Free Civil Coversheet - Georgia

JS44 (Rev. 1/08 NDGA)

CIVIL COVER SHEET

The JS44 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 is required for the use of the Clerk of Court for the purpose of initiating the civil docket record. (SEE INSTRUCTIONS ATTACHED)

I. (a) PLAINTIFF(S)

DEFENDANT(S)

(b) COUNTY OF RESIDENCE OF FIRST LISTED
PLAINTIFF
(EXCEPT IN U.S. PLAINTIFF CASES)

COUNTY OF RESIDENCE OF FIRST LISTED DEFENDANT
(IN U.S. PLAINTIFF CASES ONLY) NOTE: IN LAND CONDEMNATION CASES, USE THE LOCATION OF THE TRACT OF LAND INVOLVED

(c) ATTORNEYS (FIRM NAME, ADDRESS, TELEPHONE NUMBER, AND
E-MAIL ADDRESS)

ATTORNEYS

(IF KNOWN)

II. BASIS OF JURISDICTION
(PLACE AN "X" IN ONE BOX ONLY)

III. CITIZENSHIP OF PRINCIPAL PARTIES
(PLACE AN "X" IN ONE BOX FOR PLAINTIFF AND ONE BOX FOR DEFENDANT) (FOR DIVERSITY CASES ONLY) PLF DEF 1 CITIZEN OF THIS STATE PLF 4 DEF 4 INCORPORATED OR PRINCIPAL PLACE OF BUSINESS IN THIS STATE INCORPORATED AND PRINCIPAL PLACE OF BUSINESS IN ANOTHER STATE FOREIGN NATION

1 U.S. GOVERNMENT PLAINTIFF 2 U.S. GOVERNMENT DEFENDANT

3 FEDERAL QUESTION (U.S. GOVERNMENT NOT A PARTY) 4 DIVERSITY (INDICATE CITIZENSHIP OF PARTIES IN ITEM III)

1

2

2

CITIZEN OF ANOTHER STATE

5

5

3

3

CITIZEN OR SUBJECT OF A FOREIGN COUNTRY

6

6

IV. ORIGIN
1 ORIGINAL PROCEEDING

(PLACE AN "X "IN ONE BOX ONLY) 2 REMOVED FROM STATE COURT 3 REMANDED FROM APPELLATE COURT 4 REINSTATED OR REOPENED TRANSFERRED FROM 5 ANOTHER DISTRICT (Specify District) 6 MULTIDISTRICT LITIGATION APPEAL TO DISTRICT JUDGE 7 FROM MAGISTRATE JUDGE JUDGMENT

V. CAUSE OF ACTION (CITE THE U.S. CIVIL STATUTE UNDER WHICH YOU ARE FILING AND WRITE A BRIEF STATEMENT OF CAUSE - DO NOT CITE JURISDICTIONAL STATUTES UNLESS DIVERSITY)

(IF COMPLEX, CHECK REASON BELOW) 1. Unusually large number of parties. 2. Unusually large number of claims or defenses. 3. Factual issues are exceptionally complex 4. Greater than normal volume of evidence. 5. Extended discovery period is needed. 6. Problems locating or preserving evidence 7. Pending parallel investigations or actions by government. 8. Multiple use of experts. 9. Need for discovery outside United States boundaries. 10. Existence of highly technical issues and proof.

CONTINUED ON REVERSE
FOR OFFICE USE ONLY
RECEIPT # JUDGE AMOUNT $ MAG. JUDGE (Referral) APPLYING IFP NATURE OF SUIT MAG. JUDGE (IFP) CAUSE OF ACTION

VI. NATURE OF SUIT (PLACE AN "X" IN ONE BOX ONLY)
CONTRACT - "0" MONTHS DISCOVERY TRACK'
150 RECOVERY OF OVERPAYMENT & ENFORCEMENT OF JUDGMENT 152 RECOVERY OF DEFAULTED STUDENT LOANS (Excl. Veterans) 153 RECOVERY OF OVERPAYMENT OF VETERAN'S BENEFITS

