Free Jury Verdict - District Court of Arizona - Arizona


File Size: 43.7 kB
Pages: 2
Date: July 24, 2006
File Format: PDF
State: Arizona
Category: District Court of Arizona
Author: unknown
Word Count: 352 Words, 2,079 Characters
Page Size: 622.08 x 792 pts
URL

https://www.findforms.com/pdf_files/azd/34520/199.pdf

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I h r=u.eo ____ Looeao
___ RECEIVED ____ COPY
JUN 2 9 ZUUE
1 °“%?5%éi%?EE$l2&§S§“I
sv............-- DEF
2 IN THE UNITED STATES DISTRICT COURT
jr FOR THE DISTRICT OF ARIZONA
5 JERRY SIMMS, a single man, NO.C1V-03-1415 PHX ROS
6 Plaintiff, VERDICT FORM
7 VS:
8 STATE FARM FIRE AND CASUALTY
COMPANY, an Illinois corporation,
9 Defendants.
10
11 We, the jury, make the following answers to the questions submitted by the
12 court:
13 Question No. 1: Did the Defendant breach the contract?
I4 Answer "yes" or "no"
I5 Answer: gg 9
I6 If you answer Question No. 1 "no", go to Question No. 3. If you answer
17 Question No. l "yes", then answer Question No. 2.
I8 Question No. 2: What do you find to be Plaintiff’s amount of contract
19 damages: I I
20 Answer $ fl I j QOO
21 Question No. 3: Did Defendant breach the duty of good faith and fair
22 dealing?
23 Answer "yes" or “no"
24 Answer: ?€ S
25 If you answer Question N0. 3 "no", sign and return this verdict. If you
26 answer Question No. 3 "yes", then answer Question No. 4.
Case 2:03-cv—01415-ROS Document 199 Filed 06/29/2006 Page 1 of 2

1 Question No. 4: Was Defendant’s breach of the duty of good faith and fair
2 dealing a cause of damage to Plaintiff?
3 Answer “yes” or “n0”
4 Answer: yg S
5 If you answer Question No. 4 "no", sign and return this verdict. If you
6 answer Question No. 4 "yes", then answer Question No. 5. 4
7 Question No. 5: What do you find to be Plaintiffs amount of bad faith
8 damages?
9 Answer $ :;e;g@¤¤=""';""7r` `TV * t%’€""·3’*'**?D`
l0 Sign and return this verdict. # I DO)OO O AI (0/Z?/0
l 1
12 DATED this 2 day of June, 2006.
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16 { ;i‘eé1§-1ng juror S;
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Case 2:03-cv—01415-ROS Document 199 Filed 06/29/2006 Page 2 of 2

Case 2:03-cv-01415-ROS

Document 199

Filed 06/29/2006

Page 1 of 2

Case 2:03-cv-01415-ROS

Document 199

Filed 06/29/2006

Page 2 of 2