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Civil Cover Sheet (SDNY) JS-44C - New York
| Civil Cover Sheet (SDNY) Form. This is a New York form and can be used in Southern District District Court Federal . |
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JS 44C/SDNY REV. 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 use of the Clerk of Court for the purpose of initiating the civil docket sheet. PLAINTIFFS DEFENDANTS ATTORNEYS (FIRM NAME, ADDRESS, AND TELEPHONE NUMBER ATTORNEYS (IF KNOWN) CAUSE OF ACTION (CITE THE U.S. CIVIL STATUTE UNDER WHICH YOU ARE FILING AND WRITE A BRIEF STATEMENT OF CAUSE) (DO NOT CITE JURISDICTIONAL STATUTES UNLESS DIVERSITY) Has this or a similar case been previously filed in SDNY at any time? No If yes, was this case Vol. Invol. Dismissed. No No Yes Yes Yes Judge Previously Assigned If yes, give date _______________________ & Case No. ______________________ IS THIS AN INTERNATIONAL ARBITRATION CASE? (PLACE AN [x] IN ONE BOX ONLY) TORTS NATURE OF SUIT ACTIONS UNDER STATUTES CONTRACT [ [ [ [ ] 110 ] 120 ] 130 ] 140 INSURANCE MARINE MILLER ACT NEGOTIABLE INSTRUMENT RECOVERY OF OVERPAYMENT & ENFORCEMENT OF JUDGMENT MEDICARE ACT RECOVERY OF DEFAULTED STUDENT LOANS (EXCL VETERANS) RECOVERY OF OVERPAYMENT OF VETERAN'S BENEFITS STOCKHOLDERS SUITS OTHER CONTRACT CONTRACT PRODUCT LIABILITY FRANCHISE PERSONAL INJURY [ ] 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 PERSONAL INJURY FORFEITURE/PENALTY AGRICULTURE OTHER FOOD & DRUG DRUG RELATED SEIZURE OF PROPERTY 21 USC 881 LIQUOR LAWS RR & TRUCK AIRLINE REGS OCCUPATIONAL SAFETY/HEALTH OTHER BANKRUPTCY [ ] 422 APPEAL 28 USC 158 [ ] 423 WITHDRAWAL 28 USC 157 OTHER STATUTES [ ] 400 STATE REAPPORTIONMENT [ ] 410 ANTITRUST [ ] 430 BANKS & BANKING [ ] 450 COMMERCE [ ] 460 DEPORTATION [ ] 470 RACKETEER INFLUENCED & CORRUPT ORGANIZATION ACT (RICO) [ ] 480 CONSUMER CREDIT [ ] 490 CABLE/SATELLITE TV [ ] 810 SELECTIVE SERVICE [ ] 850 SECURITIES/ COMMODITIES/ EXCHANGE [ ] 875 CUSTOMER CHALLENGE 12 USC 3410 [ ] 890 OTHER STATUTORY ACTIONS [ ] 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 [ ] 150 [ ] 151 [ ] 152 [ ] 153 [ ] 362 PERSONAL INJURY - [ ] 610 [ ] 620 MED MALPRACTICE [ ] 365 PERSONAL INJURY [ ] 625 PRODUCT LIABILITY [ ] 368 ASBESTOS PERSONAL INJURY PRODUCT LIABILITY [ ] 630 [ ] 640 PERSONAL PROPERTY [ ] 650 [ ] 660 [ ] 370 OTHER FRAUD [ ] 371 TRUTH IN LENDING [ ] 690 [ ] 380 OTHER PERSONAL PROPERTY DAMAGE [ ] 385 PROPERTY DAMAGE LABOR PRODUCT LIABILITY [ ] 710 [ ] 720 PRISONER PETITIONS [ ] 730 [ ] 510 MOTIONS TO VACATE SENTENCE 20 USC 2255 [ ] 740 [ ] 530 HABEAS CORPUS [ ] 790 [ ] 535 DEATH PENALTY [ ] 540 MANDAMUS & OTHER [ ] 791 PROPERTY RIGHTS [ ] 820 COPYRIGHTS [ ] 830 PATENT [ ] 840 TRADEMARK SOCIAL SECURITY [ [ [ [ [ ] 861 ] 862 ] 863 ] 864 ] 865 HIA (1395ff) BLACK LUNG (923) DIWC/DIWW (405(g)) SSID TITLE XVI RSI (405(g)) [ ] 160 [ ] 190 [ ] 195 ACTIONS UNDER STATUTES CIVIL RIGHTS [ ] 196 REAL PROPERTY [ ] 210 [ ] 220 [ ] 230 [ ] 240 [ ] 245 [ ] 290 LAND CONDEMNATION FORECLOSURE RENT LEASE & EJECTMENT TORTS