Miscellaneous: ODOM, PATSY J vs. TOWER HILLL SIGNATURE INSURANCE COMPANY

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                                Filing # 99781984 E-Filed 12/04/2019 01:27:04 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 for the use of the Clerk of
Court for the purpose of reporting judicial workload data pursuant to section 25.075, Florida Statutes. (See instructions for

completion.)

 

I CASE STYLE

IN THE CIRCUIT COURT OF THE FOURTEENTH JUDICIAL CIRCUIT,
IN AND FOR BAY COUNTY, FLORIDA

 

 

Case No.: 19004405CA
Judge:
Patsy J Odom
Plaintiff
vs.
Tower Hilll Signature Insurance Company
Defendant
I. TYPE OF CASE
© Non-homestead residential foreclosure
5 Condominium $250,00 or more
XI Contracts and indebtedness © Other real property actions $0 - $50,000
Eminent domain O Other real property actions $50,001 - $249,999
D Auto negligence O Other real property actions $250,000 or more
O Negligence — other | |
OO Business governance Os Professional malpractice
ga Business torts O Malpractice — business
OD  Environmental/Toxic tort OL Malpractice— medical
Ol Third party indemnification Os Malpractice — other professional
O Construction defect O Other ;
OO Mass tort O  AntitrustTrade Regulation
ga Negligent security O Business Transaction
ga Nursing home negligence O Circuit Civil - Not Applicable
g Premises liability — commercial O Constitutional challenge-statute or
Cl Premises liability — residential ordinance
O Prod liabili © Constitutional challenge-proposed
OO Products liability amendment
0 Real Property/Mortgage foreclosure g Corporate Trusts
Q Commercial foreclosure $0 - $50,000 od Discrimination-employment or other
QO Commercial foreclosure $50,001 - $249,999 insurance claims
QO Commercial foreclosure $250,000 or more Intellectual property
O Homestead residential foreclosure $0 — 50,000 a Libel/Slander
a eorosee residential foreclosure $50,001 - Shareholder derivative action
OO Homestead residential foreclosure $250,000 or O Securities litigation
more Oo Trade secrets
© Non-homestead residential foreclosure $0 - OL Trust litigation
$50,000
O _ Non-homestead residential foreclosure

 

$50,001 - $249,999COMPLEX BUSINESS COURT
This action is appropriate for assignment to Complex Business Court as delineated and mandated by the

Administrative Order. Yes DO) No

mM. REMEDIES SOUGHT (check all that apply):
& Monetary;

g Non-monetary declaratory or injunctive relief;
OD Punitive
lV. NUMBER OF CAUSES OF ACTION: (_).
(Specify)
L
Vv. IS THIS CASE A CLASS ACTION LAWSUIT?
O Yes
No

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

vil. IS JURY TRIAL DEMANDED IN COMPLAINT?
Yes
O No

 

| CERTIFY that the information | have provided in this cover sheet is accurate to the best of my knowledge and belief, and
that | have read and will comply with the requirements of Florida Rule of Judicial Administration 2.425.

Signature s/ James Clark Hamilton Jr. FL Bar No.: 311731
Attorney or party (Bar number, if attorney)

James Clark Hamilton Jr. 12/04/2019
(Type or print name) Date