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  • OKEEFFE, MEL V FEDNAT INSRUANCE COMPANY INSURANCE CLAIM document preview
  • OKEEFFE, MEL V FEDNAT INSRUANCE COMPANY INSURANCE CLAIM document preview
  • OKEEFFE, MEL V FEDNAT INSRUANCE COMPANY INSURANCE CLAIM document preview
  • OKEEFFE, MEL V FEDNAT INSRUANCE COMPANY INSURANCE CLAIM document preview
  • OKEEFFE, MEL V FEDNAT INSRUANCE COMPANY INSURANCE CLAIM document preview
  • OKEEFFE, MEL V FEDNAT INSRUANCE COMPANY INSURANCE CLAIM document preview
						
                                

Preview

wes CASE NUMBER: 502021CA005610XXXXMB Div: AF **** Filing # 125991415 E-Filed 05/02/2021 05:53:51 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.) IL. CASE STYLE IN THE CIRCUIT COURT OF THE FIFTEENTH JUDICIAL CIRCUIT, IN AND FOR PALM BEACH COUNTY, FLORIDA Mel Okeeffe, Maureen OKeeffe Plaintiff Case # Judge vs. FedNat Insruance Company Defendant 1 AMOTINGT AT OT ATAT Me AINIGUNE Or CUALE 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. O $8,000 or less D $8,001 - $30,000 0 $30,001- $50,000 © $50,001- $75,000 0 $75,001 - $100,000 O over $100,000.00 Il. TYPEOFCASE (ifthe 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), lace an x on hoth the main catesory and subcategory lines. CHEN. DAIAARCACUAAIINTY Cl INGEDU ARDIIV7ZA FLED AEINIINNA NE-£2-64 DNA Pm. PAL DLA VUUINE TT, PL, JUOL IE mDnNUueey, ULLIAN, Yuruei2ue |! U.yu.g toiCIRCUIT CIVIL O Condominium CO Contracts and indebtedness 0 Eminent domain CO Auto negligence OD Negligence—other C Business governance CO Business torts 0 Environmental/Toxic tort O Third party indemnification CO Construction defect 0 Mass tort 0 Negligent security 0 Nursing home negligence O Premises liability—commercial 7 Premises itability—residential OD Products liability O Real Property/Mortgage foreclosure O Commercial foreclosure O Homestead residential foreclosure C Non-homestead residential foreclosure O Other real property actions OProfessional malpractice CO Malpractice—business 0 Malpractice—medical 0 Malpractice—other professional & Other CO Antitrust/Trade regulation C Business transactions 0 Constitutional challenge—statute or ordinance OD Constitutional challenge—proposed amendment 0 Corporate trusts CO Discrimination—employment or other & Insurance claims C Intellectual property 0 Libel/Slander 0 Shareholder derivative action O Securities litigation 0 Trade secrets O Trust litigation COUNTY CIVIL O Small Claims up to $8,000 O Civil O Real property/Mortgage foreclosureO Replevins O Evictions O Residential Evictions O Non-residential Evictions O Other civil (non-monetary) COMPLEX BUSINESS COURT This anting & ints fae mmant ta Camnlay Duainacs Canrt ac dalinantad and mandated by the This GCuon 1s appropriate 101 assigiiicne tO COIpICA Dusilicss Court a5 dciilicatcd aiid imaiaatca Oy ule Administrative Order. Yes 0 No IV. REMEDIES SOUGHT (check all that apply): OO Monetary; & Nonmonetary declaratory or injunctive relief; O Punitive V. NUMBER OF CAUSES OF ACTION: [ ] (Specify) 1 VI. IS THIS CASE A CLASS ACTION LAWSUIT? M1 ves uu Ves & no VII. HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED? & no O yes If “yes,” list all related cases by name, case number, and court. wr oro rrmwmnrar nrariamen maaan amano Vill, INJURY LMIAL DEMANDED UN CUIWIFLAUNLS yes Ono 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/ Zoltan Hovanyecz Fla. Bar # 83386 Attorney or party (Bar # if attorney) Zoltan Hovanyecz 05/02/2021 (type or print name) Date