UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF CALIFORNIA

Case :-cv-0-gpc-rbb Document Filed 0// PageID. Page of 0 BLC LAW CENTER, APC KAZEROUNI LAW GROUP, APC Ahren A. Tiller, Esq. [SBN 00] Abbas Kazerounian, Esq. [SBN: ] ahren.tiller@blc-sd.com ak@kazlg.com 0 Columbia Street, Suite 00 Fischer Avenue, Unit D San Diego, CA 0 Costa Mesa, CA Telephone: (00) -0 Telephone: (00) 00-0 Facsimile: () -0 Facsimile: (00) - HYDE & SWIGART Joshua B. Swigart, Esq. [SBN: ] josh@westcoastlitigation.com Camino Del Rio South, Suite 0 San Diego, CA 0 Telephone: () -0 Facsimile: () -0 Attorneys for Plaintiffs UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF CALIFORNIA Case No.: 'CV GPC RBB CINDY DELISLE, Individually and On Behalf of All Others Similarly Situated, v. SPEEDY CASH, Plaintiff, Defendant. CLASS ACTION COMPLAINT FOR DAMAGES, RESTITUTION AND PUBLIC INJUNCTIVE RELIEF FOR VIOLATIONS OF CALIFORNIA S UNFAIR COMPETITOIN LAW (CAL. BUS. PROF. C. 0 et seq.) JURY TRIAL DEMANDED Class Action Complaint Page

Case :-cv-0-gpc-rbb Document Filed 0// PageID. Page of 0 INTRODUCTION. Plaintiff CINDY DELISLE (hereinafter referred to as Plaintiff or Ms. Delisle ), individually and on behalf of all other similarly situated, brings this class action against SPEEDY CASH (hereinafter referred to as Speedy Cash or Defendant ) to seek recompense for herself and all other similarly situated California consumers who take out personal loans from Defendant.. Defendant s business model is to charge exorbitantly high and unconscionable interest rates, in violation of consumer protection statutes. Plaintiff seeks disgorgement of ill-gotten profits, statutory damages, punitive damages, public injunctive relief, and attorney s fees and costs.. Plaintiff makes these allegations on information and belief, with the exception of those allegations that pertain to Plaintiff, or to Plaintiff s Counsel, which Plaintiff alleges on personal knowledge.. Unless otherwise indicated, the use of Defendant s name in this Complaint includes all agents, employees, officers, members, directors, heirs, successors, assigns, principals, trustees, sureties, subrogates, representatives and insurers of Defendant. JURISDICTION AND VENUE. This Court has jurisdiction over this action under U.S.C. (d), because this is a proposed class action in which: (i) the matter in controversy exceeds the sum or value of $,000,000, exclusive of interest and costs; (ii) members of the proposed Class are citizens of a State different from Defendants; and (iii) the number of Class Members is greater than 00.. Defendant has sufficient minimum contacts with California and have otherwise intentionally availed itself of the markets in California through the promotion, marketing, and sale of its products and services, sufficient to render the exercise of jurisdiction by this Court permissible under traditional notions of fair play Class Action Complaint Page

Case :-cv-0-gpc-rbb Document Filed 0// PageID. Page of 0 and substantial justice.. Venue is proper in this District under U.S.C. (b)() and () because: (i) a substantial part of the events or omissions giving rise to these claims occurred in this District; (ii) Defendant is subject to the Court's personal jurisdiction with respect to this action because Defendant conducts business in this judicial district; and (iii) Plaintiff resides in this judicial district. PARTIES. Plaintiff and those similarly situated, are and at all times mentioned herein were, individual citizens and residents of the United States of America, State of California.. Plaintiff, CINDY DELISLE is, and all times mentioned herein was, an individual citizen and resident of the County of San Diego, State of California. 0. Defendant Speedy Cash is a Nevada Corporation with its Corporate headquarters located at: N Ridge Road Wichita, Kansas. Defendant operates at least thirty-six () locations throughout California.. Defendant Speedy Cash s primary business is offering short-term loans across the nation to low income borrowers with extreme interest rates, at times as high as 0% APR.. Defendant Speedy Cash is licensed by the California Department of Corporations as a California Finance Lender subject to the Cal. Fin. C. 00, et. seq. GENERAL ALLEGATIONS. Defendant Speedy Cash lends to consumers, including to California consumers, who have limited credit opportunities and provides funding to consumers subject to loan terms that most consumers are unable to repay in full. The result of this practice is that the vast majority of the loans made by Defendant Speedy Cash are essentially interest only loans and/or subject to default and additional penalties. Class Action Complaint Page

