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Page 1 Civil Cover Sheet: Filing# 143588519 E-Filed 02/09/2022 12:15:28
FORM 1.997.
The
CIVIL
PM
COVER SHEET
cover sheet and the information contained in
replacenor supplement the filing
and service of pleadings or other documents as requiredby law. This form must be filed by the
or petitioner
with the Clerk of Court for the purpose of reportinguniform data pursuant
plaintiff
civil
to section 25.075, Florida Statutes.
it neither
(See instructions for completion.)
CASE STYLE
I.
IN THE CIRCUIT/COUNTY COURT OF THE SEVENTEENTH JUDICIAL CIRCUIT,
IN AND FOR BROWARD COUNTY, FLORIDA
Mirta Garcia, Jorge
E Garcia
Case #
Plaintiff
Judge
VS.
Tesla Florida Inc., IgnacioSocorro, Tesla Motors FL, Inc.
Defendant
AMOUNT OF CLAIM
II.
Please indicate the estimated amount of the claim, rounded to the nearest dollar. The estimated amount of
the claim is requested for data collection and clerical processingpurposes only. The amount of the claim
shall not
E
be used for any other purpose.
$8,000 or less
El $8,001
-
$30,000
El $30,001-
$50,000
.U $50,001- $75,000
El $75,001
E
-
$100,000
over $100,000.00
TYPE OF CASE
(Ifthe case fits more than one type of case, select the most
label is a subcategory(isindented under a broader
most descriptive
x
both
the
main
category),
place an on
category and subcategorylines.
III.
definitive
category.)If the
-1*** FILED:
BROWARD COUNTY,
FL
BRENDA D. FORMAN, CLERK 02/09/2022
12:15:26
PM.****Page 2 CIRCUIT CIVIL
m Condominium
m Contracts and indebtedness
m Eminent domain
m Auto negligence
m Negligence-other
m Business governance
m Business torts
m Environmental/Toxic tort
m Third party indemnification
m Construction defect
m Mass tort
m Negligent security
m Nursing home negligence
m Premises
m Premises liability-residential
m Products liability
m Real Property/Mortgage foreclosure
m Commercial foreclosure
m Homestead residential foreclosure
m Non-homestead residential foreclosure
m Other real property actions
El Professional
malpractice
m
m Malpractice-medical
m Malpractice-otherprofessional
m Other
m Antitrust/Trade regulation
m Business transactions
m Constitutional challenge-statuteor ordinance
m Constitutional challenge-proposed amendment
m Corporatetrusts
m Discrimination-employment or other
m Insurance claims
m Intellectual property
m Libel/Slander
m Shareholder derivative action
m Securities litigation
m Trade secrets
m Trust litigation
COUNTY CIVIL
O
O
1
Small Claims up to $8,000
Civil
Real property/Mortgageforeclosure
-2-Page 3 O Replevins
0 Evictions
O Residential Evictions
0 Non-residential Evictions
El
Other
civil
(non-monetary)
COMPLEX BUSINESS COURT
This action is appropriatefor assignment to Complex Business Court as delineated and mandated by the
Administrative Order.
IV.
Yes
C]
No E
REMEDIES SOUGHT (check all that apply):
@ Monetary;
m Nonmonetary declaratoryor injunctiverelief;
E]
Punitive
NUMBER OF CAUSES OF ACTION: [
V.
]
(Specify)
5
VI.
IS
THIS CASE
A CLASS ACTION LAWSUIT?
0 yes
@ no
VII.
HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?
O no
@ yes If "yes,"list all related cases by name,
CACE21018394
VIII.
IS
case number, and court.
JURY TRIAL DEMANDED IN COMPLAINT?
W yes
O no
CERTIFY that the
have provided in this cover sheet is accurate to the best of
my knowledge and belief,and that I have read and will comply with the requirementsof
Florida Rule of Judicial Administration 2.425.
I
information
I
Signature:s/ Aaron Paul Davis
Fla.
(Bar #
Attorneyor party
Aaron Paul Davis
(typeor printname)
Bar # 58463
02/09/2022
Date
-3-
if attorney)
PDF Page 1
PlainSite Cover Page
PDF Page 2
Civil Cover Sheet: Filing# 143588519 E-Filed 02/09/2022 12:15:28
FORM 1.997.
