Miscellaneous: STEPHENS AS PERSONAL REPRESENTATIVE OF THE ESTATE OF JESSIE O WALKER AKA JESSIE M WALKER DECEASED, LATONYA A vs BIVENS JR, CLARENCE W

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                                35-2022-CA-002112-AXXX-XX

    Filing # 161581666 E-Filed 11/19/2022 09:46:58 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 with the Clerk of Court for the purpose of reporting uniform data pursuant
            to section 25.075, Florida Statutes. (See instructions for completion.)


                      I        CASE STYLE

                            IN THE CIRCUIT/COUNTY COURT OF THE FIFTH JUDICIAL CIRCUIT,
                                      IN AND FOR LAKE COUNTY, FLORIDA

            Latonya A Stephen:
            Plaintiff                                                                  Case #
                                                                                       Judge
            Vs.
           Clarence W Bivens Jr, Curtine Bivens
            Defendant



                      IL.      AMOUNT OF CLAIM.
           Please indicate the estimated amount of the claim, rounded to the nearest dollar. The estimated amount of
           the claim is requested for data collection and clerical processing purposes only. The amount of the claim
           shall not be used for any other purpose.

             1    $8,000 or less
            O $8,001 -       $30,000
              $30,001-        $50,000
            © $50,001-        $75,000
            0 $75,001       - $100,000
             O over $100,000.00

                     Til.   TYPE OF CASE            (If the case fits more than one type of case, select the most
            definitive category.) If the most descriptive label is a subcategory (is indented under a broader
            category), place an x on both the main category and subcategory lines.




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FILED: LAKE COUNTY, GARY J. COONEY, CLERK,                  11/22/2022 10:01:51 AM
CIRCUIT CIVIL

 O Condominium
CO Contracts and indebtedness
 C Eminent domain
CO Auto negligence
CO Negligence—other
          CO Business governance
           CO Business torts
          CO Environmental/Toxic tort
          O Third party indemnification
          CO Construction defect
          CO Mass tort
           O Negligent security
          CZ Nursing home negligence
          O Premises liability—commercial
          O Premises liability—residential
C Products liability
& Real Property/Mortgage foreclosure
      O Commercial foreclosure
      C Homestead residential foreclosure
      O Non-homestead residential foreclosure
      & Other real property actions

O Professional malpractice
        C Malpractice—business
          O Malpractice—medical
          O Malpractice—other professional
0 Other
          C Antitrust/Trade regulation
          C Business transactions
          O Constitutional challenge—statute or ordinance
          C Constitutional challenge—proposed amendment
          CO Corporate trusts
           O Discrimination—employment or other
           C Insurance claims
          C Intellectual property
           C   Libel/Slander
          CO   Shareholder derivative action
           O   Securities litigation
          CO   Trade secrets
          O Trust litigation

COUNTY CIVIL

O Small Claims up to $8,000
O Civil
O Real property/Mortgage foreclosure
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O Replevins
 O Evictions
        O Residential Evictions
        O Non-residential Evictions
 O Other civil (non-monetary)

                                        COMPLEX BUSINESS COURT

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

         Iv.        REMEDIES SOUGHT (check all that apply):
         & Monetary;
               Nonmonetary declaratory or injunctive relief;
         O Punitive

         Vv.        NUMBER OF CAUSES OF ACTION: [ ]
         (Specify)
               4&

         VI         IS THIS CASE A CLASS ACTION LAWSUIT?
                    O yes
                    & no

         VII.       HAS NOTICE OF ANY KNOWN                RELATED      CASE BEEN FILED?
                    Ono
                       yes If “yes,” list all related cases by name, case number, and court.
                    Estate of Walker, Lake County Probate Case 2020 CP 000095
         Vill.      IS JURY TRIAL DEMANDED             IN COMPLAINT?
                    & yes
                    Ono


         IX.        DOES THIS CASE INVOLVE ALLEGATIONS OF SEXUAL ABUSE?
                    O yes
                    & no


 ICERTIFY that the information I 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 Administration 2.425.

 Signature: s/ Joseph C Shoemaker                          Fla. Bar # 319790
                 Attorney or party                                         (Bar # if attorney)

Joseph C Shoemaker                                  11/19/2022
 (type or print name)                               Date

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