Preview
Date Filed 5/15/2024 10:11 AM
Superior Court - Essex
Docket Number
RECEIVED
Massachusetts Trial ‘Court
2 @
DOCKET NUMBER.
CIVIL ACTION COVER SHEET Superior Court
2477CV00476 B ICOUNTY [Essex Superior Court (Salem)
Plaintiff Lucas and Amanda ‘Noble Defendant:
ADDRESS: 35 Shannon Lane'N. Andover, MA 01845 ADDRESS: 93 Maple Street Middleton, MA 01949
Plaintiff Attomey: Defandant Attornay:
ADDRESS: 1. Western Avenue. Gloucester; MA 01930 ADDRESS:
‘jmorlandojr@orlandoassociates.com 978-283-8100 ext. 2
.
BaO: 680995 ‘880:
TYPE OF ACTION AND TRACK DESIGNATION (cee instructions section on next page)
CODE NO, TYPE OF ACTION (specify) TRACK HAS A JURY CLAIM BEEN MADE?
Ag9 Breachof Contract F & ves 1 no
“If "Other" please describe:
ts there a clalm under G.L, ¢, 93A? \s there a class.action under Mass. R: Civ. P. 237
(ves —] No ves [—X]no
DAMAGE: UIRE!
|The following Is a full, itemized and detailed statement of the facts on which the undersigned plaintiff or plaintiff's counsel relies to determine money damages.
(Note to plaintif: for this form, do not state double or treble damages; indicate single damages only.)
|A. Documented medical expenses to date
1. Total hospital-expenses
2, Total doctor expenses
‘3. Total chiropractic expenses
4, Total physical therapy-expenses
5. Total other expenses (describe below) $160,000.00
[Lost Wages, and Legal Fees/Expenses
Subtotal (1-5): . $150,000.00
B, Documented lost wages and compensation:to date
C. Documented property damages to date.
D; Reasonably anticipated future medical and hospital expenses
E, Reasonably anticipated lost wages
F, Other documented Items of damages (describe below) $100,000.00
[Defamation, Emotional Distrass, Lost Wages totalling $50,000+. ~
TOTAL (AF): $250,000.00
G. Briefly describe plaintiff's injury; including the nature and extent of the injury:
[Defendant's Breach of Contracts dated 5/22/2018 attached as Exhibits B and C to Complaint and Defamation of Plaintiffs.
CONTRACT CLAIMS:
[7 This‘action includes a claim involving collection of a debt incurred pursuant toa revalving credit agreement. Mass. R. Civ. P. 8.1(a).
tom # Detailed Description of Each Claim Amount
1 Defendants breach of contracts dated 5/22/2018.
Total
Lh 2
Signature of Attoney/Self-Represented Plaintif: x \ \ \ 5 / ] [Paes //s/2p24—
rRELATED ACTIONS: Please provide the case number, case name, and county of any related actions pending in the Superior Court.
CERTIFICATION UNDER S.J.C. RULE 1:18(5)
Lheraby certify that I have complied With requirements of Rule 5 of Supreme Judicial Court Rule 1:18: Uniform Rules on Dispute Resolution, requiring that | Informmy clients about
court-connacted dispute resolution servi ern the advantages and disadvantages of the various methods of dispute reso}
Signature of Attomey: X CAs 2 | [Date May 15, 2024
$C0001: 02/24 www.mass,govicourts: Date/Time Printad:05-15-2024 09:43:24
Date Filed 5/15/2024 10:11 AM
‘Superior Court - Essex
Docket Number
CIVIL ACTION COVER SHEET INSTRUCTIONS —
SELECT A CATEGORY THAT BEST DESCRIBES YOUR CASE*
AC Actions Involving the State/Municipalityt* ER Equitable Remedies: RP
Property
Real
‘AAI Contract Action Involving Commonwealth, 001 Specific Performance of a Contract (A) Cot Land Ts
Municipality, MBTA, etc, 02 Reach and Apply C02 Zoning Appeal, G.L. c. 40A
‘ABI Tortious Action involving Commonwealth, DO3 injunction F) C03 Dispute Conceming Title (F)
MBTA, etc. 04 Reform Cancel Instrument © C04 Foreclosure of a Mortgage
AC1 Real Property Action involving 05 Equitable Repisvin F) COS Condominium Lien & Charges
‘Commonwealth, Mn MBTA otc.=) D06 Contribution or Indemnification Fr) C99 Other Real Property Action
AD! Equity Action i 1D07 Imposition of a Trust a)
Mantlpally, MBTA, ol. 008 Minority Shareholder’s Suit (a) -MG
