# Document EFTA 02822399

**FILED**
August 25, 2022 01:16 PM
ST-2020-CV-00155
**TAMARA CHARLES**
**CLERK OF THE COURT**

CASE INFORMATION AND LITIGANT DATA FORM

Plaintiff(s) - Page 1

CASE NO. ST-2020-CV-00155

DATE OF FILING: 03/12/2020

PARTY INFORMATION

**PLAINTIFF 1: (FULL NAME)**

GHISLAINE MAXWELL

**ALIAS:** \_\_\_\_\_

**PLACE OF BIRTH:** \_\_\_\_\_

**DOB:** / / /
MONTH/DAY/YEAR

**PLAINTIFF 2: (FULL NAME)**


**PLACE OF BIRTH:** \_\_\_\_\_

**DOB:** / / /
MONTH/DAY/YEAR

**MAILING ADDRESS: (Include zip code)**

FCI TALLAHASSEE - FEDERAL CORRECTIONAL INSTITUTION

P.O. BOX 5000

TALLAHASSEE, FL 32314

**PHYSICAL ADDRESS:**

501 CAPITAL CIRCLE, NE

TALLAHASSEE, FL 32301

**PLACE OF EMPLOYMENT:**


**EMAIL ADDRESS:**


HOME TELEPHONE: (850) 878-2173 ( )

CELL NUMBER: ( ) ( )

WORK NO.: ( ) ( )

FAX NO.: ( ) ( )

ATTORNEY INFORMATION

 CHECK HERE IF APPEARING PRO SE (ON YOUR OWN BEHALF, WITHOUT AN ATTORNEY)

**ATTORNEY 1: (FULL NAME)**


**MAILING ADDRESS: (Include zip code)**


**PHYSICAL OFFICE ADDRESS:**

 Check if Same as Mailing Address


 Check if Same as Mailing Address

**EMAIL ADDRESS:**


HOME TELEPHONE: ( ) ( )

CELL NUMBER: ( ) ( )

WORK NO.: ( ) ( )

FAX NO.: ( ) ( )

# CASE INFORMATION AND LITIGANT DATA FORM
n Check here if there are more than two (2) plaintiffs and/or plaintiffs' attorneys involved in this case, and attach a separate sheet that includes the required information for all such additional persons.

# CASE INFORMATION
Place an X next to the case type that best describes this case:

## CIVIL ACTIONS:
## TRACK 1:
(Basic):

## TRACK 2:
(Standard)

## TRACK 3:
(Complex)

# TRACK 4:
(Review/

Administrative Appeals)

# TRACK 5:
(Specialized

Actions/PITA)

O Debt/Foreclosure O Eminent Domain O Condemnation ❑ Debt Collection ['Enforcement of Settlement/Arbitration Award cEnforcement and Execution Actions

O Contract (Goods, Employment Contracts, Buyer-Plaintiff disputes over goods; Other) O Intentional Torts (Non-personal injury; Personal Injury; assault battery; intentional infliction of emotional distress, etc.) O Real Property Dispgtes (Partition/Quiet Title/Ownership-Use disputes/Boundary disputes/Values Disputes) ILI Tax-related matters O Non-domestic relations Injunctive Relief Actions (Permanent and Preliminary Injunction)• O Automobile negligence (to include personal injury, property loss and wrongful death resulting therefrom) O Malpractice (medical, legal, other professional) O Premises Liability ❑ Slander/Libel/Defamation O Negligence O Negligent infliction of emotional distress ❑Fraud/Bad Faith Civil-Other (civil actions not specifically listed in a separate case type, for example:Civil Contempt actions; Action for Declaratory Judgment; Actions for Accounting; Appointment of Receiver; Enforcement of Equitable Liens; Equitable Relief; Interpleader; Wrongful Attachment and Stay of Execution, Conciliation; Conciliation; Dissolution of Instrument; Dissolution of Partnership; Forfeiture)

(\*NOTE: Temporary Restraining Orders/Injunctive Relief are filed as emergency actions and considered on Track 6. Permanent and Preliminary injunctions are considered on this track)

O Class Action O Product liability O Toxic Tort O Wrongful/Employment Disputes ❑ Product Liability-Tobacco

O Writ of Review/Admin. Appeal O Petition for Review of Magistrate Decision

O Habeas Corpus/Prisoner petitions O Expungement O Extradition O Foreign Judgment O Judicial Review/Mandamus O Civil Miscellaneous-Other (civil miscellaneous actions not specifically listed in a separate case type, to include: Petitions for mediator qualification/certification petitions; process server qualification; Letter Rogatory/pre-case discovery petitions etc.)

TRACK 6: O Small Claims O Landlord/Tenant/FED (EMERGENCY O Petition for Temporary Restraining Order O Other Emergency Petitions

/EXPEDITED

PETITIONS)

**FAMILY ACTIONS:**

**TRACK 1:**  Uncontested Divorce;  Dissolution of Vesper Marriage  Legal Separation

**SUMMARY**  Visitation  Paternity;  Adoption;  Conservatorship/Trusteeship;  Name Change,

**PROCEEDINGS**  PINS petitions,  Guardianship (Juvenile)

**TRACK 2:**  Custody (UCCA, Foreign Judgment, and Private Custody);  Child support (All child support)

**STANDARD**  Abuse; Neglect;  Dependency/Child Victim;  Contested Divorce

**TRACK 3:**  Juvenile Delinquency;  Custody (Public);  Termination of Parental Rights

**COMPLEX**

**TRACK 4:**  Petition for Restraining Order (DV);  Involuntary Commitment;  Guardianship (Adult);

**EMERGENCY PETITIONS**  Marriage Application;  Emergency Relief of any kind (i.e. emergency temporary custody, etc.)

**PROBATE ACTIONS:**

**TRACK 1:**  Summary Administration;  Settlement Without Administration;  Wills for Safekeeping;

**SUMMARY OR EXPEDITED PROCEEDINGS**  Ancillary Probate Matters;  Registration of Foreign Wills

**TRACK 2:**  Settlement WITH Administration,  Probate for Wrongful Death Actions;  Probate by Creditor;  All other Probate matters not specified in Track 1.

**LIST/SPECIFY ALL CAUSES OF ACTION PLED:** Action for indemnification under contract, common law, and corporations law theories.

**SIGNATURE(S) -- (Each Plaintiff's Attorney or Pro Se Litigant is Required to Sign and Date the document below):**

Kyle R. Waldner
PRINT

PRINT

/s/ Kyle R. Waldner
SIGNATURE

SIGNATURE

8/19/2022
DATED

DATED