Fill and Sign the Name of Person Filing Street Address City State Zip Form

Name:_________________________________________________Address:_______________________________________________City, State. Zip:_________________________________________Telephone:_____________________________________________State Bar Code:_________________________________________Client:_________________________________________________ IN THE SUPERIOR COURT OF THE STATE OF ARIZONA In and for the County of ___________________ ___________________________________________ CASE NO. ______________________________________, Plaintiff CIVIL COVER SHEET vs. ______________________________________, Defendant___________________________________________________________________________________CV1EV Pursuant to Rule 3.1 (a) Maricopa County Superior Court Rules, please answer all of the following questions to the best of your ability. Please type or print.1. PLAINTIFF (Name, Mailing Address, Zip ) 2. DEFENDANT (Name, Mailing Address, Zip )(List additional plaintiffs on reverse side) (List additional defendants on reverse side)3. CASE PREFERENCE (City Statute or Rule) 4. REASON FEES NOT PAID: 5. PLAINTIFF'S ATTORNEY Bar Code [ ] governmental charge[ ] deferred to ________________________ (date)6. LOCATION: Southeast Judicial District 7. AMOUNT IN CONTROVERSY (if alleged): [ ] yes [ ] no compensatory $______________ punitive $______________ attorney fees $______________ Total $______________8. EMERGENCY ORDER SOUGHT:[ ] TRO[ ] provisional remedy[ ] other _______________________ (specify)9. NATURE OF ACTIONPlace an "X" in the box which describes the nature of the case you are filing.100 TORT-MOTOR VEHICLE 120 MEDICAL MALPRACTICE [ ] 101 non-death injuries [ ] 121 physician - M.D. [ ] 102 property damage [ ] 122 physician - D.O. [ ] 103 death [ ] 123 hospital [ ] 124 other _____________________ (specify)110 TORT NON- MOTOR VEHICLE [ ] 111 negligence 130 CONTRACTS [ ] 112 products liability [ ] 131 account (open or stated) [ ] 113 intentional [ ] 132 promissory note [ ] 114 property damage [ ] 133 foreclosure [ ] 115 legal malpractice [ ] 134 other _____________________ [ ] 116 other __________________ (specify) (specify)140 APPEAL OR REVIEW [ ] 141 civil traffic [ ] 144 administrative review [ ] 142 civil non-traffic [ ] 145 special action [ ] 143 tax 150-170 OTHER CIVIL [ ] 151 forcible detainer [ ] 157 habeas corpus [ ] 152 change of name [ ] 158 quiet title [ ] 153 transcript of judgment [ ] 159 restoration of civil rights [ ] 154 foreign judgment [ ] 160 seized vehicle [ ] 155 declaratory judgment [ ] 161 DES instant judgment [ ] 156 eminent domain [ ] 162 harassment [ ] 163 other _____________________ (specify)NOTICE: effective July 1, 1987 and pursuant to Superior Court. (Maricopa County) local rule 3.1 u), (a), the Superior Court requests that a "Cover Sheet," which categorizes the cause of action, accompany any new action filed with the Superior Court in Maricopa County. For this purpose, this form has been developed. The cover sheet will result in increased accuracy of court records and statistics and in reduced processing time for new case filings. PLEASE DO NOT INCLUDE THIS FORM WITH CASES WHICH HAVE ALREADY BEEN FILED. This form can only be processed at the time of filing a New Complaints and Petitions._____________________________ To the best of my knowledge, all information is true and correct.Attorney firm name and address __________________________________ Filing Party or Attorney for