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O JS 44 (Rev. 12/07)

CIVIL COVER SHEET

The JS 44 civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or other papers as required by law, except as provided by local rules of court. This form, approved by the Judicial Conference of the United States in September 1974, is required for the use of the Clerk of Court for the purpose of initiating the civil docket sheet. (SEE INS TR UC TIO NS ON TH E R EV ER SE O F TH E FO RM .)

I. (a) PLAINTIFFS

DEFENDAN TS

(b) County of Residence of First Listed Plaintiff
(EXCEPT IN U.S. PLAINTIFF CASES)

County of Residence of First Listed Defendant
( IN U . S. PL A IN T IF F C A S ES O N LY ) NOTE: IN L A N D CO N D E M N A T I O N CA SE S, U SE T H E LO C A TIO N O F TH E L A N D IN V O L V ED .

(c) Attorney's (Firm Na me, A ddres s, and Telep hone N umbe r)

Attorneys (If Known)

II. BASIS OF JURISDICTION
1
U.S. G overnment Pla intiff

(Place an "X " in One B ox Only)

III. CITIZENSHIP OF PRINCIPAL PARTIES (Pla ce an " X " in O ne B ox fo r Pla intiff
(For Diversity Cases O nly) Citizen o f This State PTF 1 DEF 1 and O ne Bo x for De fendant) PTF DEF Incorporated or Principal Place 4 4 of Busine ss In T his State Incorporated and Principal Place of Busine ss In A nother S tate Foreign Nation

3 Federal Question
(U.S. G overnment N ot a Party)

2

U.S. G overnment Defenda nt

4

Divers ity (Indicate C itizenship of Pa rties in Item III)

Citizen o f Anothe r State

2



2

5

5

Cit ize n or Su bje ct o f a Foreign C ountry

3



3

6

6

IV. NAT UR E O F SU IT
CONTRACT

(Place an "X " in One B ox Only) TORTS P E R S O N A L IN J U R Y 310 A irplane 315 Airplane Product Liability 32 0 A ssa ult, L ibe l & Slander 330 Federal Employers' Liability 340 M arine 345 Marine Product Liability 35 0 M oto r V ehic le 35 5 M oto r V ehic le Prod uct Liability 360 Other Personal Injury C I V IL R I G H T S 441 V oting 442 E mployment 443 H ousing/ Acco mmod ations 444 W elfare 445 Amer. w/Disabilities Employme nt 446 Amer. w/Disabilities Other 440 Othe r Civil Rights P E R S O N A L IN J U R Y 362 P ersonal Injury Med. M alpractice 365 P ersonal Injury Prod uct Liability 368 Asbestos Personal Injury Product Liability P E R S O N A L P R O PE R T Y 370 O ther Fraud 371 T ruth in Lending 380 Other Personal Property D amage 385 P roperty Da mage Prod uct Liability P R I SO N E R P E T I TI O N S

F O R F E I TU R E /P E N A L T Y

BANKRUPTCY

OTHER STATUTES



110 120 130 140 150



Insurance M arine Miller Act N egotiable Instrument R ecovery of O verpayment & Enforcement of Judgment 151 Medicare Act 152 Recovery of Defaulted Student Loans (Excl. Veterans) 153 R ecovery of O verpayment of Ve teran's Bene fits 160 Stock holders ' Suits 190 Other Contract 195 Co ntract Pro duct Liab ility 196 Franchise REAL PROPERTY 210 Land Condemnation 220 Forec losure 230 R ent Lease & Ejectment 240 T orts to Land 245 Tort P roduc t Liability 290 All Othe r Re al Prop erty



610 Agriculture 620 O ther Food & Drug 625 Drug Re lated Se izure
of Property 21 USC 881 6 3 0 L iq uo r L aw s 640 R.R. & Truck 650 Airline Regs. 660 Occupational Safety/H ealth 690 Other LABOR 710 Fair Labor Standards Act 720 La bor/M gmt. Relations 730 La bor/M gmt.Repo rting & Disclosure Act 740 Railway Labor Act 790 Other Labor Litigation 791 Empl. Ret. Inc. Security Act I M M I G R A T IO N

422 Appeal 28 USC 158 423 Withdrawal
28 USC 157 P R O P E R T Y R IG H T S

820 Co pyrights 830 P atent 840 Trad ema rk



400 410 430 450 460 470



510 M otions to V acate
Sentence Habeas Corpus: 530 General 535 De ath Pe nalty 540 Mandamus & O ther 550 Civil Rights 555 Prison Condition



S O C IA L S E C U R IT Y 86 1 H IA (13 95 ff) 862 Black Lung (923) 863 DIW C/D IW W (405 (g)) 8 6 4 S S ID T it le X V I 865 RS I (405 (g)) F E D E R A L T A X SU I T S 87 0 T axe s (U .S. Pla intiff or D efenda nt) 871 IRS -- Third Pa rty 26 USC 7609



462 Naturalization Application 463 Habeas Corpus Alien Detainee



465 Other Immigration
Actions

S tate Reap portionment Antitrust B anks and B anking Commerce Deportation R acketeer Influenced and Corrupt O rganizations 48 0 C ons ume r C red it 490 Cable/Sat TV 810 Selective Service 850 Securities/Commodities/ Exchange 875 C ustomer C hallenge 12 USC 3410 890 O ther Statutory Actions 891 Agricultural Ac ts 892 Economic Stabilization Act 893 Environm ental M atters 894 Energy Allocation Act 895 Freedom of Information Act 900Appeal of Fee Determination Under Equal Access to Justice 950 Constitutionality of State Statutes