The
CIVIL
PM
COVER SHEET
cover sheet and the information contained in
replacenor supplement the filing
and service of pleadings or other documents as requiredby law. This form must be filed by the
or petitioner
with the Clerk of Court for the purpose of reportinguniform data pursuant
plaintiff
civil
to section 25.075, Florida Statutes.
it neither
(See instructions for completion.)
CASE STYLE
I.
IN THE CIRCUIT/COUNTY COURT OF THE SEVENTEENTH JUDICIAL CIRCUIT,
IN AND FOR BROWARD COUNTY, FLORIDA
Mirta Garcia, Jorge
E Garcia
Case #
Plaintiff
Judge
VS.
Tesla Florida Inc., IgnacioSocorro, Tesla Motors FL, Inc.
Defendant
AMOUNT OF CLAIM
II.
Please indicate the estimated amount of the claim, rounded to the nearest dollar. The estimated amount of
the claim is requested for data collection and clerical processingpurposes only. The amount of the claim
shall not
E
be used for any other purpose.
$8,000 or less
El $8,001
-
$30,000
El $30,001-
$50,000
.U $50,001- $75,000
El $75,001
E
-
$100,000
over $100,000.00
TYPE OF CASE
(Ifthe case fits more than one type of case, select the most
label is a subcategory(isindented under a broader
most descriptive
x
both
the
main
category),
place an on
category and subcategorylines.
III.
definitive
category.)If the
-1*** FILED:
BROWARD COUNTY,
FL
BRENDA D. FORMAN, CLERK 02/09/2022
12:15:26
PM.****
PDF Page 3
CIRCUIT CIVIL
m Condominium
m Contracts and indebtedness
m Eminent domain
m Auto negligence
m Negligence-other
m Business governance
m Business torts
m Environmental/Toxic tort
m Third party indemnification
m Construction defect
m Mass tort
m Negligent security
m Nursing home negligence
m Premises
m Premises liability-residential
m Products liability
m Real Property/Mortgage foreclosure
m Commercial foreclosure
m Homestead residential foreclosure
m Non-homestead residential foreclosure
m Other real property actions
El Professional
malpractice
m
m Malpractice-medical
m Malpractice-otherprofessional
m Other
m Antitrust/Trade regulation
m Business transactions
m Constitutional challenge-statuteor ordinance
m Constitutional challenge-proposed amendment
m Corporatetrusts
m Discrimination-employment or other
m Insurance claims
m Intellectual property
m Libel/Slander
m Shareholder derivative action
m Securities litigation
m Trade secrets
m Trust litigation
COUNTY CIVIL
O
O
1
Small Claims up to $8,000
Civil
Real property/Mortgageforeclosure
-2-
PDF Page 4
O Replevins
0 Evictions
O Residential Evictions
0 Non-residential Evictions
El
Other
civil
(non-monetary)
COMPLEX BUSINESS COURT
This action is appropriatefor assignment to Complex Business Court as delineated and mandated by the
Administrative Order.
IV.
Yes
C]
No E
REMEDIES SOUGHT (check all that apply):
@ Monetary;
m Nonmonetary declaratoryor injunctiverelief;
E]
Punitive
NUMBER OF CAUSES OF ACTION: [
V.
]
(Specify)
5
VI.
IS
THIS CASE
A CLASS ACTION LAWSUIT?
0 yes
@ no
VII.
HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?
O no
@ yes If "yes,"list all related cases by name,
CACE21018394
VIII.
IS
case number, and court.
JURY TRIAL DEMANDED IN COMPLAINT?
W yes
O no
CERTIFY that the
have provided in this cover sheet is accurate to the best of
my knowledge and belief,and that I have read and will comply with the requirementsof
Florida Rule of Judicial Administration 2.425.
I
information
I
Signature:s/ Aaron Paul Davis
Fla.
(Bar #
Attorneyor party
Aaron Paul Davis
(typeor printname)
Bar # 58463
02/09/2022
Date
-3-
if attorney)
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