WPCW  <HmJĩ3vh,Ճ*&<2} q\d3\6S i̯q%59/cKeaaғc&Z&8AHߺ{ߒG6# UeN % 0( ^ % w1 45 I X mZ 1q 1u fmao 0c 1 B -ufa 1 72?Nqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqq Bssssssss C: CK CE C7Z C, C2 C C  C### C=Printer behind youV,,,,V0(9 Z6Times New Roman RegularX($Zc?en{S?jd8:i+003|xU(5hCEKQW]cioAutoList1I.I.I.I.I.I.I.I.3#37=CIQYag1.a.i.(1)(a)(i)1)a)TABLE A(;3$2#  0  .3  0   (գEGMSY_ekqAutoList10IIIIIIIIIIIIIIII)Hairline dTABLE A(hCEKQW]cioAutoList7IIIIIIIIIIIIIIII i) d6$ Diagonal Lines 1dd G,(Rectangular Gradientdd A&"Circular Gradientdd 3Gradient 1dd (Honeycombdd.Checkerboarddddd d(d !  _,,,XX* V,ddd Xdd Xdd X,&,&, ,z ,< , , , ,? , , ,e ,w ,S ,. ,i , ,X ,. , , , ,F ,. , ,  , ,e ,e , , ,. ,o , , ,e ,e ,e , , , , ,w , ,B , , ,2 , , , ,2 , ,. , ,6 , , , ,K ,} ,d , ,, +  8.,, 8^\JS44(Rev.09/11)#\^# @6$, 6@ (ԀCIVILCOVERSHEET#(y# XN/,  6 D>X SI/= D > >S//  TheJS44civilcoversheetandtheinformationcontainedhereinneitherreplacenorsupplementthefilingandserviceofpleadingsorotherpapersasrequiredbylaw,exceptasprovided U bylocalrulesofcourt.Thisform,approvedbytheJudicialConferenceoftheUnitedStatesinSeptember1974,isrequiredfortheuseoftheClerkofCourtforthepurposeofinitiating  thecivildocketsheet.#/ #^\/(SEEINSTRUCTIONSONNEXTPAGEOFTHISFORM.)#/\^ #/ ZVI*{O > P>Z#/M #  XN/ P V> X*,9DXX* (5h83 "3"  Q /325h  I  .3  0    (a)3`݌ @  @  @  @  SV@.h< SPLAINTIFFS <2$h< V < =3!h<  = DEFENDANTS XN/h<    X 7-$+  7 Q    QV>,+ !55 Q#Q # <2$+V < 4*!+ 4 `V7+AA   ` @6$ @ Q @V- @#Q @# <2$V < =3! = OE&   O @6$[/ @ Q @V-[/ @#Q # <2$[/V < =3![/ = OE&[/   O  (b) 󀀀 QCountyofResidenceofFirstListed#Q ,#Ԁ QPlaintiff#Q # G6$  G IV6$   I <2$ V < =3! = QCountyofResidenceofFirstListedDefendant G6$  G#Q # aVN/    a  ^\ Q(EXCEPTINU.S.PLAINTIFFCASES)#Q \^ # @6$ V @  ^\ Q(INU.S.PLAINTIFFCASESONLY)#Q \^# \VI/    \ <2$mV < =3!m  =^\ QNOTE:  INLANDCONDEMNATIONCASES,USETHELOCATIONOF m!     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N 9p \R! O  ?1?\1 ^TB P  ?1 ?  ^IncorporatedorPrincipalPlace @6$ Q  @p [Q$ R  @4@[4 WM? S  @4 @ W 9/! T 9p XN! 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CorruptOrganizations dZ/v     d fVS1, "##$$  f  StudentLoans `V4,V ##$$ `p `V4,"##$$  `340Marine \R4, ##$$ \ fVS1,"##$$ f  InjuryProduct \R4,V##$$ \ VVC1,"##$$  V LB$,V  L fVS1,"##$$  f \R4,V ##$$ \p MC1,"##$$  M480ConsumerCredit dZ/,    d fVS1"##$$  f  (Excl.Veterans) `V4V ##$$ `p `V4"##$$  `345MarineProduct \R4 ##$$ \ fVS1"##$$ f  Liability [VVVmF4V##$$  [ LABOR WVVmB$"VVVm  W hVVVmS1 VVm##$$  h SOCIALSECURITY \R4!VVVm ##$$ \p MC1""##$$  M490Cable/SatTV dZ/#    dp fVS1@$"##$$  f153RecoveryofOverpayment PF4@%V ##$$ P PF$@&"  P ' Liability iVV4@' ##$$ iЀ PERSONALPROPERTY \R4@("V##$$ \p VVC1@)"##$$  V710FairLaborStandards LB$@*V  Lp fVS1@+"##$$  f861HIA(1395ff) \R4@,V ##$$ \p MC1@-"##$$  M850Securities/Commodities/ dZ/@.    