On December 10, 2019 a
Miscellaneous
was filed
involving a dispute between
Bodner, Donna,
and
Tower Hill Select Insurance Company,
for INSURANCE CLAIM
in the District Court of Bay County.
Preview
Filing # 100067431 E-Filed 12/10/2019 11:56:39 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 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
19004473CA
Case No.
judge: © ~MIEHAEL C (JDG)
Donna Bodner
Plaintiff
vs.
Tower Hill Select Insurance Company
Defendant
I. TYPE OF CASE
© Non-homestead residential foreclosure
5 Condominium $250,00 or more
| Contracts and indebtedness © Other real property actions $0 - $50,000
Eminent domain O Other real property actions $50,001 - $249,999
O Auto negligence O Other real property actions $250,000 or more
O Negligence — other | |
© Business governance Os Professional malpractice :
Ol sBusiness torts O Malpractice — business
OD Environmental/Toxic tort O Malpractice - medical
Os Third party indemnification Os Malpractice — other professional
O Construction defect O Other ;
Os Mass tort QO Antitrust/Trade Regulation
O Negligent security ao Business Transaction ;
© Nursing home negligence a Circuit Civil - Not Applicable
© Premises liability — commercial a Constitutional challenge-statute or
Cl Premises liability — residential ordinance
CO Products liability O Constitutional challenge-proposed
= amendment
0 Real Property/Mortgage foreclosure Corporate Trusts
Q Commercial foreclosure $0 - $50,000 a 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 Gomestead residential foreclosure $50,001 - a Shareholder derivative action
OO Homestead residential foreclosure $250,000 or O Securities litigation
more O Trade secrets
© Non-homestead residential foreclosure $0 - O Thust 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?
O Yes
& 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/ David J. Pettinato FL Bar No.: 62324
Attorney or party (Bar number, if attorney)
David J. Pettinato 12/10/2019
(Type or print name) Date
Document Filed Date
December 10, 2019
Case Filing Date
December 10, 2019
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