Case :-cv-0-gpc-rbb Document Filed 0// PageID. Page of 0. Defendant Speedy Cash s business model is to charge usurious interest rates so that most consumers are locked into loans they cannot afford to repay, and instead the consumers end up repaying many times the face value of the loan without significantly reducing the principal balance owed.. Defendant Speedy Cash heavily advertises its loan products to consumers in California via print media, internet advertisements, television, and radio.. Defendant Speedy Cash s pernicious loan terms create a scenario where most consumers take out a loan in times of emergency only to find later that the loan is unable to be repaid within any reasonable time period. In many case, consumers are unable to simply avoid default. As the loans progress, Speedy Cash reaps significant profits from its exorbitant interest and fees, while consumers are unable to tangibly decrease the principal balance.. Once consumers fall into default, Speedy Cash compounds its profits by adding default interest and penalties and subsequently aggressively pursues collection efforts.. Defendant Speedy Cash lends to consumers via physical stores as well as through online loan transactions.. On July,, Plaintiff, Ms. Delisle, entered into an Installment Loan and Promissory Note ( Promissory Note ) with Defendant, which provided that Defendant would loan $,. to Plaintiff at an Annual Percentage Rate (APR) of.% ( Subject Loan ).. The Promissory Note and disclosure statements presented to Plaintiff and the members of the class were presented on a take it or leave it basis. Plaintiff and the similarly situated members of the class have zero bargaining power or power to negotiate with regards to any transactions with Speedy Cash.. The Promissory Note for the Subject Loan was a consumer contract of adhesion under applicable California and Federal Law as it was drafted by Speedy Cash, the party in a position of superior bargaining strength, and imposed upon Class Action Complaint Page

Case :-cv-0-gpc-rbb Document Filed 0// PageID. Page of 0 Plaintiff without the opportunity to negotiate any terms.. Speedy Cash intentionally made the terms of the Subject Loan so onerous that they would be beyond any reasonable ability to repay the amount borrowed, as the Promissory Note required Plaintiff to repay a minimum of $,0. for the $,. borrowed.. Speedy Cash presented the terms of the Promissory Note and disclosure statements to Plaintiff rapidly without any actual or reasonable opportunity for review. The Promissory Note and disclosure documents were only provided to Plaintiff upon the final signing. A reasonable consumer in a similar situation would not understand the interest and penalty provisions by virtue of the method Speedy Cash uses to present the information.. Plaintiff did not see, recognize, or understand the terms of the Promissory Note and disclosure statement. A reasonable consumer would similarly not understand the terms, as the business practice of Speedy Cash is to present the information in a deceptive and rapid manner that is intended to disguise the terms of the Loans.. On or about August,, Plaintiff made a payment on the Subject Loan to Speedy Cash, and therefore incurred actual financial losses due the exorbitant and unlawful interest rates charged by Speedy Cash on the Subject Loan. CLASS ACTION ALLEGATIONS. Plaintiff realleges and incorporates by reference each and every allegation contained in Paragraphs through, inclusive, as though fully set forth.. Plaintiff and the members of the Class have all suffered an injury in fact as a result of the Defendant s unlawful conduct.. The Class Period means months prior to the filing of the Complaint in this action.. Plaintiff brings this lawsuit on behalf of herself and other similarly situated individuals under Rule (b)() and (b)() of the Federal Rules of Civil Class Action Complaint Page