d fVS1/"##$$  f  ofVeteransBenefits `V40V ##$$ `p `V41"##$$  `350MotorVehicle \R42 ##$$ \p fVS13"##$$ f370OtherFraud \R44V##$$ \ fVS15"##$$  f  Act \R46V ##$$ \p fVS17"##$$  f862BlackLung(923) \R48V ##$$ \ MC19"##$$  M ! Exchange dZ/:    dp fVS1T(;"##$$  f160StockholdersSuits `V4T(<V ##$$ `p `V4T(="##$$  `355MotorVehicle \R4T(> ##$$ \p fVS1T(?"##$$ f371TruthinLending \R4T(@V##$$ \p fVS1T(A"##$$  f720Labor/Mgmt.Relations \R4T(BV ##$$ \p fVS1T(C"##$$  f863DIWC/DIWW(405(g)) \R4T(DV ##$$ \p MC1T(E"##$$  M890OtherStatutoryActions dZ/T(F    dp fVS1G"##$$  f190OtherContract PF4HV ##$$ P PF$I"  P ' ProductLiability \R4J ##$$ \p fVS1K"##$$ f380OtherPersonal \R4LV##$$ \p VVC1M"##$$  V740RailwayLaborAct LB$NV  Lp fVS1O"##$$  f864SSIDTitleXVI \R4PV ##$$ \p MC1Q"##$$  M891AgriculturalActs dZ/R    dp fVS1h<S"##$$  f195ContractProductLiability `V4h<TV ##$$ `p `V4h<U"##$$  `360OtherPersonal \R4h<V ##$$ \ fVS1h<W"##$$ f  PropertyDamage \R4h<XV##$$ \p VVC1h<Y"##$$  V751FamilyandMedical LB$h<ZV  Lp fVS1h<["##$$  f865RSI(405(g)) \R4h<\V ##$$ \p MC1h<]"##$$  M893EnvironmentalMatters dZ/h<^    dp fVS1_"##$$  f196Franchise PF4`V ##$$ P PF$a"  P ' Injury \R4b ##$$ \p fVS1c"##$$ f385PropertyDamage _U4dV##$$ _ VVC1e"##$$  V  LeaveAct OE$fV  O VVC1g"##$$  V LB$hV  Lp MC1i"##$$  M895FreedomofInformation dZ/j    d VVC1|Pk"##$$  V @6$|PlV  @p @6$|Pm"  @#addd362PersonalInjury#ddad#addd OE$|Pn  O#ddadA+ fVS1|Po"##$$ f  ProductLiability _U4|PpV##$$ _p VVC1|Pq"##$$  V790OtherLaborLitigation OE$|PrV  O VVC1|Ps"##$$  V LB$|PtV  L MC1|Pu"##$$  M ! Act dZ/|Pv    d VVC1w"##$$  V @6$xV  @ @6$y"  @#addd ' Med.Malpractice#ddad#addd OE$z  O#ddadQ á VVC1{"##$$ V OE$|V Op VVC1}"##$$  V791Empl.Ret.Inc. OE$~V  O VVC1"##$$  V LB$V  Lp MC1"##$$  M896Arbitration `VVVVmK/     `ЀREALPROPERTY [VVmF$d"VVVVm  [ kVVmV4dVVm##$$  k 򀀀CIVILRIGHTS hVVVVmS4dVVm ##$$ h   ӀPRISONERPETITIONS \R4dVVVVm##$$ \ fVS1d"##$$  f  SecurityAct [VVVmF4dV ##$$  [  FEDERALTAXSUITS LB$dVVVm  Lp MC1d"##$$  M899AdministrativeProcedure dZ/d    dp fVS1&"##$$  f210LandCondemnation PF4&V ##$$ Pp PF$&"  P440OtherCivilRights aVR4& ##$$ ap