Miscollansous
Civil Actions
‘AE1 Administrative Action invotvin, ‘09 Interference In Contractual Relationship
‘Commonwealth, Municipality, MBTA,etc. (A) 10 Accounting (a) £18 Foreign Discovery Proceeding
D11 Enforcement of Restrictive Covenant £97 Prisoner Habeas Corpus
CN
Contract/Business
Cases 12 Dissolution of a Parine! £22 Lottery Assignment, G.L.c. 10, § 28
13 Decieratory Judgment, GL. c. 2314 (A)
AQ1 Services, Labor, and Materials () D14 Dissolution of a Corporation AB Abuse/Harassment Prevention
‘A02 Goods Sold and Delivered 99 Other Equity Action
‘A03 Commercial Paper ) E15 Abuse Prevention Petition, G.L.c. 209A (x)
‘A04 Employment Contract PA Glvil Actions involving Incarcerated
Party + €21 Protection from Harassment, G.L. ©. 258E()
AOS Consumer Revolving Credit - m.R.c.P.6.1 )
‘A06 Insurance Contract PAt Contract Action invalving an AA
Administrative
Civil Actions:
‘A08 Sale or Lease of Real Estate (F) Incarcerated Party a)
A12 Construction Dispute PBI Tortious Acton na an £02 Appeal from Administrative Agency,
At4 Interpleader (F) @)
BA1 Governance, Conduct, Internal PC1 Real Property Aion involving an E03 Cartiorari Action, G.L. c. 249, §4
Affairs of Entities Incarcerated Party ) E05 Confirmation of Arbitration Awards.
BA3 Liability of Shareholders, Directors, PD Equity Action involvingan E06 Mass Antitrust
Act, G.L. c, 93, § 9 (4)
icers, Partners, atc. (A) Incarcerated Par E07 Mass Antitrust
Act, G.L. c. 93,§ 8
B1 Shareholder Derivative PEt Administrative Action involving an E08 Appointment
of a Receiver
BB2 Securities Transactions Incarcerated Party E09 Construction Surety Bond, G.L. c, 149,
BC1 Mergers, Consolldations, Salesof 29, 294, a
Assets, Issuance of Debt, Equity, @ IR Torts E10 Summary Procass Appeal
D1 Intellectual Property E11 Worker's Compensation
8D2 Proprietary Information or Trade B03 Motor Vehicle Negligence - Personal E16 Auto Surcharge. )
Inj Damage " E17 Chil Rights Act, G.L. c.12, § 11H
BG1 Financial Institutions/Funds (a) B04 Other Negligence - Personal E24 Appeal fram District Cou
BH1 Violation of Antitrust or Trade iy/Property Damage (F) Commitment, G.L. 2.123, § 8b)
Regulation Laws B05 Products Liabil a) E94 Forfeiture, G.L. c. 15, § 56
‘A99 Other Contracl/Business Action - Specify 8 B06 Malpractice - Medical E95 Forfeiture,
G.L. c. 94C, § 47 (F)
B07 Malpractice - Other E99 Other Administrative Action
* See Superior Court Standing Order 1-88 for an 808 Wrongful Death - Non-medical (a) 201 Medical Malpractice - Tribunal only,
explanation of the tracking deadlinesfor each track B15 Defamation (A) G.L.c. 231, § 60B )
designation: F, A, and X. On this page, the track B19 Asbestos 202 Appeal Bond Denial
designation for each case type Is noted in 820 Personal Injury - Slip & Fall ©)
parentheses, B21 Environment ) ‘SO Sox Offender Review
822 Employment Discrimination (F)
+t Choose this case type if ANY party is the BE1 Fraud, Business Torts, etc. £12 SDP Commitment, G.L c. 123A, § 12 «)
Commonwealth, a municipality, the MBTA, or any B99 Other Tortious Action #) E14 SOP Patition, ©. 123A, § 9(b) 0)
other governmental entity UNLESS your case is a
case type listed under Administrative Civil Actions, RP Summary Process (Real Property) RG
Restricted
Civil Actions:
‘S01 Summary Process - Residential E19 Sex Offender Registry, G.L. c. 6, § 178M (X)
+ Choose this case type if ANY party is an 802 Summary Process - Commercial! E27 Minor Seeking Consent, G.L. €.112, § 125%)
incarcerated party, UNLESS your case Is a case Non-residential
type listed under Administrative Civil Actions (AA)
ors a Prisoner Habeas Corpus case (E97). TRANSFER YOUR SELECTION TO THE FACE SHEET
EXAMPLE:
CODE NO. ‘TYPE OF ACTION (specify) TRACK HAS A JURY CLAIM BEEN MADE?
