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V ##$$ \p MC1! ##$$  M950Constitutionalityof dZ/!     d fVS1Z".!##$$  f `V4Z".!V ##$$ ` `V4Z".!##$$  ` ' Other aVR4Z".! ##$$ a fVS1Z".!V##$$ f \R4Z".!V##$$ \p fVS1Z".!##$$  f465OtherImmigration \R4Z".!V ##$$ \ fVS1Z".!##$$  f \R4Z".!V ##$$ \ MC1Z".!##$$  M ! StateStatutes dZ/Z".!    d fVS1"!##$$  f `V4"!V ##$$ `p `V4"!##$$  `440OtherCivilRights aVR4"! ##$$ a fVS1"!V##$$  f \R4"! V##$$ \ fVS1"!##$$  f  Actions \R4"!V ##$$ \ fVS1"!##$$  f \R4"!V ##$$ \ MC1"!##$$  M dZ/"!    d fVS1s#G"##$$  f `V4s#G"V ##$$ ` `V4s#G"##$$  ` aVR4s#G" ##$$ a fVS1s#G"V##$$  f \R4s#G" V##$$ \ fVS1s#G"##$$  f \R4s#G"V ##$$ \ fVS1s#G"##$$  f \R4s#G"V ##$$ \ MC1s#G"##$$  M dZ/s#G"    d fVS1#"##$$  f `V4#"V ##$$ ` `V4#"##$$  ` aVR4#" ##$$ a fVS1#"V##$$  f \R4#" V##$$ \ fVS1#"##$$  f  \R4#"V ##$$ \ fVS1#"##$$  f \R4#"V ##$$ \ MC1#"##$$  M [VJ/#"    *[ 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$$[# VV  C DV3!$[# V  D XN/$[#  * V  X \^c? V.ORIGIN Y  QG5$#aa QoY GV6$$# G  Transferredfrom /%$ anotherdistrict %$ (specify) QG5+&$V  Q XVG5$#OO  XAppealtoDistrict $# Judgefrom /%$ Magistrate %$ Judgment dZ@+&$  V d 7-;%$ 7#Yo#^c?\YԀ(Placean XinOneBoxOnly)#Y\^c?#oY GV6$;%$ G 7-;%$V 7 >V-;%$ > F<!;%$ V Fp_  #Yo#  _ dVS"%$  ?1?d1 vVeS%$XX  ?1 ?V voYOriginal %$ Proceeding QG5C&%V Q#YoW#p fVU$%$  @2@f2 sVbP%$XX  @2 @V soYRemovedfrom %$  StateCourt MC5C&%!V  M#Yo#p cVR!%$"  @3@cЀ3 vVeS%$#XX  @3 @V voYRemandedfrom %$$ AppellateCourt QG5C&%%V Q#Yo#p fVU$%$&  @4@f4 sVbP%$'XX  @4 @V soYReinstatedor %$( Reopened QG5C&%)V Q#Yo+#p fVU$%$*  @5@fЀ5 lbP%$+XX  @5 @V l 3)%$+ 3p cVR!%$,  @6@cЀ6 vVeS%$-XX  @6 @V voY_Multidistrict_ %$. Litigation QG5C&%/V Q#Yo#p fVU$%$0  @7@f7 lbP%$1XX  @7 @V l MV<&%$1   M DV3!u&I%2V D >V-u&I%2V >oY >V-u&I%2V >#YoW# GV6$u&I%3V G >V-u&I%3V >oY :V)u&I%3V :#Yo\# DV3!u&I%4V D >V-u&I%4V >oY >V-u&I%4V >#YoZ# GV6$u&I%5V G >V-u&I%5V >oY >V-u&I%5V >#Yo_# GV6$u&I%6V G 5V$u&I%6V 5 :V)u&I%6V : DV3!u&I%7V D >V-u&I%7V >oY >V-u&I%7V >#Yo# GV6$u&I%8V G 7-u&I%8V 7 SV@!u&I%8  SF YVI.CAUSEOFACTION^c?\  QG5%'%911?V 0Qo\^c?CitetheU.S.CivilStatuteunderwhichyouarefiling#^c?\o!#o\^c?Ԁ (Donotcitejurisdictionalstatutesunlessdiversity ):#^c?\o# XN/%'%:  0 X >V-'&: 0>o\^c?Ԁ XN/'&;  V0 X 7-c(7'; 07#^c?\o#o\^c?Briefdescriptionofcause:#^c?\o# XN/c(7'<  0 X 7-)'< 07o\^c? [VN/)'=  0 [#^c?\on# \^c? VII.REQUESTEDIN )s(> ЀCOMPLAINT: TVG5a*5)?GEV Tp CV6$)s(@V  Co CHECKIFTHISISA CLASSACTION  )s(A UNDERF.R.C.P.23 TVG5?*)BVV  T DEMAND$ CV6$)s(CV C CV6$)s(DV CCHECKYESonlyifdemandedincomplaint: XN/)s(E  V X 7-c*7)E 7 @6$c*7)F @ 7-c*7)F 7 @6$c*7)G  @JURYDEMAND: ^c?