Case :-cv-0-gpc-rbb Document Filed 0// PageID. Page of 0 Procedures. Subject to additional information obtained through further investigation and/or discovery, the proposed class ( Class ) consists of: All persons in the State of California who obtained loans in excess of $,00.00 from Defendant Speedy cash within the months preceding the filing of this Complaint, wherein the annual percentage rate (APR) of interest on said loans exceeded 0 percent. A. Ascertainability. The members of the Class are readily ascertainable from Defendant s records of loans issued in the months preceding this filing, and the specific terms and parties identified therein. B. Numerosity. The members of the Class are so numerous that their individual joinder is impracticable. Plaintiff is informed and believes, and on that basis alleges, that the proposed class consists of tens of thousands of members, or more. C. Existence and Predominance of Common Questions of Law and Fact. Common questions of law and fact exist as to all members of the Class and predominate over any questions affecting only individual Class Members. All members of the Class have been subject to the same conduct and their claims are based on the widespread dissemination of the unlawful, deceptive, and pernicious conduct by Defendant. The common legal and factual questions include, but are not limited to, the following: i. the nature, scope, and operations of the wrongful practices of Defendant; ii. whether Defendant engaged in a course of unfair, unlawful, fraudulent, and/or pernicious conduct in its lending and loan practices. iii. whether Defendant knew or should have known that its business practices were unfair, and/or unlawful; iv. whether Defendant owed a duty of care to Plaintiff and the Class; v. whether Defendant s loan products interest rates were so high that they Class Action Complaint Page

Case :-cv-0-gpc-rbb Document Filed 0// PageID. Page of 0 were unreasonable and/or violated California law and/or public policy. vi. whether Defendant harmed Plaintiff and the Class; and vii. whether Defendant was unjustly enriched by its unlawful and unfair business practices. D. Typicality. Plaintiff s claims are typical of the claims of the members of the Class in that Plaintiff is a member of the Class that Plaintiff seeks to represent. Plaintiff, like members of the proposed Class, was induced by Defendant Speedy Cash to take out a loan with unfair, unlawful, and objectively oppressive terms. E. Adequacy of Representation. Plaintiff will fairly and adequately protect the interests of the members of the Class. Plaintiff has retained counsel experienced in consumer protection law, including class actions. Plaintiff has no adverse or antagonistic interests to those of the Class, and will fairly and adequately protect the interests of the Class. Plaintiff s attorneys are aware of no interests adverse or antagonistic to those of Plaintiff and the proposed Class. F. Superiority. A class action is superior to all other available means for the fair and efficient adjudication of this controversy. Individualized litigation would create the danger of inconsistent and/or contradictory judgments arising from the same set of facts. Individualized litigation would also increase the delay and expense to all parties and the courts and the issues raised by this action. The damages or other financial detriment suffered by individual Class Members may be relatively small compared to the burden and expense that would be entailed by individual litigation of the claims against the Defendant. The injury suffered by each individual member of the proposed class is relatively small in comparison to the burden and expense of individual prosecution of the complex and extensive litigation necessitated by Defendant s conduct. It would be virtually impossible for members of the Class Action Complaint Page

Case :-cv-0-gpc-rbb Document Filed 0// PageID. Page of 0 proposed Class to individually redress effectively the wrongs to them. Even if the members of the proposed Class could afford such litigation, the Court system could not. Individualized litigation increases the delay and expense to all parties, and to the court system, presented by the complex legal and factual issues of the case. By contrast, the class action device presents far fewer management difficulties, and provides the benefits of a single adjudication, economy of scale, and comprehensive supervision by a single court. Therefore, a class action is maintainable pursuant to Fed. R. Civ. P. (b)(). 0. Unless the Class is certified, Defendant will continue its unlawful, unfair, and predatory lending practices as described herein. If the Class is certified, the harms to the public and the Class can be easily rectified.. Furthermore, Defendant has acted or refused to act on grounds that are generally applicable to the Class so that declaratory and injunctive relief is appropriate to the Class as a whole, making class certification appropriate pursuant to Fed R. Civ. P. (b)(). I. FIRST CAUSE OF ACTION FOR VIOLATIONS OF CALIFORNIA S UNFAIR COMPETITION LAW CAL. BUS. & PROF. CODE 0, ET SEQ.. Plaintiff realleges and incorporates by reference each and every allegation contained in Paragraphs through, inclusive, as though fully set forth.. Plaintiff and Defendant are each person(s) as that term is defined by Cal. Bus. & Prof. C.. Cal. Bus & Prof. C. authorizes a private right of action on both an individual and representative basis.. Cal. Bus. & Prof. C., a provision of the Unfair Competition Law (B & P C 0 ), confers standing to prosecute actions for relief not only Class Action Complaint Page