fVS1&"V##$$ f510MotionstoVacate \R4&V##$$ \ fVS1&"##$$  f \R4&V ##$$ \p fVS1&"##$$  f870Taxes(U.S.Plaintiff \R4&V ##$$ \ MC1&"##$$  M ! Act/RevieworAppealof dZ/&    dp fVS1"##$$  f220Foreclosure `V4V ##$$ `p `V4"##$$  `441Voting aVR4 ##$$ a fVS1"V##$$ f  Sentence \R4V##$$ \ fVS1"##$$  f \R4V ##$$ \ fVS1"##$$  f  orDefendant) \R4V ##$$ \ MC1"##$$  M ! AgencyDecision dZ/    dp fVS1F "##$$  f230RentLease&Ejectment `V4F V ##$$ `p `V4F "##$$  `442Employment aVR4F  ##$$ a fVS1F "V##$$ fHabeasCorpus: \R4F V##$$ \ fVS1F "##$$  f \R4F V ##$$ \p fVS1F "##$$  f871IRS"ThirdParty \R4F V ##$$ \p MC1F "##$$  M950Constitutionalityof dZ/F     dp fVS1 "##$$  f240TortstoLand `V4 V ##$$ `p `V4 "##$$  `443Housing/ aVR4  ##$$ ap fVS1 "V##$$ f530General \R4 V##$$ \ fVS1 "##$$  f \R4 V ##$$ \ fVS1 "##$$  f  26USC7609 \R4 V ##$$ \ MC1 "##$$  M ! StateStatutes dZ/     dp fVS1Z!. "##$$  f245TortProductLiability PF4Z!. V ##$$ P PF$Z!. "  P ' Accommodations aVR4Z!.  ##$$ ap fVS1Z!. "V##$$ f535DeathPenalty [VVmF4Z!. V##$$  [ IMMIGRATION LB$Z!. "VVm  L fVS1Z!. "##$$  f \R4Z!. V ##$$ \ MC1Z!. "##$$  M dZ/Z!.     dp fVS1! "##$$  f290AllOtherRealProperty `V4! V ##$$ `p `V4! "##$$  `445Amer.w/Disabilities aVR4!  ##$$ ap fVS1! "V##$$ f540Mandamus&Other _VR4! V##$$ _p fVVS1! "V##$$  f462NaturalizationApplication  ԍτ  ]S5! VV ##$$ ] fVS1! "##$$  f \R4! V ##$$ \ MC1! "##$$  M dZ/!     d fVS1n"B!"##$$  f `V4n"B!V ##$$ ` `V4n"B!"##$$  ` ' Employment aVR4n"B! ##$$ ap fVS1n"B!"V##$$ f550CivilRights \R4n"B!V##$$ \p fVS1n"B!"##$$  f463HabeasCorpus \R4n"B!V ##$$ \ fVS1n"B!"##$$  f \R4n"B!V ##$$ \ MC1n"B!"##$$  M dZ/n"B!    d fVS1"!"##$$  f `V4"!V ##$$ `p `V4"!"##$$  `446Amer.w/Disabilities aVR4"! ##$$ ap fVS1"!"V##$$ f555PrisonCondition \R4"!V##$$ \ fVS1"!"##$$  f  AlienDetainee \R4"!V ##$$ \ fVS1"!"##$$  f \R4"!V ##$$ \ MC1"!"##$$  M dZ/"!    d fVS1#V""##$$  f `V4#V"V ##$$ ` `V4#V""##$$  ` ' Other aVR4#V" ##$$ ap fVS1#V""V##$$ f560CivilDetainee \R4#V"V##$$ \ VVC1#V""##$$  V  (PrisonerPetition) LB$#V"V  L fVS1#V""##$$  f \R4#V"V ##$$ \ MC1#V""##$$  M dZ/#V"    d fVS1 $""##$$  f `V4 $"V ##$$ `p `V4 $""##$$  `448Education aVR4 $" ##$$ a fVS1 $""V##$$  f  Conditionsof #   ԍ    ]S5 $" V##$$ ]p fVS1 $""##$$  f465OtherImmigration \R4 $"V ##$$ \ fVS1 $""##$$  f \R4 $"V ##$$ \ MC1 $""##$$  M dZ/ $"    d VVC1$j#"##$$  V @6$$j#V  @ @6$$j#"  @ TVE$$j#  T VVC1$j#"V##$$  V  Confinement OE$$j# V O fVS1$j# "##$$  f  Actions _U4$j# V ##$$ _ VVC1$j# "##$$  V OE$$j# V  O MC1$j# "##$$  