V. O RIG IN 1 Original

(Place an "X " in One B ox Only)

Appeal to District Appellate Court

Proceeding

2 Removed from
State Court

Litigation (specify) Cite the U.S. Civil Statute under which you are filing (Do not cite jurisdictional statutes unless diversity):

3 Remanded from

4 Reinstated or 5 Transferred from another district
Reopened

6 Multidistrict

7 Judge from Magistrate
Judgment

VI. CAUSE OF ACTION Brief description of cause: VII. RE QU EST ED IN COM PLAINT: VIII. RELATED CASE(S) IF ANY

CHECK IF THIS IS A CLASS ACTION
UNDER F.R.C.P. 23
(See ins tructions):

DEMAND $

CHECK YES only if demanded in complaint: Yes No JURY DEMAND: DOCKET NUMBER

JUDGE

DATE
FOR OFFICE USE ONLY RECEIPT # AMOUNT

SIGNATURE OF ATTORNEY OF RECORD

APPLY ING IFP

JUDGE

M A G . JU D G E

JS 44 Reverse (Rev. 12/07)

INSTRUCTIONS FOR ATTORNEYS COMPLETING CIVIL COVER SHEET FORM JS 44
Authority For Civil Cover Sheet The JS 44 civil cover sheet and the information contained herein neither replaces nor supplements the filings and service of pleading or other papers as required by law, except as provided by local rules of court. This form, approved by the Judicial Conference of the United States in September 1974, is required for the use of the Clerk of Court for the purpose of initiating the civil docket sheet. Consequently, a civil cover sheet is submitted to the Clerk of Court for each civil complaint filed. The attorney filing a case should complete the form as follows: I. (a) Plaintiffs-Defendants. Enter names (last, first, middle initial) of plaintiff and defendant. If the plaintiff or defendant is a government agency, use only the full name or standard abbreviations. If the plaintiff or defendant is an official within a government agency, identify first the agency and then the official, giving both name and title. (b) County of Residence. For each civil case filed, except U.S. plaintiff cases, enter the name of the county where the first listed plaintiff resides at the time of filing. In U.S. plaintiff cases, enter the name of the county in which the first listed defendant resides at the time of filing. (NOTE: In land condemnation cases, the county of residence of the "defendant" is the location of the tract of land involved.) (c) Attorneys. Enter the firm name, address, telephone number, and attorney of record. If there are several attorneys, list them on an attachment, noting in this section "(see attachment)". II. Jurisdiction. The basis of jurisdiction is set forth under Rule 8(a), F.R.C.P., which requires that jurisdictions be shown in pleadings. Place an "X" in one of the boxes. If there is more than one basis of jurisdiction, precedence is given in the order shown below. United States plaintiff. (1) Jurisdiction based on 28 U.S.C. 1345 and 1348. Suits by agencies and officers of the United States are included here. United States defendant. (2) When the plaintiff is suing the United States, its officers or agencies, place an "X" in this box. Federal question. (3) This refers to suits under 28 U.S.C. 1331, where jurisdiction arises under the Constitution of the United States, an amendment to the Constitution, an act of Congress or a treaty of the United States. In cases where the U.S. is a party, the U.S. plaintiff or defendant code takes precedence, and box 1 or 2 should be marked. Diversity of citizenship. (4) This refers to suits under 28 U.S.C. 1332, where parties are citizens of different states. When Box 4 is checked, the citizenship of the different parties must be checked. (See Section III below; federal question actions take precedence over diversity cases.) III. Residence (citizenship) of Principal Parties. This section of the JS 44 is to be completed if diversity of citizenship was indicated above. Mark this section for each principal party. IV. Nature of Suit. Place an "X" in the appropriate box. If the nature of suit cannot be determined, be sure the cause of action, in Section VI below, is sufficient to enable the deputy clerk or the statistical clerks in the Administrative Office to determine the nature of suit. If the cause fits more than one nature of suit, select the most definitive. V. Origin. Place an "X" in one of the seven boxes. Original Proceedings. (1) Cases which originate in the United States district courts. Removed from State Court. (2) Proceedings initiated in state courts may be removed to the district courts under Title 28 U.S.C., Section 1441. When the petition for removal is granted, check this box. Remanded from Appellate Court. (3) Check this box for cases remanded to the district court for further action. Use the date of remand as the filing date. Reinstated or Reopened. (4) Check this box for cases reinstated or reopened in the district court. Use the reopening date as the filing date. Transferred from Another District. (5) For cases transferred under Title 28 U.S.C. Section 1404(a). Do not use this for within district transfers or multidistrict litigation transfers. Multidistrict Litigation. (6) Check this box when a multidistrict case is transferred into the district under authority of Title 28 U.S.C. Section 1407. When this box is checked, do not check (5) above. Appeal to District Judge from Magistrate Judgment. (7) Check this box for an appeal from a magistrate judge's decision. VI. Cause of Action. Report the civil statute directly related to the cause of action and give a brief description of the cause. Do not cite jurisdictional statutes unless diversity. Example: U.S. Civil Statute: 47 USC 553 Brief Description: Unauthorized reception of cable service VII. Requested in Complaint. Class Action. Place an "X" in this box if you are filing a class action under Rule 23, F.R.Cv.P. Demand. In this space enter the dollar amount (in thousands of dollars) being demanded or indicate other demand such as a preliminary injunction. Jury Demand. Check the appropriate box to indicate whether or not a jury is being demanded. VIII. Related Cases. This section of the JS 44 is used to reference related pending cases if any. If there are related pending cases, insert the docket numbers and the corresponding judge names for such cases. Date and Attorney Signature. Date and sign the civil cover sheet.