Case :-cv-0-gpc-rbb Document Filed 0// PageID. Page of 0 on the public officials named therein, but on private individuals, i.e., any person acting for the interests of itself, its members or the general public. Thus, a private plaintiff who has suffered a financial injury may sue to obtain relief for others.. Unfair competition is defined by Bus. & Prof. Code 0 as encompassing several types of business wrongs, including: () an unlawful business act or practice, () an unfair business act or practice, () a fraudulent business act or practice, and () unfair, deceptive, untrue or misleading advertising. The definitions in 0 are drafted in the disjunctive, meaning that each of these wrongs operates independently from the others. A. Unlawful Prong. By knowingly and intentionally issuing loans at interest rates that are unconscionable, and objectively unreasonable, Defendant Speedy Cash has routinely engaged in unlawful business practices. The lending practices described herein by Defendant Speedy Cash violate Cal. Fin. C. 0, as they violate Cal. Civ. Code 0.. See De La Torre v. Cashcall Inc., No. S, Cal. LEXIS, at * (Aug., ).. Because Defendant Speedy Cash s business entailed violations of both Cal. Fin. C. 0 and/or Cal. C. 0., Defendant Speedy Cash violated California s Unfair Competition Law, Bus. & Prof. Code 0, et seq., which provides a cause of action for an unlawful business act or practice perpetrated on consumers.. Defendant Speedy Cash violated Cal. Bus. & Prof. Code 0, et. seq. through unfair, unlawful, and deceptive business practices, Defendant Speedy Cash violated California s Unfair Competition Law, Bus. & Prof. Code 0 et seq., which provides a cause of action for an unlawful business acts or practices perpetrated on consumers. 0. Defendant Speedy Cash had other reasonably available alternatives to further its Class Action Complaint Page

Case :-cv-0-gpc-rbb Document Filed 0// PageID.0 Page 0 of 0 legitimate business interests, other than the conduct described herein, such as continuing its massive campaign to provide loans to consumers at unreasonably high interest rates designed to perpetrate default and a cycle of perpetual payments.. Plaintiff suffered actual monetary financial injury in that her payments made to Defendant were for amounts much higher than they would have been but for Defendant s unlawful interest rates charged to Plaintiff.. Plaintiff reserves the right to allege further conduct that constitutes other unfair business acts or practices. Such conduct is ongoing and continues to this date. B. Unfair Prong. Defendant Speedy Cash s actions and representations constitute an unfair business act or practice under 0 in that Defendant s conduct is substantially injurious to consumers, offends public policy, and is immoral, unethical, oppressive, and unscrupulous as the gravity of the conduct outweighs any alleged benefits attributable to such conduct.. Without limitation, the business practices describe herein are unfair and shock the conscience because they offend established public policy, violate California statutory protections, and are objectively immoral, unethical, oppressive, unscrupulous and/or substantially injurious to consumers in that Defendant s conduct caused Plaintiff and the Class Members to incur debts as a result of an unlawfully charged interest rate.. At a date presently unknown to Plaintiff, but at least four years prior to the filing of this action, and as set forth above, Defendant committed acts of unfair competition as defined by Cal. Bus. & Prof. Code 0, et seq., as described herein.. Defendant could and should have furthered its legitimate business interests by not perpetrating fraud on the entire representative class of California borrowers by charging an unlawful interest rate. Class Action Complaint Page 0