M [VJ/$j#    *[ FVV3! %#V  F GV6$ %#VV  G GV6$ %#V  G CVV2$ %#V  C FVV3! %#VV F GV6$ %#VV G IVV6$ %#V  I CV2$ %#VV  C FVV3! %#V  F CV2$ %#VV  C DV3! %#V  D XN/ %# * V  XQ \^ V.ORIGIN / Q QG5J%$bb Q/ GV6$J%$ G  Transferredfrom %$ anotherdistrict D&% #/#^\/(specify)#/\^#/ QG5&% FV  Q XVG5J%$!FOO  X#/#/ dZ@J%$"F((  V d 7-%$" 7#/#^\/Ԁ(Placean XinOneBoxOnly)#/\^#/ GV6$%$# G 7-%$#V 7 >V-%$# > F<!%$# V F#/S#/p cVR!\&0%$  ?1?c1 vVeS\&0%%OO  ?1 ?V vOriginal \&0%& Proceeding QG5&%'V Qp fVU$\&0%(  @2@f2 sVbP\&0%)OO  @2 @V sRemovedfrom \&0%* StateCourt MC5&%+V  Mp cVR!\&0%,  @3@cЀ3 vVeS\&0%-OO  @3 @V vRemandedfrom \&0%. AppellateCourt QG5&%/V Qp fVU$\&0%0  @4@f4 sVbP\&0%1OO  @4 @V sReinstatedor \&0%2 Reopened QG5&%3V Qp fVU$\&0%4  @5@fЀ5 lbP\&0%5OO  @5 @V l 3)\&0%5 3p cVR!\&0%6  @6@cЀ6 vVeS\&0%7OO  @6 @V vMultidistrict \&0%8 Litigation XVG5&%9V X ND2\&0%:OOV N MV<&\&0%:   M#/#/ DV3!&%;V D >V-&%;V > >V-&%;V > GV6$&%<V G >V-&%<V > :V)&%<V : DV3!&%=V D >V-&%=V > >V-&%=V > GV6$&%>V G >V-&%>V > >V-&%>V > GV6$&%?V G 5V$&%?V 5 :V)&%?V : DV3!&%@V D >V-&%@V > 5V$&%@V 5 7-&%@V 7 SV@!&%@  S#/I#Q /VI.CAUSEOFACTION^\ Q QG5'j&A11@V 0Q\^CitetheU.S.CivilStatuteunderwhichyouarefiling#^\=#\^Ԁ #^\#(Donotcitejurisdictionalstatutesunlessdiversity )\^:#^\8# XN/'j&B  0 X >V-3('B 0>\^Ԁ XN/3('C  V0 X 7-('C 07#^\#\^Briefdescriptionofcause:#^\# XN/('D  0 X 7-m)A(D 07\^ [VN/m)A(E  0 [#^\#Q \^ VII.REQUESTEDIN  *(F ЀCOMPLAINT: TVG5*)GPFV Tp CV6$ *(HV  C QCHECKIFTHISISA CLASSACTION   *(I UNDERF.R.C.P.23 TVG5*~)JVV  T DEMAND$ CV6$ *(KV C CV6$ *(LV CCHECKYESonlyifdemandedincomplaint: XN/ *(M  V X 7-*)M 7 @6$*)N @ 7-*)N 7 @6$*)O  @JURYDEMAND: ^\ <2$*)P  <\^p =3!*)Q =Yes <2$*)R <p =3!*)S =No VVI/*)T   VQ VIII.RELATEDCASE(S) +d*U ЀIFANY TVG5S,'+VXHV  T CV6$+d*W V (C ND*+d*X V( N 7-Q,%+X 7 Q^\(Seeinstructions): @6$Q,%+Y @#\^h#JUDGE XG5Q,%+ZOO X QG5Q,%+[OO QDOCKETNUMBER XG5Q,%+\OO X VL;Q,%+]OO  V 7-,+] 7 @6$,+^ @ >V-,+^ > 7-,+^V 7 >V-,+^ > QV@!,+^ V HQ^\ GV6$v-J,_V 'G XN/v-J,` H V' XDATE @6$-,a '@SIGNATUREOFATTORNEYOFRECORD XN/-,b  ' AX/\^ @6$F.-c '@ [VN/F.-d A '  [#^\/`# FOROFFICEUSEONLY CV6$/[.e V ' C XN//[.f   V' `>X XN/0.g ` > XRECEIPT# G6$o0C/h3 G @6$o0C/i @AMOUNT G6$o0C/j3 G @6$o0C/k @APPLYINGIFP G6$o0C/l3 G @6$o0C/m @JUDGE G6$o0C/n3 G @6$o0C/o @MAG.JUDGE G6$o0C/p3  G?53o0C/q  P   ? Q1%0q *V,d>Q,d z z< <   ? ?  e ew wS S. .i i X X. .   F F. .   e ee e  . .o o  e ee ee e    w w B B  2 2   2 2 . . 