Miscellaneous: Amerisure Mutual Insurance Company Plaintiff vs. David Charles Warren Knight Defendant

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                                Case Number: CACE-19-021368 Division: 02
Filing # 97311020 E-Filed 10/15/2019 03:07:38 PM

   FORM 1.997. CIVIL COVER SHEET

  The civil cover sheet and the information contained in it neither replace nor supplement the filing and service of pleadings
  or other documents as required by law. This form must be filed by the plaintiff or petitioner for the use of the Clerk of
  Court for the purpose of reporting judicial workload data pursuant to section 25.075, Florida Statutes. (See instructions for
  completion.)


       |            CASE STYLE
                                          IN THE CIRCUIT COURT OF THE SEVENTEENTH              JUDICIAL CIRCUIT,
                                               IN AND FOR BROWARD     COUNTY, FLORIDA



                                                                        Case No..:
                                                                        Judge:
  AMERISURE MUTUAL                     INSURANCE COMPANY
   Plaintiff
                  vs.
  DAVID CHARLES WARREN                        KNIGHT
   Defendant


       I.           TYPE OF CASE

                                                                                      Non-homestead residential foreclosure
                  Condominium                                                         $250,00 or more
               Contracts and indebtedness                                             Other real property actions $0 - $50,000
               0 Eminent domain                                                       Other real property actions $50,001 - $249,999
               & Auto negligence                                                      Other real property actions $250,000 or more
               OD Negligence — other
                        Business governance                                           Professional malpractice
                        Business torts                                                          Malpractice — business
                        Environmental/Toxic tort                                                Malpractice — medical
                       Third party indemnification                                              Malpractice — other professional
                       Construction defect                                            Other
                        Mass tort                                                               Antitrust/Trade Regulation
                        Negligent security                                                      Business Transaction
                        Nursing home negligence                                                 Circuit Civil - Not Applicable
                        Premises liability - commercial                                         Constitutional challenge-statute or
                                                                                                ordinance
                        Premises liability — residential
                                                                                                Constitutional challenge-proposed
               Oo ‘Products liability                                                           amendment
               oOOo Real Property/Mortgage foreclosure                                          Corporate Trusts
                        Commercial foreclosure $0 - $50,000                                     Discrimination-employment or other
                        Commercial foreclosure $50,001 - $249,999                               Insurance claims.
                        Commercial foreclosure $250,000 or more                                 Intellectual property
                        Homestead residential foreclosure $0 — 50,000
                                                                                                Libel/Slander
                        Homestead residential foreclosure $50,001 -                             Shareholder derivative action
                        $249,999
                                                                                                Securities litigation
                        Homestead residential foreclosure $250,000 or
                        more                                                                    Trade secrets
                        Non-homestead residential foreclosure $0 -                              Trust litigation
                        $50,000
                        Non-homestead residential foreclosure
                        $50,001 - $249,999




                  #** FILED: BROWARD COUNTY, FL BRENDA D. FORMAN,               CLERK 10/15/2019 03:07:37 PM.**#*
COMPLEX BUSINESS COURT

        This action is appropriate for assignment to Complex Business Court as delineated and mandated by the
        Administrative Order. Yes 1) No


        MM          REMEDIES SOUGHT (check all that apply):
                         &      Monetary;
                         Oo     Non-monetary declaratory or injunctive relief;
                         Oo     Punitive

        VV.         NUMBER OF CAUSES OF ACTION: (                  )
                    (Specify)



                    IS THIS CASE A CLASS ACTION LAWSUIT?
                        O       Yes
                        ®       No
        VI.         HAS NOTICE OF ANY KNOWN              RELATED CASE BEEN FILED?
                        &       No
                        O       Yes - If yes’ list all related cases by name, case number and court:



        Vil.        IS JURY TRIAL DEMANDED IN COMPLAINT?
                         o Yes
                         & No



| CERTIFY that the information | have provided in this cover sheet is accurate to the best of my knowledge and belief, and
that | have read and will comply with the requirements of Florida Rule of Judicial Administration 2.425.

Signature s/ William M Lindeman                   FL Bar No.: 699640
              Attorney or party                                                   (Bar number, if attorney)

        William M Lindeman                 10/15/2019
                    (Type or print name)                                             Date