No Value: AYALA, VIRGINIA vs. DOLGENCORP, LLC

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                                Filing # 155768903 E-Filed 08/22/2022 09:05:26 AM


           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 papers as required by law. This form shall be filed by the
           plaintiff or petitioner for the use of the Clerk of Court for the purpose of reporting judicial
           workload data pursuant to Florida Statutes section 25.075. (See instructions for completion).

           I.      CASE STYLE

                    IN THE CIRCUIT COURT OF THE NINTH JUDICIAL CIRCUIT
                            IN AND FOR OSCEOLA COUNTY, FLORIDA

           VIRGINIA AYALA,                                  CASE NUMBER:

                   Plaintiff,

           vs.

           DOLGENCORP, LLC,/ dba, DOLLAR GENERAL,

                 Defendant.
           _____________________________________/

           II.     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.

           □ Condominium                                           □ Non Homestead Residential
           □ Contracts and Indebtedness                      Foreclosure $50,001 - $249,999
           □ Eminent Domain                                        □ Non Homestead Residential
           □ Auto Negligence                                         Foreclosure $250,000 or more
           X Negligence – Other                            □ Other Real Property Actions
             □ Business Governance                          $0 -$50,000
             □ Business Torts                                      □ Other Real Property Actions
             □ Environmental/Toxic Tort                      $50,001 - $249,999
             □ Third Party Indemnification                         □ Other Real Property Actions
             □ Construction Defect                                    $250,000 or more
             □ Mass Tort                                □ Professional Malpractice
             □ Negligent Security                          □ Malpractice – Business
             □ Nursing Home Negligence                     □ Malpractice – Medical
             X Premises Liability – Commercial             □ Malpractice – Other Professional
             □ Premises Liability – Residential         □ Other
           □ Products Liability                                    □ Antitrust/Trade Regulation
           □ Real Property/Mortgage Foreclosure            □ Business Transactions
             □ Commercial Foreclosure                      □ Constitutional Challenge – Statute
               $0 - $50,000                                           or Ordinance
             □ Commercial Foreclosure                      □ Constitutional Challenge - Proposed
               $50,001 - $249,999                                    Amendment
             □ Commercial Foreclosure                      □ Corporate Trust
               $250,000 or more                            □ Discrimination – Employment or
  □ Homestead Residential Foreclosure Other
    $0 - $50,000                                     □ Insurance Claims
  □ Homestead Residential Foreclosure□ Intellectual Property
    $50,001 - $249,999                               □ Libel/Slander
  □ Homestead Residential Foreclosure□ Shareholder Derivative Action
    $250,000 or more                         □ Securities Litigation
  □ Non Homestead Residential                        □ Trade Secrets
    Foreclosure $0 - $50,000                 □ Trust Litigation

III. REMEDIES SOUGHT (check all that apply):
   X Monetary:
   □ Non Monetary Declaratory or Injunctive Relief;
   □ Punitive

IV. NUMBER OF CAUSES OF ACTIONS: 1
 (Specify) Negligence
    __________________________________________________________________

V. IS THIS CASE A CLASS ACTION LAWSUIT?
   □ Yes
   X No

VI. HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?
   X No
   □ Yes
   _________________________________________________________


VII. IS JURY TRIAL DEMANDED IN COMPLAINT?
    X Yes
    □ No


I CERTIFY that the information I have provided in this cover sheet is accurate to the best of my
knowledge and belief.

Signature /s/ Jason J. Recksiedler, Esquire              Date: August 22, 2022
             Jason J. Recksiedler, Esquire               Florida Bar Number: 092060