CIVIL RIGHTS - "4" MONTHS DISCOVERY TRACK
441 VOTING 442 EMPLOYMENT 443 HOUSING/ ACCOMMODATIONS 444 WELFARE 440 OTHER CIVIL RIGHTS 445 AMERICANS with DISABILITIES - Employment 446 AMERICANS with DISABILITIES - Other

SOCIAL SECURITY - "0" MONTHS DISCOVERY TRACK
861 HIA (1395ff) 862 BLACK LUNG (923) 863 DIWC (405(g)) 863 DIWW (405(g)) 864 SSID TITLE XVI 865 RSI (405(g))

CONTRACT - "4" MONTHS DISCOVERY TRACK
110 INSURANCE 120 MARINE 130 MILLER ACT 140 NEGOTIABLE INSTRUMENT 151 MEDICARE ACT 160 STOCKHOLDERS' SUITS 190 OTHER CONTRACT 195 CONTRACT PRODUCT LIABILITY 196 FRANCHISE

IMMIGRATION - "0" MONTHS DISCOVERY TRACK
462 NATURALIZATION APPLICATION 463 HABEAS CORPUS- Alien Detainee 465 OTHER IMMIGRATION ACTIONS

FEDERAL TAX SUITS - "4" MONTHS DISCOVERY TRACK
870 TAXES (U.S. Plaintiff or Defendant) 871 IRS - THIRD PARTY 26 USC 7609

PRISONER PETITIONS - "0" MONTHS DISCOVERY TRACK
510 MOTIONS TO VACATE SENTENCE 530 HABEAS CORPUS 535 HABEAS CORPUS DEATH PENALTY 540 MANDAMUS & OTHER 550 CIVIL RIGHTS - Filed Pro se 555 PRISON CONDITION(S) - Filed Pro se

OTHER STATUTES - "4" MONTHS DISCOVERY TRACK
400 STATE REAPPORTIONMENT 430 BANKS AND BANKING 450 COMMERCE/ICC RATES/ETC. 460 DEPORTATION 470 RACKETEER INFLUENCED AND CORRUPT ORGANIZATIONS 480 CONSUMER CREDIT 490 CABLE/SATELLITE TV 810 SELECTIVE SERVICE 875 CUSTOMER CHALLENGE 12 USC 3410 891 AGRICULTURAL ACTS 892 ECONOMIC STABILIZATION ACT 893 ENVIRONMENTAL MATTERS 894 ENERGY ALLOCATION ACT 895 FREEDOM OF INFORMATION ACT 900 APPEAL OF FEE DETERMINATION UNDER EQUAL ACCESS TO JUSTICE 950 CONSTITUTIONALITY OF STATE STATUTES 890 OTHER STATUTORY ACTIONS

REAL PROPERTY - "4" MONTHS DISCOVERY TRACK
210 LAND CONDEMNATION 220 FORECLOSURE 230 RENT LEASE & EJECTMENT 240 TORTS TO LAND 245 TORT PRODUCT LIABILITY 290 ALL OTHER REAL PROPERTY

PRISONER PETITIONS - "4" MONTHS DISCOVERY TRACK
550 CIVIL RIGHTS - Filed by Counsel 555 PRISON CONDITION(S) - Filed by Counsel

TORTS - PERSONAL INJURY - "4" MONTHS DISCOVERY TRACK
310 AIRPLANE 315 AIRPLANE PRODUCT LIABILITY 320 ASSAULT, LIBEL & SLANDER 330 FEDERAL EMPLOYERS' LIABILITY 340 MARINE 345 MARINE PRODUCT LIABILITY 350 MOTOR VEHICLE 355 MOTOR VEHICLE PRODUCT LIABILITY 360 OTHER PERSONAL INJURY 362 PERSONAL INJURY - MEDICAL MALPRACTICE 365 PERSONAL INJURY - PRODUCT LIABILITY 368 ASBESTOS PERSONAL INJURY PRODUCT LIABILITY

