Document for DAVILA, LUIS ANTONIO vs. JACQUES, RALPH

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                                Filing # 169108452 E-Filed 03/20/2023 01:09:16 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 NINTH JUDICIAL CIRCUIT,
                                IN AND FOR OSCEOLA COUNTY, FLORIDA

        LUIS ANTONIO DAVILA

        Plaintiff                                                                 Case #
                                                                                  Judge
        VS.

       Ralph Jacques, HOME DEPOT USA INC
        Defendant




                 II.     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.

        L] $8,000 or less
         L] $8,001 - $30,000
         L] $30,001- $50,000
              $50,001- $75,000
         L] $75,001 - $100,000
         LI over $100,000.00

                Wl.     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.




                                                           -l-
CIRCUIT CIVIL

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

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

COUNTY CIVIL


C1 Small Claims up to $8,000
OI Civil

L) Real property/Mortgage foreclosure
                                                 _2-
 LI Replevins
 CL) Evictions
         CL) Residential Evictions
         CL] Non-residential Evictions

 CL] 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 LJ No



         IV.    REMEDIES SOUGHT (check all that apply):
            Monetary;
         CO Nonmonetary declaratory or injunctive relief;
         OO Punitive


         V.     NUMBER OF CAUSES OF ACTION: [ |
         (Specify)

           2

         VI.     IS THIS CASE A CLASS ACTION LAWSUIT?
                 0 yes
                    no



         VII.    HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?
                    no

                 OO yes If “yes,” list all related cases by name, case number, and court.

         VIII.   IS JURY TRIAL DEMANDED IN COMPLAINT?
                    yes
                 LC] no



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




 I CERTIFY 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/ MANUEL F. STEFAN                         Fla. Bar # 103389
                Attorney or party                                      (Bar# if attorney)
MANUEL F. STEFAN                                         03/20/2023
 (type or print name)                            Date

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