B03 Motor Vehicle Negligence-Personal Injury ——E.. {Yes (no
STATEMENT OF DAMAGES REQUIRED BY G.L. c. 212, § 3A
DUTY OF THE PLAINTIFF — On the face of the Civil Action Cover Sheet (or on attached additional sheets, if necessary), the plaintiff shall
state the facts on which the plaintiff relies to determine money damages. A copy of the completed Civil Action Cover Sheet, including the
statement conceming damages, shall be served with the complaint. A clerk-magistrate shall not accept for filing a complaint, except as
otherwise provided by law, unless it Is accompanied by such a statement signed by the attorney or self-represented litigant.
DUTY OF THE DEFENDANT— If the defendant believes that the statement of damages filed by the plaintiff is inadequate, the defendant may
file with the defendant's answer a statement specifying the potential damages which may result if the plaintiff prevails.
A CIVIL ACTION COVER SHEET MUST BE FILED WITH EACH COMPLAINT.
IF THIS COVER SHEET IS NOT FILLED OUT THOROUGHLY AND
ACCURATELY, THE CASE MAY BE DISMISSED.
C0001: 02/26 www. mass,gov/courts Date/Time Printed:05-15-2024 09:43:24
Preview
Date Filed 5/15/2024 10:11 AM Superior Court - Essex Docket Number RECEIVED Massachusetts Trial ‘Court 2 @ DOCKET NUMBER. CIVIL ACTION COVER SHEET Superior Court 2477CV00476 B ICOUNTY [Essex Superior Court (Salem) Plaintiff Lucas and Amanda ‘Noble Defendant: ADDRESS: 35 Shannon Lane'N. Andover, MA 01845 ADDRESS: 93 Maple Street Middleton, MA 01949 Plaintiff Attomey: Defandant Attornay: ADDRESS: 1. Western Avenue. Gloucester; MA 01930 ADDRESS: ‘jmorlandojr@orlandoassociates.com 978-283-8100 ext. 2 . BaO: 680995 ‘880: TYPE OF ACTION AND TRACK DESIGNATION (cee instructions section on next page) CODE NO, TYPE OF ACTION (specify) TRACK HAS A JURY CLAIM BEEN MADE? Ag9 Breachof Contract F & ves 1 no “If "Other" please describe: ts there a clalm under G.L, ¢, 93A? \s there a class.action under Mass. R: Civ. P. 237 (ves —] No ves [—X]no DAMAGE: UIRE! |The following Is a full, itemized and detailed statement of the facts on which the undersigned plaintiff or plaintiff's counsel relies to determine money damages. (Note to plaintif: for this form, do not state double or treble damages; indicate single damages only.) |A. Documented medical expenses to date 1. Total hospital-expenses 2, Total doctor expenses ‘3. Total chiropractic expenses 4, Total physical therapy-expenses 5. Total other expenses (describe below) $160,000.00 [Lost Wages, and Legal Fees/Expenses Subtotal (1-5): . $150,000.00 B, Documented lost wages and compensation:to date C. Documented property damages to date. D; Reasonably anticipated future medical and hospital expenses E, Reasonably anticipated lost wages F, Other documented Items of damages (describe below) $100,000.00 [Defamation, Emotional Distrass, Lost Wages totalling $50,000+. ~ TOTAL (AF): $250,000.00 G. Briefly describe plaintiff's injury; including the nature and extent of the injury: [Defendant's Breach of Contracts dated 5/22/2018 attached as Exhibits B and C to Complaint and Defamation of Plaintiffs. CONTRACT CLAIMS: [7 This‘action includes a claim involving collection of a debt incurred pursuant toa revalving credit agreement. Mass. R. Civ. P. 8.1(a). tom # Detailed