On June 18, 2021 a
Proposed Verdict Form - Party: Defendant State Farm Florida Insurance Company
was filed
involving a dispute between
Grey, Hyacinth,
and
State Farm Florida Insurance Company,
for 3
in the District Court of Broward County.
Preview
Filing# 155693092 E-Filed 08/19/2022 11:16:14 AM
IN THE CIRCUIT COURT OF THE 17TH
JUDICIAL CIRCUIT IN AND FOR
BROWARD COUNTY, FLORIDA
CASE NO.: CACE-21-011939 (09)
HYACINTH GREY,
Plaintiff.
VS.
STATE FARM FLORIDA INSURANCE
COMPANY,
Defendant.
i
DEFENDANT'S REQUESTED VERDICT FORM
Defendant, STATE FARM FLORIDA INSURANCE COMPANY, hereby requests that the
in this cause be instructed on the law as
jury sitting set forth in Defendant's jury instructions and
given the attached Verdict Form for use at trial.
CERTIFICATE OF SERVICE
WE HEREBY CERTIFY that a true and correct copy of foregoingwas served throughthe
Florida Courts E-filingPortal on this 19th day of August, 2022, upon all persons registeredto
receive service of court papers through the E-FilingPortal.
CHIMPOULIS & HUNTER, P.A.
Attorneys for Defendant
150 S. Pine Island Road, Suite 510
Plantation,FL 33324
Tel: 954-463-0033
s/ Daniel T. Doyle
BY:
DANIEL T. DOYLE, ESQ.
Florida Bar No.. 971707
Primary ddoyle@ChimpoulisHunter.com
BRIAN CHARLTON HUNTER, ESQ.
Florida Bar No.. 981206
BHunter@ChimpoulisHunter.com
*** FILED: BROWARD COUNTY, FL BRENDA D. FORMAN, CLERK 08/19/2022 11:16:14 AM.****
IN THE CIRCUIT COURT OF THE
17TH JUDICIAL CIRCUIT IN AND
FOR BROWARD COUNTY,
FLORIDA
CASE NO.: CACE-21-011939 (09)
HYACINTH GREY,
Plaintiff.
VS.
STATE FARM FLORIDA INSURANCE
COMPANY,
Defendant.
VERDICT
We the Jury return the followingverdict:
1. Did the greater weight of the evidence show that Hyacinth Grey's home was damaged by
Hurricane Irma on September 17,2017?
Yes: No:
If your answer is "Yes," then answer question number 2.
If your answer is "No," you shall not answer any further questions, and the
foreperson shall sign and date your verdict and return it to the Court.
2. Did State Farm show by the greater weight of the evidence that Hyacinth Grey failed to
provide State Farm with immediate notice of the damage he claims was caused by the hurricane or
that Hyacinth Grey failed to exhibit damaged property to State Farm?
Yes: No:
If your answer is "Yes," then you shall answer question 3.
If your answer is "No," then you shall skin question 3, and you shall answer question
4.
3 Did Hyacinth Grey show by the greater weight of the evidence that State Farm's
or adjustment of the insurance claim was not prejudicedby his
investigation failure to provide
immediate notice or the failure to exhibit damaged property?
Yes: No:
If your answer is "Yes," then answer question number 4.
If your answer is "No," you shall not answer any further questions, and the
foreperson shall sign and date your verdict and return it to the Court.
4. What is the amount of money shown by the greater weight of the evidence is reasonable and
necessary to repair the damage to Hyacinth Grey's property caused by Hurricane Irma on
September 10, 2017? The amount you decide shall not include any amount for repair or
replacementof the fence.
$
So say we all,this day of September, 2022.
Signatureof Foreperson
Print Name o f Foreperson
Document Filed Date
August 19, 2022
Case Filing Date
June 18, 2021
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