Miscellaneous: DISCOVER BANK vs. JACKSON, SEBASTIAN W

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                                Filing # 173200687 E-Filed 05/15/2023 08:32:57 PM
     FORM 1.997,              CIVIL COVER SHEET
    The civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or other
    documents as required by law. This form must be filed by the plaintiffor petitioner with the Clerk of Court for the purpose of reporting
     uniform data pursuant to section 25.075, Florida Statutes. (See instructions for completion).

     I. CASE         TYLE
                                   POLK COUNTY COURT
      Plaintiff                    DISCOVER BANK                                               Case #:
                                                                                               Judge:
      vs.

      Defendant                    SEBASTIAN W JACKSON


     I.     AMOUNT OF CLAIM
     Please indicate the estimated amount of the claim, rounded to the nearest dollar. The estimated amount of the claim is requested
     for data collection and clerical processing purposes only. The amount of the claim shall not be used for any other purpose.

                 $8,000 or less
            C    $8,001 - $30,000
            C    $30,001 - $50,000
            C    $50,001 - $75,000
            C    $75,001 - $100,000
            Cl   Over $100,000
    Il, TYPE OF CASE (If the case fits more than one type of case, select the most definitive category.) If the most descriptive label is
    a subcategory (is indented under a broader category), place an x in both the main category and subcategory boxes.

     CIRCUIT CIVIL
     O Condominium
     O Contracts and indebtedness
     O Eminent domain
     O Auto negligence
     O Negligence—other
            Business governance
                 Business torts
                 Environmental/Toxic tort
                 Third Party indemnification
                 Construction defect
                 Mass tort
                 Negligent security
                 Nursing     home negligence
                 Premises     liability—commercial
                 Premises     liability—residential
            a    Products     Liability
     O Real       property/Mortgage foreclosure
        OC       Commercial foreclosure
        C        Homestead residential foreclosure
        C        Non-homestead residential foreclosure
        Q        Other real property tions
     O Professional malpractice
            QO Malpract         —business
            QO Malpract         —medical
            OC Malpractice—other professional
     © Other
        C Antitrusv/Trade regulation
            C_   Business transactions
            C    Constitutional challenge-statue or ordinance
            C    Constitutional challenge-proposed amendment
            O    Corporate trusts
            C Discrimination—employment or other
            C1 Insurance claims

     a




2023SC-003863-0000-LK                                 Received in Polk 05/15/2023 08:34 PM
CO. Intellectual Property
          CO Libel/Slander
          Q Sharcholder derivative action
          O Sceurities litigation
          O Trade scerets
          O Trust litigation
    COUNTY          CIVIL
      Civil
    O Real property/Mortgage foreclosure
    O Replevins
    0 Evictions
       CO Residential E    ion
       O Non-Re: lential       ‘iction
    C1) Other civil (non-monetary)

    Iv.     REMEDIES SOUGHT (check all that apply):
             Monetary;
          C) Nonmonetary declaratory or injunctive relief:
          O Punitive
    Vv.   NUMBER OF CAUSES OF ACTION: [ 1]               (specify)
            Breach of Contract

    Vi         IS THIS CASE A CLASS ACTION LAWSUIT?
          yes
               no
    VIL      AS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?
            no
          O yes If “yes”, list all related cases by name, case number, and court.




    VILL IS JURY TRIAL DEMANDED IN COMPLAINT?
    Cl yes
          no

    UCERTIFY that the information | have provided in this cover sheet      curate to the best of my knowledge and belief, and that I have
    read and will comply with the requirements of Florida Rule of Judicial Administration 2.425,
                                                                                   #0088888
                                                                                   #1002687
                                                                                #1023237
      signae         /2/ CattonA. Chirk, CE.                         ta. Bart       #1036031
                             Attorney or party                 v                (Bar # if attomey)
        ERIK ZOGG, ESQ.
        ASHLEY L. BLANCO, ESQ.
        DALTON CLARK, ESQ.
        HOLLY HAGGERTY, ESQ.
      ZWICKER & ASSOCIATES. P.C.
      A Law Firm Engaged in Debt Collection
      ATTORNEY FOR PLAINTIFF                                                    5/10/2023
      (type or print name)                                                      Date




    263624030616




2023SC-003863-0000-LK                            Received in Polk 05/15/2023 08:34 PM