Description of Each Claim Amount 1 Defendants breach of contracts dated 5/22/2018. Total Lh 2 Signature of Attoney/Self-Represented Plaintif: x \ \ \ 5 / ] [Paes //s/2p24— rRELATED ACTIONS: Please provide the case number, case name, and county of any related actions pending in the Superior Court. CERTIFICATION UNDER S.J.C. RULE 1:18(5) Lheraby certify that I have complied With requirements of Rule 5 of Supreme Judicial Court Rule 1:18: Uniform Rules on Dispute Resolution, requiring that | Informmy clients about court-connacted dispute resolution servi ern the advantages and disadvantages of the various methods of dispute reso} Signature of Attomey: X CAs 2 | [Date May 15, 2024 $C0001: 02/24 www.mass,govicourts: Date/Time Printad:05-15-2024 09:43:24 Date Filed 5/15/2024 10:11 AM ‘Superior Court - Essex Docket Number CIVIL ACTION COVER SHEET INSTRUCTIONS — SELECT A CATEGORY THAT BEST DESCRIBES YOUR CASE* AC Actions Involving the State/Municipalityt* ER Equitable Remedies: RP Property Real ‘AAI Contract Action Involving Commonwealth, 001 Specific Performance of a Contract (A) Cot Land Ts Municipality, MBTA, etc, 02 Reach and Apply C02 Zoning Appeal, G.L. c. 40A ‘ABI Tortious Action involving Commonwealth, DO3 injunction F) C03 Dispute Conceming Title (F) MBTA, etc. 04 Reform Cancel Instrument © C04 Foreclosure of a Mortgage AC1 Real Property Action involving 05 Equitable Repisvin F) COS Condominium Lien & Charges ‘Commonwealth, Mn MBTA otc.=) D06 Contribution or Indemnification Fr) C99 Other Real Property Action AD! Equity Action i 1D07 Imposition of a Trust a) Mantlpally, MBTA, ol. 008 Minority Shareholder’s Suit (a) -MG Miscollansous Civil Actions ‘AE1 Administrative Action invotvin, ‘09 Interference In Contractual Relationship ‘Commonwealth, Municipality, MBTA,etc. (A) 10 Accounting (a) £18 Foreign Discovery Proceeding D11 Enforcement of Restrictive Covenant £97 Prisoner Habeas Corpus CN Contract/Business Cases 12 Dissolution of a Parine! £22 Lottery Assignment, G.L.c. 10, § 28 13 Decieratory Judgment, GL. c. 2314 (A) AQ1 Services, Labor, and Materials () D14 Dissolution of a Corporation AB Abuse/Harassment Prevention ‘A02 Goods Sold and Delivered 99 Other Equity Action ‘A03 Commercial Paper ) E15 Abuse Prevention Petition, G.L.c. 209A (x) ‘A04 Employment Contract PA Glvil Actions involving Incarcerated Party + €21 Protection from Harassment, G.L. ©. 258E() AOS Consumer Revolving Credit - m.R.c.P.6.1 ) ‘A06 Insurance Contract PAt Contract Action invalving an AA Administrative Civil Actions: ‘A08 Sale or Lease of Real Estate (F) Incarcerated Party a) A12 Construction Dispute PBI Tortious Acton na an £02 Appeal from Administrative Agency, At4 Interpleader (F) @) BA1 Governance, Conduct, Internal PC1 Real Property Aion involving an E03 Cartiorari Action, G.L. c. 249, §4 Affairs of Entities Incarcerated Party ) E05 Confirmation of Arbitration Awards. BA3 Liability of Shareholders, Directors, PD Equity Action involvingan E06 Mass Antitrust Act, G.L. c, 93, § 9 (4) icers, Partners, atc. (A) Incarcerated Par E07 Mass Antitrust Act, G.L. c. 93,§ 8 B1 Shareholder Derivative PEt Administrative Action involving an E08 Appointment of a Receiver BB2 Securities Transactions Incarcerated Party E09 Construction