Miscellaneous: Jean Ronald Sanon, et al Plaintiff vs. Universal Property & Casualty Insurance Company Defendant

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                                Filing # 133298319 E-Filed 08/24/2021 01:39:21 PM
 FORM 1.997.
 CIVIL COVER SHEET
 The civil cover sheet and the informationcontained in it neither replace nor supplementthe filing
 and service of pleadings or other documents as required by law. This form must be filed by the
 plaintiff or petitionerwith the Clerk of Court for the purpose ofreportinguniform data pursuant
 to section 25.075, Florida Statutes. (See instructions for completion.)
 I.
 CASE STYLE
 IN THE CIRCUIT COURT OF THE SEVENTEENTH JUDICIAL CIRCUIT,
 IN AND FOR BROWARD
 COUNTY, FLORIDA
 JEAN RONALD SANON, EDENA SANON
 Plaintiff
 Case #
 Judge
 VS.
 UNIVERSALPROPERTY AND CASUALTY INSURANCE COMPANY
 Defendant
 II.
 AMOUNT OF CLAIM
 Please indicate the estimated amount of the claim, roundedto the nearest dollar. The estimated amount of
 the claim is requested for data collectionand clerical processing purposes only. The amount of the claim
 shall not be used for any otherpurpose.
 E $8,000 or less
 El $8,001 - $30,000
 E $30,001- $50,000
 .U $50,001- $75,000
 El $75,001 - $100,000
 El over $100,000.00
 III.
 TYPE OF CASE
 (Ifthe case fits more than one type of case, select the most
 definitivecategory.) Ifthe most descriptive label is a subcategory (is indentedunder a broader
 category), place an x on both the main categoryand subcategorylines.
 -1-
 *** FILED: BROWARD COUNTY, FL BRENDA D. FORMAN, CLERK 08/24/2021 01:39:19 PM.****
 CIRCUIT CIVIL
 m Condominium
 m Contracts and indebtedness
 m Eminent domain
 m Auto negligence
 m Negligence-other
 m Business governance
 m Business torts
 m Environmental/Toxic tort
 m Third party indemnification
 m Constructiondefect
 m Mass tort
 m Negligent security
 m Nursing home negligence
 m Premises
 m Premises
 m Products liability
 m Real Property/Mortgageforeclosure
 m Commercial foreclosure
 m Homesteadresidential foreclosure
 m Non-homestead residential foreclosure
 m Other real property actions
 El Professionalmalpractice
 m
 m Malpractice-medical
 m Malpractice-otherprofessional
 m Other
 m Antitrust/Traderegulation
 m Business transactions
 m Constitutionalchallenge-statuteor ordinance
 m Constitutionalchallenge-proposed amendment
 m Corporate trusts
 m
 or other
 m Insurance claims
 m Intellectual property
 m Libel/Slander
 m Shareholder derivative action
 m Securities litigation
 m Trade secrets
 m Trust litigation
 COUNTY CIVIL
 O Small Claims up to $8,000
 O Civil
 1 Real property/Mortgage foreclosure
 -2-
 O Replevins
 0 Evictions
 O ResidentialEvictions
 0 Non-residential Evictions
 El Other civil (non-monetary)
 COMPLEX BUSINESS COURT
 This action is appropriatefor assignmentto Complex Business Court as delineated and mandated by the
 Administrative Order. Yes C] No E
 IV.
 REMEDIES SOUGHT (check all that apply):
 @ Monetary;
 m Nonmonetarydeclaratoryor injunctive relief;
 E] Punitive
 V.
 NUMBER OF CAUSES OF ACTION: [ ]
 (Specify)
 COUNT 1- BREACH OF CONTRACT
 VI.
 IS THIS CASE A CLASS ACTION LAWSUIT?
 0 yes
 @ no
 VII.
 HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?
 @ no
 O yes If"yes," list all related cases by name, case number, and court.
 VIII.
 IS JURY TRIAL DEMANDED IN COMPLAINT?
 W yes
 O no
 I CERTIFY that the informationI have provided in this cover sheet is accurate to the best of
 my knowledge and belief, and that I have read and will comply with the requirements of
 Florida Rule of Judicial Administration2.425.
 Signature: s/ Alberto M Regueyra
 Fla. Bar # 91968
 Attorney or party
 (Bar # ifattorney)
 Alberto M Regueyra
 08/24/2021
 (type or print name)
 Date
 -3-