Miscellaneous: ANTHONY DAVIS J VS SECURITY

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                                Filing # 106408909 E-Filed 04/17/2020 04:39:46 PM
   The civil cover sheet and the information contained herein neither replace nor supplement the filing and service of
   pleadings or other documents as required by law. This form shall be filed by the plaintiff or petitioner for the use of the
   Clerk of the 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 EIGHTEENTH JUDICIAL CIRCUIT
                                                              IN AND FOR BREVARD COUNTY, FL

                                                                   CASE NO.
                                                                   JUDGE
   ANTHONY DAVIS JR.,

                 Plaintiff,

   vs.


   SECURITY FIRST INSURANCE COMPANY DBA
   SECURITY FIRST FLORIDA,

                 Defendant.


          I.     AMOUNT OF CLAIM
                 Please indicate the estimated amount of the claim, rounded to the nearest dollar. $93,917
          Ml.    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” in both the main category and
                              subcategory boxes.
                                                                                     a    Non-homestead residential foreclosure $250,00 or
         Condominium                                                                    more
         Contracts and indebtedness                                                 a   Other real property actions $0 - $50,000
         Eminent domain                                                             a   Other real property actions $50,001 - $249,999
         Auto negligence                                                            a   Other real property actions $250,000 or more
         Negligence — other
             Business governance                                                    Professional malpractice
                Business torts                                                      O   Malpractice — business
                Environmental/Toxic tort                                            0   Malpractice - medical
                Third party indemnification                                         O   Malpractice — other professional
                Construction defect                                                 Other
                Mass tort                                                               Antitrust/Trade Regulation
                Negligent security                                                      Business Transaction
                Nursing home negligence                                                 Constitutional challenge-statute or ordinance
                Premises liability - commercial                                         Constitutional challenge-proposed amendment
             Premises liability — residential                                           Corporate Trusts
         Products liability                                                             Discrimination-employment or other
         Real Property/Mortgage foreclosure                                             Insurance claims
                Commercial foreclosure $0 - $50,000                                     Intellectual property
                Commercial foreclosure $50,001 - $249,999                               Libel/Slander
                Commercial foreclosure $250,000 or more                                 Shareholder derivative action
                Homestead residential foreclosure $0 — $50,000                          Securities litigation
                Homestead       residential foreclosure                                 Trade secrets
                $50,001 - $249,999                                                      Trust litigation
                Homestead residential foreclosure $250,000 or
                more
                Non-homestead residential foreclosure $0 -
                $50,000
                Non-homestead residential foreclosure $50,001 -
Filing to     eRRABPO9                             VS                                                      05-2020-CA-024628-XXXX-XX
IV.     REMEDIES SOUGHT (check all that apply):
                   x    Monetary;
                   0    Non-monetary declaratory or injunctive relief;
                   QO   Punitive

                   NUMBER OF CAUSES OF ACTION: ( 1 )
                   (Specify),


           VI      IS THIS CASE A CLASS ACTION LAWSUIT?
                   ag   Yes
                   x    No

           Vil.    HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?
                   x    No
                   O    Yes -— If “yes” list all related cases by name, case number and court:




           Vill.   IS JURY TRIAL DEMANDED IN COMPLAINT?
                   x    Yes
                   O    No



  | CERTIFY that the information | have provided in this cover sheet is accurate to the best of my knowledge and
  belief.


  Signature:
  Fla. Bar # 113864
                          longs foil                                           April 17, 2020

  Corey B. Justus, Esquire
  Attorney for Plaintiff




Filing 106408909                         VS                                                      05-2020-CA-024628-XXXX-XX