Fill and Sign the Auto Accident 497426628 Form

IN THE ______________ COURT OF ______________ COUNTY STATE OF ________________       ) )       ) Petitioner/Plaintiff, ) ) ) NO.       Vs. ) )       ) Respondent/Defendant ) ) PLAINTIFF'S REQUESTS FOR ADMISSION TO DEFENDANT PURSUANT TO RULE ___ OF ____________ RULES OF CIVIL PROCEDURES COME NOW THE PLAINTIFF and serves these Requests for Admission on the Defendants, said Requests to be responded to within ____ days in accordance with Rule ___ of the ___________ Rules of Civil Procedure: REQUESTS FOR ADMISSION REQUEST FOR ADMISSION NO. 1: Admit or deny that __________________ was, at the time of the collision on the _____ day of _____________, 20___, under the age of __________ (___) years. REQUEST FOR ADMISSION NO. 2.: Admit or deny that __________________ was driving in excess of ________ (___) miles per hour immediately before the collision with __________________ . REQUEST FOR ADMISSION NO. 3.: Admit or deny that __________________ was driving in excess of ________ (____) miles per hour immediately before the collision with __________________ . - 1 - REQUEST FOR ADMISSION NO. 4.: Admit that immediately before the collision __________________ crossed the center line of __________________ , which at said point there was a solid double yellow line. REQUEST FOR ADMISSION NO. 5.: Admit that the collision with _________________ 's vehicle occurred entirely in the lane of travel for ______bound traffic on __________________ , which was the lane of travel in which __________________ was traveling before the collision. REQUEST FOR ADMISSION NO. 6: Admit that __________________ lost control of the vehicle he was driving immediately before the collision with the vehicle driven by __________________ . REQUEST FOR ADMISSION NO. 7: Admit or deny that __________________ 's negligence was the sole proximate cause of the collision with __________________ 's vehicle. REQUEST FOR ADMISSION NO. 8: Admit that __________________ was not guilty of any negligence which caused or contributed to the cause of the collision and her death. REQUEST FOR ADMISSION NO. 9: Admit that __________________ 's death resulted from negligence attributable to __________________ . REQUEST FOR ADMISSION NO. 10: Admit that __________________ was guilty of negligence in the operation of the ___________ vehicle which proximately caused the collision with __________________ 's vehicle and caused her death. REQUEST FOR ADMISSION NO. 11: Admit that __________________ , __________________ 's natural father, signed __________________ 's application for __________________ Driver’s license agreeing to be responsible for __________________ 's negligence until __________________ reached his __________ (__th) birthday. REQUEST FOR ADMISSION NO. 12: Admit that the speed limit on ________ at the time and at the place where the collision between the ____________ vehicle driven by - 2 - __________________ and the ____________ automobile driven by __________________ was _________ (___) miles per hour. REQUEST FOR ADMISSION NO. 13: Admit that __________________ 's vehicle was struck by __________________ 's vehicle while __________________ was entirely in her proper lane of travel. REQUEST FOR ADMISSION NO. 14: Admit that immediately before the collision with __________________ 's vehicle, it had been ___________ and the road was _________. REQUEST FOR ADMISSION NO. 15: Admit that for ____ mile in either direction on the roadway from the point of impact that _________ is a winding roadway with many curves. REQUEST FOR ADMISSION NO. 16: Admit or deny that the reason __________________ drove his vehicle to the left of the center line was to cut across the apex of the curve so as to be able to drive through the curve without slowing his speed. REQUEST FOR ADMISSION NO. 17: Admit that __________________ endured pain and suffering before her death after the collision. REQUEST FOR ADMISSION NO. 18: Admit that the net cash value of the loss of earnings and loss of household services were at least __________________ DOLLARS ($ ______________ ). REQUEST FOR ADMISSION NO. 19: Admit that _______ o’clock a.m/p.m. was later than his family's time for him to be home on the night of the collision with __________________ . REQUEST FOR ADMISSION NO. 20: Admit that __________________ and __________________ are liable to the Plaintiffs for the death of __________________ . REQUEST FOR ADMISSION NO. 21: Admit that __________________ and __________________ are liable to the Plaintiffs for the death of __________________ , for damages proximately resulting from her death in an amount of at least __________________ ($__________). - 3 - REQUEST FOR ADMISSION NO. 22: Admit that __________________ was driving too fast for conditions existing on the road and at the time of the collision with __________________ . REQUEST FOR ADMISSION NO. 23: Admit that __________________ did not see the ______________ automobile being driven by __________________ before he crossed the center line and struck her vehicle head on in her lane of travel. REQUEST FOR ADMISSION NO. 24: Admit that __________________ failed to yield the right of way to the vehicle driven by __________________ in the northbound lane of _________. REQUEST FOR ADMISSION NO. 25: Admit that at the place where the collision occurred, __________________ had a solid yellow center stripe in his lane of travel going south on __________. Respectfully submitted, Dated: Name:       Title:       Address: Address: City, State, Zip: Phone: Fax: E-Mail: Attorney No.: CERTIFICATE OF SERVICE I, ______________________________, do hereby certify that I have this day mailed, U.S. Mail, postage prepaid, a true and correct copy of the above and foregoing to __________________________________, at the following address; ___________________________________________________________________ THIS the ____ day of _____________, 20____. - 4 - - 5 -