Free Corel Office Document - Maryland

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MARYLAND

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(Full name and address of the plaintiff) Plaintiff(s) vs.

* Civil No.: (Leave blank. To be filled in by Court.) *

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(Full name and address of the defendant(s)) Defendant(s)

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COMPLAINT 1. Jurisdiction in this case is based on: ` Diversity (none of the defendants are residents of the state where plaintiff is a resident) Federal question (suit is based upon a federal statute or provision of the United States Constitution) Other (explain) _______________________________________________ ____________________________________________________________ ____________________________________________________________

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U.S. District Court (Rev. 12/2000)

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The facts of this case are: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 2

U.S. District Court (Rev. 12/2000)

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The relief I want the court to order is: ` ` Damages in the amount of: _____________________________________ An injunction ordering: ________________________________________ ____________________________________________________________ ` Other (explain) _______________________________________________ ____________________________________________________________

(original signature of plaintiff)

(address of plaintiff)

U.S. District Court (Rev. 12/2000)

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