6 6   K K} }d d , , V,&,&,%<< +  4*,, 4 JS44Reverse(Rev.09/11)\^ QG,,   Q QG,   Q#^\ #&%\^   INSTRUCTIONSFORATTORNEYSCOMPLETINGCIVILCOVERSHEETFORMJS44 QG,yM    PQ QG,P$ P  Q  #^\%& #Q \^AuthorityForCivilCoverSheet QG,t    *Q#^\ Q #/\^  TheJS44civilcoversheetandtheinformationcontainedhereinneitherreplacesnorsupplementsthefilingsandserviceofpleadingorotherpapersasrequired D bylaw,exceptasprovidedbylocalrulesofcourt.Thisform,approvedbytheJudicialConferenceoftheUnitedStatesinSeptember1974,isrequiredforthe  useoftheClerkofCourtforthepurposeofinitiatingthecivildocketsheet.Consequently,acivilcoversheetissubmittedtotheClerkofCourtforeachcivil ` complaintfiled.Theattorneyfilingacaseshouldcompletetheformasfollows: 0  3,eDX,9DX3 I. 9 (a)PlaintiffsDefendants. Enternames(last,first,middleinitial)ofplaintiffanddefendant.Iftheplaintiffordefendantisagovernmentagency,useonly &  thefullnameorstandardabbreviations.Iftheplaintiffordefendantisanofficialwithinagovernmentagency,identifyfirsttheagencyandthentheofficial,giving   bothnameandtitle. q E   9 (b)CountyofResidence.Foreachcivilcasefiled,exceptU.S.plaintiffcases,enterthenameofthecountywherethefirstlistedplaintiffresidesatthe g ;  timeoffiling.InU.S.plaintiffcases,enterthenameofthecountyinwhichthefirstlisteddefendantresidesatthetimeoffiling.(NOTE:Inlandcondemnation   cases,thecountyofresidenceofthe defendantisthelocationofthetractoflandinvolved.)    9 (c)Attorneys.Enterthefirmname,address,telephonenumber,andattorneyofrecord.Ifthereareseveralattorneys,listthemonanattachment,noting  y  inthissection (seeattachment). I    (գ88 II. 9 Jurisdiction .ThebasisofjurisdictionissetforthunderRule8(a),F.R.C.P.,whichrequiresthatjurisdictionsbeshowninpleadings.Placean Xinone ?  oftheboxes.Ifthereismorethanonebasisofjurisdiction,precedenceisgivenintheordershownbelow.   UnitedStatesplaintiff.(1)Jurisdictionbasedon28U.S.C.1345and1348.SuitsbyagenciesandofficersoftheUnitedStatesareincludedhere.  UnitedStatesdefendant.(2)WhentheplaintiffissuingtheUnitedStates,itsofficersoragencies,placean Xinthisbox.  Federalquestion.(3)Thisreferstosuitsunder28U.S.C.1331,wherejurisdictionarisesundertheConstitutionoftheUnitedStates,anamendmenttothe  Constitution,anactofCongressoratreatyoftheUnitedStates.IncaseswheretheU.S.isaparty,theU.S.plaintiffordefendantcodetakesprecedence,andbox l@ 1or2shouldbemarked.  Diversityofcitizenship.(4)Thisreferstosuitsunder28U.S.C.1332,wherepartiesarecitizensofdifferentstates.WhenBox4ischecked,thecitizenshipof ! thedifferentpartiesmustbechecked.