TO LAND TORT PRODUCT LIABILITY ALL OTHER REAL PROPERTY [ ] 441 VOTING [ ] 442 EMPLOYMENT [ ] 443 HOUSING/ ACCOMMODATIONS PRISONER CIVIL RIGHTS [ ] 444 WELFARE [ ] 445 AMERICANS WITH [ ] 550 CIVIL RIGHTS DISABILITIES [ ] 555 PRISON CONDITION EMPLOYMENT [ ] 446 AMERICANS WITH DISABILITIES -OTHER [ ] 440 OTHER CIVIL RIGHTS (Non-Prisoner) FAIR LABOR STANDARDS ACT LABOR/MGMT RELATIONS LABOR/MGMT REPORTING & DISCLOSURE ACT RAILWAY LABOR ACT OTHER LABOR LITIGATION EMPL RET INC SECURITY ACT FEDERAL TAX SUITS [ ] 870 TAXES (U.S. Plaintiff or Defendant) [ ] 871 IRS-THIRD PARTY 26 USC 7609 IMMIGRATION [ ] 462 [ ] 463 [ ] 465 NATURALIZATION APPLICATION HABEAS CORPUSALIEN DETAINEE OTHER IMMIGRATION ACTIONS Check if demanded in complaint: CHECK IF THIS IS A CLASS ACTION UNDER F.R.C.P. 23 DO YOU CLAIM THIS CASE IS RELATED TO A CIVIL CASE NOW PENDING IN S.D.N.Y.? IF SO, STATE: DEMAND $______________ OTHER ______________ JUDGE _________________________________ DOCKET NUMBER_________________ Check YES only if demanded in complaint JURY DEMAND: YES NO NOTE: Please submit at the time of filing an explanation of why cases are deemed related. American LegalNet, Inc. www.FormsWorkFlow.com (PLACE AN x IN ONE BOX ONLY) ORIGIN 1 Original Proceeding ¨2 a. b. Removed from State Court all parties represented ¨3 Remanded from Appellate Court 4 Reinstated or Reopened 5 Transferred from (Specify District) 6 Multidistrict Litigation 7 Appeal to District Judge from Magistrate Judge Judgment At least one party is pro se. (PLACE AN x IN ONE BOX ONLY) 1 U.S. PLAINTIFF 2 U.S. DEFENDANT BASIS OF JURISDICTION 3 FEDERAL QUESTION 4 DIVERSITY (U.S. NOT A PARTY) IF DIVERSITY, INDICATE CITIZENSHIP BELOW. (28 USC 1332, 1441) CITIZENSHIP OF PRINCIPAL PARTIES (FOR DIVERSITY CASES ONLY) (Place an [X] in one box for Plaintiff and one box for Defendant) CITIZEN OF THIS STATE CITIZEN OF ANOTHER STATE PTF [ ]1 [ ]2 DEF [ ]1 [ ]2 CITIZEN OR SUBJECT OF A FOREIGN COUNTRY INCORPORATED or PRINCIPAL PLACE OF BUSINESS IN THIS STATE PTF DEF [ ]3 [ ]3 [ ]4 [ ]4 INCORPORATED and PRINCIPAL PLACE OF BUSINESS IN ANOTHER STATE FOREIGN NATION PTF [ ]5 [ ]6 DEF [ ]5 [ ]6 PLAINTIFF(S) ADDRESS(ES) AND COUNTY(IES) DEFENDANT(S) ADDRESS(ES) AND COUNTY(IES) DEFENDANT(S) ADDRESS UNKNOWN REPRESENTATION IS HEREBY MADE THAT, AT THIS TIME, I HAVE BEEN UNABLE, WITH REASONABLE DILIGENCE, TO ASCERTAIN THE RESIDENCE ADDRESSES OF THE FOLLOWING DEFENDANTS: Check one: THIS ACTION SHOULD BE ASSIGNED TO: SIGNATURE OF ATTORNEY OF RECORD WHITE PLAINS MANHATTAN (DO NOT check either box if this a PRISONER PETITION/PRISONER CIVIL RIGHTS COMPLAINT.) DATE ADMITTED TO PRACTICE IN THIS DISTRICT [ ] NO [ ] YES (DATE ADMITTED Mo. _______ Yr. _______) Attorney Bar Code # RECEIPT # Magistrate Judge is to be designated by the Clerk of the Court. Magistrate Judge _________________________________________________________ is so Designated. Ruby J. Krajick, Clerk of Court by _____________ Deputy Clerk, DATED _____________________. UNITED STATES DISTRICT COURT (
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