\o <2$c*7)H  <o\^c?p =3!c*7)I =Yes <2$c*7)J <p =3!c*7)K =No VVI/c*7)L   V oVIII.RELATEDCASE(S) %+)M ЀIFANY TVG5+*NOGV  T CV6$%+)O V (C ND*%+)P V( N 7-+*P 7o ^c?\o(Seeinstructions): @6$+*Q @#o\^c?#JUDGE XVG5+*ROO X QG5+*SOOV QDOCKETNUMBER XVG5+*TOO X VL;+*UOO V V 7-s,G+U 7 @6$s,G+V @ >V-s,G+V > 7-s,G+VV 7 >V-s,G+V > QV@!s,G+V V HQ^c?\o GV6$-+WV 'G XN/-+X H V' XDATE @6$Y--,Y '@SIGNATUREOFATTORNEYOFRECORD XN/Y--,Z  ' AXY\^c? @6$-,[ '@ [VN/-,\ A '  [#^c?\Y# FOROFFICEUSEONLY CV6$$/-] V ' C XN/$/-^   V' X @6$/._ '@ XN//.`  ' XRECEIPT# GV6$D0/a3 G @6$D0/bV @AMOUNT GV6$D0/c3 G @6$D0/dV @APPLYING_IFP_ GV6$D0/e3 G @6$D0/fV @JUDGE GV6$D0/g3 G @6$D0/hV @MAG.JUDGE GV6$D0/i3  G?53D0/j  O V  ?XdX\^c?   &1/j R w,   _*V,d>P,d  < <   ? ?  e e. . . .i i X X. .   F F. .   e ee e  . .o oK Kj je ee ee e    w w B B  2 2   2 2 K K ? ?   / / d d , , V,&,&,%<< +  4*ww 4#^c?\XXd # _JS_Ԁ44Reverse(Rev.12/07)o\^c? QG,w   Q QG,'   Q#^c?\ol#&%\^c?   INSTRUCTIONSFORATTORNEYSCOMPLETINGCIVILCOVERSHEETFORM_JS_Ԁ44 QG,N    PQ QG,& P  Q  #^c?\%&P# \^c?AuthorityForCivilCoverSheet QG,v    *Q#^c?\ #Y\^c?  The_JS_Ԁ44civilcoversheetandtheinformationcontainedhereinneitherreplacesnorsupplementsthefilingsandserviceofpleadingorotherpapersasrequired  bylaw,exceptasprovidedbylocalrulesofcourt.Thisform,approvedbytheJudicialConferenceoftheUnitedStatesinSeptember1974,isrequiredfortheuse 5 oftheClerkofCourtforthepurposeofinitiatingthecivildocketsheet.Consequently,acivilcoversheetissubmittedtotheClerkofCourtforeachcivilcomplaint b filed.Theattorneyfilingacaseshouldcompletetheformasfollows: }  3,eDX,9DX3 I. 9 (a)PlaintiffsDefendants. Enternames(last,first,middleinitial)ofplaintiffanddefendant.Iftheplaintiffordefendantisagovernmentagency,useonly s  thefullnameorstandardabbreviations.Iftheplaintiffordefendantisanofficialwithinagovernmentagency,identifyfirsttheagencyandthentheofficial,giving    bothnameandtitle.  H   9 (b)CountyofResidence.Foreachcivilcasefiled,exceptU.S.plaintiffcases,enterthenameofthecountywherethefirstlistedplaintiffresidesatthe  >  timeoffiling.InU.S.plaintiffcases,enterthenameofthecountyinwhichthefirstlisteddefendantresidesatthetimeoffiling.(NOTE:Inlandcondemnation Y  cases,thecountyofresidenceofthe defendantisthelocationofthetractoflandinvolved.)    9 _(c)_ԀAttorneys.Enterthefirmname,address,telephonenumber,andattorneyofrecord.Ifthereareseveralattorneys,listthemonanattachment,noting  |  inthissection (seeattachment).    (գ88 II. 9 Jurisdiction .ThebasisofjurisdictionissetforthunderRule8(a),F.R.C.P.,whichrequiresthatjurisdictionsbeshowninpleadings.Placean Xinone   oftheboxes.Ifthereismorethanonebasisofjurisdiction,precedenceisgivenintheordershownbelow. 5  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 D 1or2shouldbemarked. _ Diversityofcitizenship.