On April 17, 2024 a
Miscellaneous
was filed
involving a dispute between
Walworth, Nancy,
and
State Farm Florida Insurance Company,
for Insurance Claim
in the District Court of St. Johns County.
Preview
Filing # 196359406 E-Filed 04/17/2024 09:34:18 AM
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 SEVENTH JUDICIAL CIRCUIT,
IN AND FOR ST. JOHNS COUNTY, FLORIDA
Naney WALWORTH
Nancy WALWORTH
~..» 5520244000471 AOOOMX
Judge
VS.
STATE FARM FLORIDA INSURANCE COMPANY
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
L) over $100,000.00
WI. 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
C4 Condominium
CO Contracts and indebtedness
CO Eminent domain
O Auto negligence
O Negligence—other
CI Business governance
Cl Business torts
CO Environmental/Toxic tort
© Third party indemnification
O Construction defect
Oo Mass tort
O Negligent security
OC Nursing home negligence
OC Premises liability—commercial
OC Premises liability—residential
O Products liability
CO Real Property/Mortgage foreclosure
CO Commercial foreclosure
OC Homestead residential foreclosure
OC Non-homestead residential foreclosure
OC Other real property actions
L]Professional malpractice
© Malpractice—business
OC Malpractice—medical
CO Malpractice—other professional
Other
O Antitrust/Trade regulation
Cl Business transactions
O Constitutional challenge—statute or ordinance
C1 Constitutional challenge—proposed amendment
O Corporate trusts
C Discrimination—employment or other
Insurance claims
C1 Intellectual property
OC Libel/Slander
CO Shareholder derivative action
C Securities litigation
CX Trade secrets
2 Trust litigation
COUNTY CIVIL
C1 Small Claims up to $8,000
0 Civil
L] Real property/Mortgage foreclosure
_2-
CL Replevins
L] Evictions
CL] Residential Evictions
L] 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 L] No
IV. REMEDIES SOUGHT (check all that apply):
Monetary;
“1 Nonmonetary declaratory or injunctive relief,
CI Punitive
Vv. NUMBER OF CAUSES OF ACTION: [_ ]
(Specify)
1
VI. _IS THIS CASE A CLASS ACTION LAWSUIT?
LC) yes
no
VIL HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?
no
C1 yes If “yes,” list all related cases by name, case number, and court.
VII. IS JURY TRIAL DEMANDED IN COMPLAINT?
LC) yes
no
IX. DOES THIS CASE INVOLVE ALLEGATIONS OF SEXUAL ABUSE?
LC) 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/ Stephen Francis Difato Fla. Bar # 119741
Attorney or party (Bar # if attorney)
Stephen Francis Difato 04/17/2024
(type or print name) Date
-3-
Document Filed Date
April 17, 2024
Case Filing Date
April 17, 2024
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