ MassTort
CountyCour
t
Minor'sSettlemen
t
Statutes/Rule
s
Negligence‐General
HardshipPetition(DriverLicense
)
MunimentofTitl
e
BondValidation Negligence‐MotorVehicl
e
JusticeCour
t
NameChange CivilForfeitur
e
ProductLiabilit
y
MSDe
p
tEm
p
lo
y
mentSecurit
y
Dept Employment Security
TestateEstate Declarator
y
Jud
g
men
t
Declaratory Judgment
Subro
g
ation
Subrogation
Worker'sCompensation WillContes
t
InjunctionorRestrainingOrde
r
WrongfulDeath
Mississippi Cover Sheet
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