(4)Thisreferstosuitsunder28U.S.C.1332,wherepartiesarecitizensofdifferentstates.WhenBox4ischecked,thecitizenshipof U! thedifferentpartiesmustbechecked.(SeeSectionIIIbelow;federalquestionactionstakeprecedenceoverdiversitycases.) "  (h88 III. 9 Residence(citizenship)ofPrincipalParties. Thissectionofthe_JS_Ԁ44istobecompletedifdiversityofcitizenshipwasindicatedabove.Markthissection x$ foreachprincipalparty.  %  IV. 9 NatureofSuit .Placean Xintheappropriatebox.Ifthenatureofsuitcannotbedetermined,besurethecauseofaction,inSectionVIbelow,is ' sufficienttoenablethedeputyclerkorthestatisticalclerksintheAdministrativeOfficetodeterminethenatureofsuit.Ifthecausefitsmorethanonenatureof 5( suit,selectthemostdefinitive. b)  V.  9 Origin .Placean Xinoneofthesevenboxes. X+ OriginalProceedings.(1)CaseswhichoriginateintheUnitedStatesdistrictcourts. Q- RemovedfromStateCourt.(2)ProceedingsinitiatedinstatecourtsmayberemovedtothedistrictcourtsunderTitle28U.S.C.,Section1441.Whenthepetition G/ forremovalisgranted,checkthisbox. b0 RemandedfromAppellateCourt.(3)Checkthisboxforcasesremandedtothedistrictcourtforfurtheraction.Usethedateofremandasthefilingdate. X2 ReinstatedorReopened.(4)Checkthisboxforcasesreinstatedorreopenedinthedistrictcourt.Usethereopeningdateasthefilingdate. N4 TransferredfromAnotherDistrict.(5)ForcasestransferredunderTitle28U.S.C.Section1404(a).Donotusethisforwithindistricttransfersor_multidistrict_ D6 litigationtransfers. q7 _Multidistrict_ԀLitigation.(6)Checkthisboxwhena_multidistrict_ԀcaseistransferredintothedistrictunderauthorityofTitle28U.S.C.Section1407.Whenthis  g9 boxischecked,donotcheck(5)above. ! : AppealtoDistrictJudgefromMagistrateJudgment.(7)Checkthisboxforanappealfromamagistratejudgesdecision. x"!<  VI. 9 CauseofAction .Reportthecivilstatutedirectlyrelatedtothecauseofactionandgiveabriefdescriptionofthecause. Donotcitejurisdictionalstatutes n#!> unlessdiversity .   p Example: U.S.CivilStatute:47_USC_Ԁ553 $"?  9    p   BriefDescription:Unauthorizedreceptionofcableservice $#@  VII. 9 RequestedinComplaint .ClassAction.Placean XinthisboxifyouarefilingaclassactionunderRule23,_F.R.Cv.P._ %$B Demand.Inthisspaceenterthedollaramount(inthousandsofdollars)beingdemandedorindicateotherdemandsuchasapreliminaryinjunction. & %D JuryDemand.Checktheappropriateboxtoindicatewhetherornotajuryisbeingdemanded. y'&F  VIII. 9 RelatedCases .Thissectionofthe_JS_Ԁ44isusedtoreferencerelatedpendingcasesifany.Iftherearerelatedpendingcases,insertthedocketnumbers o(&H andthecorrespondingjudgenamesforsuchcases. )'I  DateandAttorneySignature .Dateandsignthecivilcoversheet.#^c?\Yf#o\^c?<20 *(K *   <#^c?\o.#  0,'X,eDX0