a)
CIVIL COVER SHEET

‘The JS-44 civil cover sheet and the Intormation contained herein neither replacd nor supplement the filing end service of pleadings of other papers as
by law, except as provided by local rules of Court. This form, approved N Judicial Conterence of the United States in September 1974, is required riod
- of the Clerk of Court for the purpose of initiating the “URGE HANN UCTIONS ON THE REVERSE OF THE FORM.)

1. (a) PLAINTIFFS EFENDANTS

Anca Tawar de Welhae\S. Doggin Sage, sa\

(b) county oF RESIDENCE OF FRST LISTED PLAINTIFF So COUNTY OF RESIDENCE OF FIRST LISTED DEFENDANT Coes

US. Pl US. ONLY)
(EXCEPT IN MAGISTRATE JUDGE SCHENKJER NaN ED ge iets LOCATION OF THE

/

JS 44
(Rev. 12/96)

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(c) ee uncdn. bet NUMBER} in +=
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1 BASIS OF JURISDICTION = — PLACE AN ac owe BoxOMY) | SII. of OF BRIN P. ARTIES Puczin 7.5 one weiteon PLUNTE®
AND,ONE BGK JOR DEFENEANT)
Federal Question Ctizen of This State omene on r ated parce OF
1 US. Govemment 3 or ry
Oe earth "9° FeUiS. Goverment Not a Pasty) Mot Business tn Tie =
2 US. Government 7) Divers Ctizen of Another Siete C2 O12 | and Principal Pics Os 8
Oetendant {indies erate Chizenship of Parties rot Bosinese Wn Another State
Citizen or Subject of a3 03 Foreign Nation oe ce
Foreign Country
(PLACE AN "X" IN ONE BOX ONLY) woe
IV. ORIGIN t ed from Appeal to Di
181 Original (2 Removed from =o 9Remandedirom. 1 4 Reinststed or O s encther district O 6 Muticistrict pM
Proceeding Stste Court Appelieta Court Reopened (specify) Utigation Somer
V. NATURE OF SUIT _ (PLACE AN “X" IN ONE BOX ONLY)
CONTRACT TORTS FORFENTURE/PENALTY| BANKRUPTCY OTHER STATUTES:
PERSONAL INJURY PERSONAL INJURY e jure 1D 422 Appeal
Bie meee 0 310 Arpiene D382 Penonal injury = B tae Ober Fosd & Org “ POUSE 158 | 1 aoe suae Rearportonmant
1D 1390 Mier Act oa Product ‘Med. © 028 Orup Relaweo Seture, | 429 Wancrewat 1D 430 Banks ana Banking
1D 140 Negotiable mtrumert D288 Personal injury — Of Property 21 USC 081 20 USS 167 O t8e'CommercefCC Rates:
B10 Recovery of Overpayment | 0) 320 Assault Libel & Proguet| © 890 Liquor Laws D480 Depontasion
Py pre bekcanl ies ‘Sander 11.200 Aapesica Personal | 1) 648 FLA & Truck PROPERTY RIGHTS | Dave Racketeer intuences and
1D 18) Mecicare Act 1D 390 Federal Emeioyen nury Proouct Liebiny | © 030 Aline Rags. 1D 020 Copyrigns Contupt Organizations.
ow Sento 0 940 Marine persona prorenty | 7%? Faing-snetrd Dew Pesan 8 Hy Petia
fExck Verorara) D348 Marine Product Dare One Fru D090 Otner 0 040 Tracemart Exchange
Gabiity (371 Tnah in Lending (Cussomer
D1 meee Berets | 280 moter Vahite 1 300 One Personal TABOR Sociat Secunmry| °'" fiuscaso
Que Searcaevom | OM Ney anponaeee | Ove artamaswmm [oon mannan | SOz tame
Bi 105 Conmect Product Liabaay 1D) 360 Ciher Personal injury Product Liabity ae 1D 962 Bick Lung (923) 1D 083 Ervronmentel Manors:
1720 LaborMigent Retetions | Z) 883 DWC/DWW (4059) 1 996 Energy Asocation Act
REAL PROPERTY CIVIL RIGHTS __ [PRISONER PETITIONS| 0 960 SSID Tee Bess recur
1D 720 Labor/Mgmt. Reporting | 1) 988 AS? (406(g)) aen
1D 210 Lana Conoemnation eat veang 71610 Motions to Vecsie & Disctosure Act D900 Appes al Fee
1D 220 Forecosue D442 Employment ane us: 740 Railway Labor Act FEDERAL TAX SUITS| (Under Equal Access to Justice
D230 Rem Lease 8 Eecimers | 1) 449 How! | 1 650 General (0.980 Coramutonamy of
1D 200 Torso Lend (D 695 Death Penatty Gi 7e0 Other Labor Litigation | 1 979 taxes (U.S. Pisiniin Suse Sates
© Ae on tes ue 0B fee Ober Cnt Rights 1 64e Mancara & Ore D791 Em, ae ne. o 0 200 Other Suansory Actions
. B88 Praon Conction Secu At Dan Busca

VI. CAUSE OF ACTION (CITE Tre US. CVA. STATUTE UNDER WICH YOU ARE FLING AND WRITE BRIEF STATEMENT OF CAUSE,
WUSCA, 198), RG, ak TS CAN CougqRacy tn Viator o® (ESE BR
Cowen alas

EMAND $ CHECK YES only # demanded in complain.

$4 "G0. 000. 00 JURY DEMAND; ves gro

[Q is not a refiling of a previously dismissed action,
2 is arefiling of case number, previously dismissed by Judge

pantie EB ip:

Vil, REQUESTED IN
COMPLAINT

vill.

CHECK IF THIS IS A CLASS ACTION
© UNDER F.R.C.R 23

This case

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