(SeeSectionIIIbelow;federalquestionactionstakeprecedenceoverdiversitycases.) ~"  (h88 III. 9 Residence(citizenship)ofPrincipalParties. ThissectionoftheJS44istobecompletedifdiversityofcitizenshipwasindicatedabove.Markthissection t$ foreachprincipalparty. G%  IV. 9 NatureofSuit .Placean Xintheappropriatebox.Ifthenatureofsuitcannotbedetermined,besurethecauseofaction,inSectionVIbelow,is =' sufficienttoenablethedeputyclerkorthestatisticalclerksintheAdministrativeOfficetodeterminethenatureofsuit.Ifthecausefitsmorethanonenatureof ( suit,selectthemostdefinitive. \)  V.  9 Origin .Placean Xinoneofthesevenboxes. ~R+ OriginalProceedings.(1)CaseswhichoriginateintheUnitedStatesdistrictcourts. vJ- RemovedfromStateCourt.(2)ProceedingsinitiatedinstatecourtsmayberemovedtothedistrictcourtsunderTitle28U.S.C.,Section1441.Whenthepetition l@/ forremovalisgranted,checkthisbox. 0 RemandedfromAppellateCourt.(3)Checkthisboxforcasesremandedtothedistrictcourtforfurtheraction.Usethedateofremandasthefilingdate. 2 ReinstatedorReopened.(4)Checkthisboxforcasesreinstatedorreopenedinthedistrictcourt.Usethereopeningdateasthefilingdate. 4 TransferredfromAnotherDistrict.(5)ForcasestransferredunderTitle28U.S.C.Section1404(a).Donotusethisforwithindistricttransfersormultidistrict 6 litigationtransfers. j7 MultidistrictLitigation.(6)CheckthisboxwhenamultidistrictcaseistransferredintothedistrictunderauthorityofTitle28U.S.C.Section1407.Whenthis  `9 boxischecked,donotcheck(5)above. 0! : AppealtoDistrictJudgefromMagistrateJudgment.(7)Checkthisboxforanappealfromamagistratejudgesdecision. &" <  VI. 9 CauseofAction .Reportthecivilstatutedirectlyrelatedtothecauseofactionandgiveabriefdescriptionofthecause. Donotcitejurisdictionalstatutes #!> unlessdiversity .   p Example: U.S.CivilStatute:47USC553 #"?  9    p   BriefDescription:Unauthorizedreceptionofcableservice @$#@  VII. 9 RequestedinComplaint .ClassAction.Placean XinthisboxifyouarefilingaclassactionunderRule23,F.R.Cv.P. 6% $B Demand.Inthisspaceenterthedollaramount(inthousandsofdollars)beingdemandedorindicateotherdemandsuchasapreliminaryinjunction. .&%D JuryDemand.Checktheappropriateboxtoindicatewhetherornotajuryisbeingdemanded. $'%F  VIII. 9 RelatedCases .ThissectionoftheJS44isusedtoreferencerelatedpendingcasesifany.Iftherearerelatedpendingcases,insertthedocketnumbers (&H andthecorrespondingjudgenamesforsuchcases. ('I  DateandAttorneySignature .Dateandsignthecivilcoversheet.#^\/ #\^<20)(K *   <#^\(#   0,'X,eDX0