Case :-cv-0-gpc-rbb Document Filed 0// PageID. Page of 0. Plaintiff and other members of the Class could not have reasonably avoided the injury suffered by each of them.. Plaintiff reserves the right to allege further conduct that constitutes other unfair business acts or practices. Such conduct is ongoing and continues to this date. AMENDMENT TO SEEK CLRA RELIEF. Should the Defendant not comply with Plaintiff s demand letter Pursuant to California Civil Code, which was mailed on August,, Plaintiff intends to amend this Complaint to include a cause of action under the Consumers Legal Remedies Act, including but not necessarily limited to, Cal. Civ. Code 0(a)(). PRAYER FOR RELIEF WHEREFORE, Plaintiff prays for relief and judgment as follows: That this action be certified as a Class Action, Plaintiff be appointed as the representatives of the Class, and Plaintiff s attorneys be appointed Class counsel; That Defendant s wrongful conduct alleged herein be adjudged and decreed to violate the consumer protection statutory claims asserted herein; A temporary, preliminary and/or permanent order for injunctive relief requiring Defendant to: (i) cease charging an unlawful interest rate on its loans exceeding $,00; (ii) and institute corrective advertising and providing written notice to the public of the unlawfully charged interest rate on prior loans; An order requiring imposition of a constructive trust and/or disgorgement of Defendant s ill-gotten gains and to pay restitution to Plaintiff and all members of the Class and, also, to restore to Plaintiff and members of the class all funds acquired by means of any act or practice declared by this Class Action Complaint Page

Case :-cv-0-gpc-rbb Document Filed 0// PageID. Page of 0 court to be an unlawful, fraudulent, or unfair business act or practice, in violation of laws, statutes or regulations, or constituting unfair competition; Distribution of any monies recovered on behalf of members of the Class via fluid recovery or cy pres recovery where necessary and as applicable, to prevent Defendant from retaining the benefits of their wrongful conduct; Prejudgment and post judgment interest; Exemplary and/or punitive damages for intentional misrepresentations pursuant to, inter alia, Cal. Civ. Code ; Costs of this suit; Reasonable attorneys fees pursuant to, inter alia, California Code of Civil Procedure 0.; Public injunctive relief through the role as a Private Attorney General prohibiting Defendant Speedy Cash from future violations of the aforementioned unlawful and unfair practices, pursuant to Cal. Bus. & Prof. Code ; and Awarding any and all other relief that this Court deems necessary or appropriate. Dated: August, Respectfully submitted, BLC LAW CENTER, APC By:_/s/ Ahren Tiller Ahren A. Tiller, Esq. Attorneys for Plaintiffs Class Action Complaint Page

Case :-cv-0-gpc-rbb Document Filed 0// PageID. Page of DEMAND FOR TRIAL BY JURY Pursuant to the Seventh Amendment to the Constitution of the United States of America, Plaintiff, individually and on behalf of all others similarly situated, is entitled to, and demands, a trial by jury on all issues triable by jury. 0 Dated: August, Respectfully submitted, BLC LAW CENTER, APC By:_/s/ Ahren Tiller Ahren A. Tiller, Esq. Attorneys for Plaintiffs Class Action Complaint Page

