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Arizona Supreme Court Page 1 of 6 CVC10f-070118
FOR CLERK’S USE ONLY
Person Filing:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
Representing [ ] Self or [ ] Attorney for
Lawyer’s Bar Number:
SUPERIOR COURT OF ARIZONA
IN COUNTY
Name of Plaintiff
Name of Defendant
Case Number:
Title: CIVIL COMPLAINT
Plaintiff hereby submits this complaint against Defendant(s) and alleges the following:
JURISDICTION and VENUE
1. The Superior Court in County has the legal authority to
hear and decide this case because: (Check all boxes that are true.)
[ ] The value of this case exceeds $10,000 dollars.
[ ] Replevin or other nonmonetary remedy will take place in
County.
[ ] The Plaintiff resides in County.
[ ] The Defendant resides in County.
[ ] The Defendant does business in County.
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Case Number:
Arizona Supreme Court Page 2 of 2 CVC10f-070118
[ ] The events, actions, or debts subject of this Complaint occurred in
County.
[ ] Other reason:
DISCOVERY TIER
2. Pursuant to Arizona Rules of Civil Procedure, Rule 26.2 (c) (3), the Court should assign my case
to the following tier based on the amount of damages I request.
[ ] Tier 1 = Actions claiming $50,000 or less in damages.
[ ] Tier 2 = Actions claiming more than $50,000 and less than $300,000 in damages,
OR Actions claiming nonmonetary relief.
[ ] Tier 3 = Actions claiming $300,000 or more in damages.
PARTIES
3. The Plaintiff in this case is:
4. The Defendant in this case is:
STATEMENT OF FACTS AND BREACH
5.
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Case Number:
Arizona Supreme Court Page 3 of 2 CVC10f-070118
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(If you need more space, add an attachment labeled “Statement of Facts and Breach,” and continue
consecutive numbering.)
APPLICABLE LAW SUPPORTING CLAIMS
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