FORFEITURE/PENALTY - "4" MONTHS DISCOVERY TRACK
610 AGRICULTURE 620 FOOD & DRUG 625 DRUG RELATED SEIZURE OF PROPERTY 21 USC 881 630 LIQUOR LAWS 640 R.R. & TRUCK 650 AIRLINE REGS. 660 OCCUPATIONAL SAFETY / HEALTH 690 OTHER

OTHER STATUTES - "8" MONTHS DISCOVERY TRACK
410 ANTITRUST 850 SECURITIES / COMMODITIES / EXCHANGE

LABOR - "4" MONTHS DISCOVERY TRACK
710 FAIR LABOR STANDARDS ACT 720 LABOR/MGMT. RELATIONS 730 LABOR/MGMT. REPORTING & DISCLOSURE ACT 740 RAILWAY LABOR ACT 790 OTHER LABOR LITIGATION 791 EMPL. RET. INC. SECURITY ACT

OTHER STATUTES - "0" MONTHS DISCOVERY TRACK
ARBITRATION (Confirm / Vacate / Order / Modify)

TORTS - PERSONAL PROPERTY - "4" MONTHS DISCOVERY TRACK
370 OTHER FRAUD 371 TRUTH IN LENDING 380 OTHER PERSONAL PROPERTY DAMAGE 385 PROPERTY DAMAGE PRODUCT LIABILITY

(Note: Mark underlying Nature of Suit as well)

PROPERTY RIGHTS - "4" MONTHS DISCOVERY TRACK
820 COPYRIGHTS 840 TRADEMARK

* PLEASE NOTE DISCOVERY
TRACK FOR EACH CASE TYPE. SEE LOCAL RULE 26.3

BANKRUPTCY - "0" MONTHS DISCOVERY TRACK
422 APPEAL 28 USC 158 423 WITHDRAWAL 28 USC 157

PROPERTY RIGHTS - "8" MONTHS DISCOVERY TRACK
830 PATENT

VII. REQUESTED IN COMPLAINT:
CHECK IF CLASS ACTION UNDER F.R.Civ.P. 23 JURY DEMAND YES DEMAND $_____________________________ NO (CHECK YES ONLY IF DEMANDED IN COMPLAINT)

VIII. RELATED/REFILED CASE(S) IF ANY
JUDGE_______________________________ DOCKET NO._______________________
(CHECK APPROPRIATE BOX)

CIVIL CASES ARE DEEMED RELATED IF THE PENDING CASE INVOLVES:
1. 2. 3. 4.

PROPERTY INCLUDED IN AN EARLIER NUMBERED PENDING SUIT. SAME ISSUE OF FACT OR ARISES OUT OF THE SAME EVENT OR TRANSACTION INCLUDED IN AN EARLIER NUMBERED PENDING SUIT. VALIDITY OR INFRINGEMENT OF THE SAME PATENT, COPYRIGHT OR TRADEMARK INCLUDED IN AN EARLIER NUMBERED PENDING SUIT. APPEALS ARISING OUT OF THE SAME BANKRUPTCY CASE AND ANY CASE RELATED THERETO WHICH HAVE BEEN DECIDED BY THE SAME BANKRUPTCY JUDGE. 5. REPETITIVE CASES FILED BY PRO SE LITIGANTS. 6. COMPANION OR RELATED CASE TO CASE(S) BEING SIMULTANEOUSLY FILED (INCLUDE ABBREVIATED STYLE OF OTHER CASE(S)):

7. EITHER SAME OR ALL OF THE PARTIES AND ISSUES IN THIS CASE WERE PREVIOUSLY INVOLVED IN CASE NO. DISMISSED. This case IS IS NOT (check one box) SUBSTANTIALLY THE SAME CASE.

, WHICH WAS

SIGNATURE OF ATTORNEY OF RECORD

DATE