Surety Bond, G.L. c, 149, BC1 Mergers, Consolldations, Salesof 29, 294, a Assets, Issuance of Debt, Equity, @ IR Torts E10 Summary Procass Appeal D1 Intellectual Property E11 Worker's Compensation 8D2 Proprietary Information or Trade B03 Motor Vehicle Negligence - Personal E16 Auto Surcharge. ) Inj Damage " E17 Chil Rights Act, G.L. c.12, § 11H BG1 Financial Institutions/Funds (a) B04 Other Negligence - Personal E24 Appeal fram District Cou BH1 Violation of Antitrust or Trade iy/Property Damage (F) Commitment, G.L. 2.123, § 8b) Regulation Laws B05 Products Liabil a) E94 Forfeiture, G.L. c. 15, § 56 ‘A99 Other Contracl/Business Action - Specify 8 B06 Malpractice - Medical E95 Forfeiture, G.L. c. 94C, § 47 (F) B07 Malpractice - Other E99 Other Administrative Action * See Superior Court Standing Order 1-88 for an 808 Wrongful Death - Non-medical (a) 201 Medical Malpractice - Tribunal only, explanation of the tracking deadlinesfor each track B15 Defamation (A) G.L.c. 231, § 60B ) designation: F, A, and X. On this page, the track B19 Asbestos 202 Appeal Bond Denial designation for each case type Is noted in 820 Personal Injury - Slip & Fall ©) parentheses, B21 Environment ) ‘SO Sox Offender Review 822 Employment Discrimination (F) +t Choose this case type if ANY party is the BE1 Fraud, Business Torts, etc. £12 SDP Commitment, G.L c. 123A, § 12 «) Commonwealth, a municipality, the MBTA, or any B99 Other Tortious Action #) E14 SOP Patition, ©. 123A, § 9(b) 0) other governmental entity UNLESS your case is a case type listed under Administrative Civil Actions, RP Summary Process (Real Property) RG Restricted Civil Actions: ‘S01 Summary Process - Residential E19 Sex Offender Registry, G.L. c. 6, § 178M (X) + Choose this case type if ANY party is an 802 Summary Process - Commercial! E27 Minor Seeking Consent, G.L. €.112, § 125%) incarcerated party, UNLESS your case Is a case Non-residential type listed under Administrative Civil Actions (AA) ors a Prisoner Habeas Corpus case (E97). TRANSFER YOUR SELECTION TO THE FACE SHEET EXAMPLE: CODE NO. ‘TYPE OF ACTION (specify) TRACK HAS A JURY CLAIM BEEN MADE? B03 Motor Vehicle Negligence-Personal Injury ——E.. {Yes (no STATEMENT OF DAMAGES REQUIRED BY G.L. c. 212, § 3A DUTY OF THE PLAINTIFF — On the face of the Civil Action Cover Sheet (or on attached additional sheets, if necessary), the plaintiff shall state the facts on which the plaintiff relies to determine money damages. A copy of the completed Civil Action Cover Sheet, including the statement conceming damages, shall be served with the complaint. A clerk-magistrate shall not accept for filing a complaint, except as otherwise provided by law, unless it Is accompanied by such a statement signed by the attorney or self-represented litigant. DUTY OF THE DEFENDANT— If the defendant believes that the statement of damages filed by the plaintiff is inadequate, the defendant may file with the defendant's answer a statement specifying the potential damages which may result if the plaintiff prevails. A CIVIL ACTION COVER SHEET MUST BE FILED WITH EACH COMPLAINT. IF THIS COVER SHEET IS NOT FILLED OUT THOROUGHLY AND ACCURATELY, THE CASE MAY BE DISMISSED. C0001: 02/26 www. mass,gov/courts Date/Time Printed:05-15-2024 09:43:24