Case :-cv-0-gpc-rbb Document - Filed 0// PageID. Page of JS (Rev. 0/) CIVIL COVER SHEET The JS 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, is required for the use of the Clerk of Court for the purpose of initiating the civil docket sheet. (SEE INSTRUCTIONS ON NEXT PAGE OF THIS FORM.) I. (a) PLAINTIFFS DEFENDANTS CINDY DELISLE, Individually and On Behalf of All Others Similarly Situated, (b) County of Residence of First Listed Plaintiff San Diego (EXCEPT IN U.S. PLAINTIFF CASES) (c) Attorneys (Firm Name, Address, and Telephone Number) Attorneys (If Known) BLC Law Center, APC 0 Columbia St., Ste 00, San Diego, CA 0 Phone () - II. BASIS OF JURISDICTION (Place an X in One Box Only) 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. III. CITIZENSHIP OF PRINCIPAL PARTIES (Place an X in One Box for Plaintiff (For Diversity Cases Only) and One Box for Defendant) U.S. Government Federal Question PTF DEF PTF DEF Plaintiff (U.S. Government Not a Party) Citizen of This State Incorporated or Principal Place of Business In This State U.S. Government Diversity Citizen of Another State Incorporated and Principal Place Defendant (Indicate Citizenship of Parties in Item III) of Business In Another State Citizen or Subject of a Foreign Nation Foreign Country IV. NATURE OF SUIT (Place an X in One Box Only) Click here for: Nature of Suit Code Descriptions. CONTRACT TORTS FORFEITURE/PENALTY BANKRUPTCY OTHER STATUTES 0 Insurance PERSONAL INJURY PERSONAL INJURY Drug Related Seizure Appeal USC False Claims Act Marine 0 Airplane Personal Injury - of Property USC Withdrawal Qui Tam ( USC 0 Miller Act Airplane Product Product Liability 0 Other USC (a)) 0 Negotiable Instrument Liability Health Care/ 00 State Reapportionment 0 Recovery of Overpayment Assault, Libel & Pharmaceutical PROPERTY RIGHTS 0 Antitrust & Enforcement of Judgment Slander Personal Injury Copyrights 0 Banks and Banking Medicare Act 0 Federal Employers Product Liability 0 Patent 0 Commerce Recovery of Defaulted Liability Asbestos Personal Patent - Abbreviated 0 Deportation Student Loans 0 Marine Injury Product New Drug Application 0 Racketeer Influenced and (Excludes Veterans) Marine Product Liability 0 Trademark Corrupt Organizations Recovery of Overpayment Liability PERSONAL PROPERTY LABOR SOCIAL SECURITY 0 Consumer Credit of Veteran s Benefits 0 Motor Vehicle 0 Other Fraud 0 Fair Labor Standards HIA (ff) 0 Cable/Sat TV 0 Stockholders Suits Motor Vehicle Truth in Lending Act Black Lung () 0 Securities/Commodities/ 0 Other Contract Product Liability 0 Other Personal Labor/Management DIWC/DIWW (0(g)) Exchange Contract Product Liability 0 Other Personal Property Damage Relations SSID Title XVI 0 Other Statutory Actions Franchise Injury Property Damage 0 Railway Labor Act RSI (0(g)) Agricultural Acts Personal Injury - Product Liability Family and Medical Environmental Matters Medical Malpractice Leave Act Freedom of Information REAL PROPERTY CIVIL RIGHTS PRISONER PETITIONS 0 Other Labor Litigation FEDERAL TAX SUITS Act 0 Land Condemnation 0 Other Civil Rights Habeas Corpus: Employee Retirement 0 Taxes (U.S. Plaintiff Arbitration Foreclosure Voting Alien Detainee Income Security Act or Defendant) Administrative Procedure 0 Rent Lease & Ejectment Employment 0 Motions to Vacate IRS Third Party Act/Review or Appeal of 0 Torts to Land Housing/ Sentence USC 0 Agency Decision Tort Product Liability Accommodations 0 General 0 Constitutionality of 0 All Other Real Property Amer. w/disabilities - Death Penalty IMMIGRATION State Statutes Employment Other: Naturalization Application Amer. w/disabilities - 0 Mandamus & Other Other Immigration Other 0 Civil Rights Actions Education Prison Condition 0 Civil Detainee - Conditions of Confinement V. ORIGIN (Place an X in One Box Only) Original Removed from Proceeding State Court VI. CAUSE OF ACTION VII. REQUESTED IN COMPLAINT: VIII. RELATED CASE(S) IF ANY DATE 0// FOR OFFICE USE ONLY Remanded from Reinstated or Transferred from Appellate Court Reopened Another District (specify) Cite the U.S. Civil Statute under which you are filing (Do not cite jurisdictional statutes unless diversity): Multidistrict Litigation - Transfer Multidistrict Litigation - Direct File CALIFORNIA S UNFAIR COMPETITION LAW (CAL. BUS. PROF. C. 0 et seq.) Brief description of cause: Class Action Complaint For Damages and Public Injunctive Relief for violations of Cal. B.P. C 0, et. seq. CHECK IF THIS IS A CLASS ACTION DEMAND $ CHECK YES only if demanded in complaint: UNDER RULE, F.R.Cv.P. 0,000,000.00 JURY DEMAND: Yes No (See instructions): JUDGE SIGNATURE OF ATTORNEY OF RECORD SPEEDY CASH DOCKET NUMBER RECEIPT # AMOUNT APPLYING IFP JUDGE MAG. JUDGE 'CV GPC RBB

