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  • Ericka Freitas DaRocha vs. Aline Almeida Siqueira Injunction document preview
  • Ericka Freitas DaRocha vs. Aline Almeida Siqueira Injunction document preview
						
                                

Preview

I | T! i DOCKET NUMBER Trial Court of Massachusetts € CIVIL ACTION COVER SHEET Lu 295A The Superior Court ICOUNTY| | Paint En CAG Crersas SO Rechelpetendane A. |Ywe Alpes Bigoirs, ADDRESS: 1 ADDRESS: | i | | ri Plaintiff Attomey: Defendant Attorney: ADDRESS: | ADDRESS: T | : I BBO: BBO: I ODE NO. | TYPE OF. ACTION AND TRACK DESIGNATION (see instructions section on next page} TYPE OF ACTION (5(specify) i TRACK HAS A‘SURY CLAIM BEEN MADE? PAI HC CW Clves [Jno “if"Other"| please describe: | Is there a claim under G.L c. 93A7 j' is there a class action under Mass. R. Civ! P. 23? 1] Yes Cpe (ves [no 's [ATEMENT OF DAMAGES REQUIRED BY G.L. . 212, § v ‘The following Is a full, itemized and detailed statementof the facts on which the undersigned plaintiff or plaintiffs coe relasfdetemino money damages. (Note to ptaintift: for this form, do not state doublé or treble damages; Indicate single damages only.) ‘ORT CLAIM: M = A. Documented medical expenses to date 4). Total hospital expenses 9 2. Total doctor expenses 3. Total chiropractic expenses gy wWWY 4. Totat physical therapy expenses | = Total other expenses (describe below) r | | Subtotal (1-5) $0.00 8. Documented lost wages and compensation to date ©, 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) [ | | TOTAL (AF) $0.00 éG. Briefly describe plaintiffs injury, including the nature and extent of the injury: | t 7‘ CONTRACT IS D1 This action includes a claim involving collection of a debt incurred pursuantto a revolving credit agreement. Mass. R. Civ. P. 8.1(a). item# Detailed Description of Each Claim | | Amount 1. | | | Total | | |F ignature of Attomey/Self Represented Plant: X CaO, I ] Comme [Pate we Von RELATED ACTIONS: Please provide the cage number, case name, and county of any related actions pending in the Superior Court. T |' 1t 1i T GERTIFIGATION UNDER S.J.C. RULE 1:18(5) thereby certify that |have complied with requirerents of Rule § of Supreme Judicial Count Rule 1:18; Uniform Rutes on Dispute|Resolution, requiring that | inform my clients about court-con nected dispute resolution services and discuss with them the advantages and disadvantages of the various methods. dispute resolution. TI Signature of Attomey: X | L| [Pate: $C0001: 4/13/2023 | wwew.inass.govicourts Date/Time Printed:01-17-2028 13:56:18 |