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CIVIL COVER SHEET

(Mississippi State Court)

[// GUIDANCE: Mississippi courts often have county-specific cover sheet formats. Use this form to collect required information before keying it into the court-provided PDF or e-filing portal.]

1. CAPTION

text
IN THE [CIRCUIT/COUNTY/CHANCERY] COURT OF [COUNTY], MISSISSIPPI

[PLAINTIFF NAME], PLAINTIFF
v. CIVIL ACTION NO.: [TBD BY CLERK]
[DEFENDANT NAME], DEFENDANT

2. PLAINTIFF INFORMATION

  • Name: [PLAINTIFF FULL LEGAL NAME]
  • Address: [STREET, CITY, STATE ZIP]
  • Phone/Email: [PHONE] | [EMAIL]
  • If additional plaintiffs, attach addendum.

3. DEFENDANT INFORMATION

  • Name: [DEFENDANT FULL LEGAL NAME]
  • Address: [STREET, CITY, STATE ZIP]
  • Phone/Email (if known): [PHONE] | [EMAIL]
  • If additional defendants, attach addendum.

4. ATTORNEY OR SELF-REPRESENTED PARTY

  • Attorney Name / MSB No.: [NAME], MSB [NUMBER]
  • Firm: [LAW FIRM NAME]
  • Address: [STREET, CITY, STATE ZIP]
  • Phone/Email: [PHONE] | [EMAIL]
  • For self-represented: mark "' Pro Se."

5. CASE TYPE (CHECK ONE PRIMARY)

  • ☐ Contract / Business / Commercial
  • ☐ Real Property (quiet title, ejectment, foreclosure, landlord/tenant)
  • ☐ Tort - Personal Injury / Property Damage
  • ☐ Medical Malpractice
  • ☐ Products Liability
  • ☐ Wrongful Death
  • ☐ Employment (discrimination, wage, other)
  • ☐ Domestic Relations (if Chancery jurisdiction)
  • ☐ Probate / Estate / Guardianship (if Chancery jurisdiction)
  • ☐ Other Civil: [DESCRIBE]

6. AMOUNT IN CONTROVERSY

  • Monetary relief sought: $[AMOUNT] (exclusive of fees and costs)
  • Non-monetary / equitable relief: [DESCRIBE]

7. JURY DEMAND

  • ☐ Jury trial demanded (Rule 38)
  • ☐ Non-jury

8. RELATED OR COMPANION CASES

  • Related case number(s) and court: [LIST OR "NONE"]
  • Prior or pending appeals: [LIST OR "NONE"]

9. SERVICE & PROCESS DETAILS

  • Primary service address for each defendant: [LIST]
  • Special service instructions (Rule 4, certified mail, process server): [DESCRIBE]
  • Interpreter or accommodation needed: [YES/NO; LANGUAGE/ACCOMMODATION]

10. SIGNATURE

text
Date: [DATE]

____________________________________
[ATTORNEY NAME], MSB [NUMBER] / Pro Se
Attorney for [PLAINTIFF/DEFENDANT]
[// GUIDANCE: Double-check local rules and clerk requirements for any additional data fields (e.g., business court designation, mediation program, minores name confidentiality).]

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