JS Reverse (Rev. 0/) Case :-cv-0-gpc-rbb Document - Filed 0// PageID. Page of INSTRUCTIONS FOR ATTORNEYS COMPLETING CIVIL COVER SHEET FORM JS Authority For Civil Cover Sheet The JS civil cover sheet and the information contained herein neither replaces nor supplements the filings and service of pleading 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, is required for the use of the Clerk of Court for the purpose of initiating the civil docket sheet. Consequently, a civil cover sheet is submitted to the Clerk of Court for each civil complaint filed. The attorney filing a case should complete the form as follows: I.(a) (b) (c) II. III. IV. Plaintiffs-Defendants. Enter names (last, first, middle initial) of plaintiff and defendant. If the plaintiff or defendant is a government agency, use only the full name or standard abbreviations. If the plaintiff or defendant is an official within a government agency, identify first the agency and then the official, giving both name and title. County of Residence. For each civil case filed, except U.S. plaintiff cases, enter the name of the county where the first listed plaintiff resides at the time of filing. In U.S. plaintiff cases, enter the name of the county in which the first listed defendant resides at the time of filing. (NOTE: In land condemnation cases, the county of residence of the "defendant" is the location of the tract of land involved.) Attorneys. Enter the firm name, address, telephone number, and attorney of record. If there are several attorneys, list them on an attachment, noting in this section "(see attachment)". Jurisdiction. The basis of jurisdiction is set forth under Rule (a), F.R.Cv.P., which requires that jurisdictions be shown in pleadings. Place an "X" in one of the boxes. If there is more than one basis of jurisdiction, precedence is given in the order shown below. United States plaintiff. () Jurisdiction based on U.S.C. and. Suits by agencies and officers of the United States are included here. United States defendant. () When the plaintiff is suing the United States, its officers or agencies, place an "X" in this box. Federal question. () This refers to suits under U.S.C., where jurisdiction arises under the Constitution of the United States, an amendment to the Constitution, an act of Congress or a treaty of the United States. In cases where the U.S. is a party, the U.S. plaintiff or defendant code takes precedence, and box or should be marked. Diversity of citizenship. () This refers to suits under U.S.C., where parties are citizens of different states. When Box is checked, the citizenship of the different parties must be checked. (See Section III below; NOTE: federal question actions take precedence over diversity cases.) Residence (citizenship) of Principal Parties. This section of the JS is to be completed if diversity of citizenship was indicated above. Mark this section for each principal party. Nature of Suit. Place an "X" in the appropriate box. If there are multiple nature of suit codes associated with the case, pick the nature of suit code that is most applicable. Click here for: Nature of Suit Code Descriptions. V. Origin. Place an "X" in one of the seven boxes. Original Proceedings. () Cases which originate in the United States district courts. Removed from State Court. () Proceedings initiated in state courts may be removed to the district courts under Title U.S.C., Section. When the petition for removal is granted, check this box. Remanded from Appellate Court. () Check this box for cases remanded to the district court for further action. Use the date of remand as the filing date. Reinstated or Reopened. () Check this box for cases reinstated or reopened in the district court. Use the reopening date as the filing date. Transferred from Another District. () For cases transferred under Title U.S.C. Section 0(a). Do not use this for within district transfers or multidistrict litigation transfers. Multidistrict Litigation Transfer. () Check this box when a multidistrict case is transferred into the district under authority of Title U.S.C. Section 0. Multidistrict Litigation Direct File. () Check this box when a multidistrict case is filed in the same district as the Master MDL docket. PLEASE NOTE THAT THERE IS NOT AN ORIGIN CODE. Origin Code was used for historical records and is no longer relevant due to changes in statue. VI. VII. Cause of Action. Report the civil statute directly related to the cause of action and give a brief description of the cause. Do not cite jurisdictional statutes unless diversity. Example: U.S. Civil Statute: USC Brief Description: Unauthorized reception of cable service Requested in Complaint. Class Action. Place an "X" in this box if you are filing a class action under Rule, F.R.Cv.P. Demand. In this space enter the actual dollar amount being demanded or indicate other demand, such as a preliminary injunction. Jury Demand. Check the appropriate box to indicate whether or not a jury is being demanded. VIII. Related Cases. This section of the JS is used to reference related pending cases, if any. If there are related pending cases, insert the docket numbers and the corresponding judge names for such cases. Date and Attorney Signature. Date and sign the civil cover sheet.

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