IN THE SUPERIOR COURT

OF THE VIRGIN ISLANDS

FILED

August 25, 2022 01:16 PM

ST-2020-CV-00155

TAMARA CHARLES

CLERK OF THE COURT

Plaintiff(s) Page 1

# CASE INFORMATION AND LITIGANT DATA FORM

CASE NO.: ST-2020-CV-00155
DATE OF FILING: 03/12/2020

## PARTY INFORMATION

PLAINTIFF 1: ( FULL NAME)
GHISLAINE MAXWELL
ALIAS:<empty>
PLACE OF BIRTH:<empty>
DOB:<empty>/Month/Day/YEAR
<empty>/<empty>/<empty>
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:<empty>
EMAIL ADDRESS:<empty>
HOME TELEPHONE: (850) 878-2173
CELL NUMBER:<empty>
WORK NO.:<empty>
FAX NO.:<empty>
PLAINTIFF 2: (FULL NAME)
<empty>
PLACE OF BIRTH:<empty>
DOB:<empty>/Month/Day/YEAR
<empty>/<empty>/<empty>

## ATTORNEY INFORMATION

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

[ ] CHECK HERE IF APPEARING PRO SE (ON YOUR OWN BEHALF, WITHOUT AN ATTORNEY)
ATTORNEY 1: (FULL NAME): <empty>
MAILING ADDRESS: (Include zip code): <empty>
[ ] Check if Same as Mailing Address
PHYSICAL OFFICE ADDRESS: <empty>

ATTORNEY 2: (FULL NAME): <empty>
MAILING ADDRESS: (Include zip code): <empty>
[ ] Check if Same as Mailing Address
PHYSICAL OFFICE ADDRESS: <empty>

ATTORNEY 2: (FULL NAME)
<empty>

<empty>

<empty>

<empty>
[ ] Check if Same as Mailing Address

<empty>

<empty>
(<empty>) <empty>
(<empty>) <empty>
(<empty>) <empty>
(<empty>) <empty>

## EMAIL ADDRESS:

HOMTELEPHONE: (<empty>)<empty>
CELL NUMBER: (<empty>)<empty>
WORK NO.: <empty>(<empty>)
FAX NO.: <empty>(<empty>)

REV 05/2013

Super. Ct. Form No. 013GEN

Plaintiff(s) Page 2

# CASE INFORMATION AND LITIGANT DATA FORM

[ ] 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 t o the case type that best describes this case:

CIVIL ACTIONS:

TRACK 1:
(Basic):
[ ] Debt/Foreclosure
[ ] Eminent Domain
[ ] Condemnation
[ ] Debt Collection
[ ] Enforcement of Settlement/Arbitration Award
[ ] Enforcement and Execution Actions

TRACK 2:
(Standard):
[x] Contract (Goods, Employment Contracts, Buyer-Plaintiff disputes over goods; Other)
[ ] Intentional Torts (Non-personal injury; Personal Injury; assault battery; intentional infliction of emotional distress, etc.)
[ ] Real Property Disputes (Partition/Quiet Title/Ownership-Use disputes/Boundary disputes/Values Disputes)
[ ] Tax-related matters
[ ] Non-domestic relations Injunctive Relief Actions (Permanent and Preliminary Injunction)*
[ ] Automobile negligence (to include personal injury, property loss and wrongful death resulting therefrom)
[ ] Malpractice (medical, legal, other professional)
[ ] Premises Liability
[ ] Slander/Libel/Defamation
[ ] Negligence
[ ] Negligent infliction of emotional distress
[ ] Fraud/Bad Faith
[x] 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)

TRACK 3:
(Complex):
[ ] Class Action
[ ] Product Liability
[ ] Toxic Tort
[ ] Wrongful/Employment Disputes
[ ] Product Liability-Tobacco

TRACK 4:
(Review/
Administrative
Appeals):
[ ] Writ of Review/Admin. Appeal
[ ] Petition for Review of Magistrate Decision

TRACK 5:
(Specialized
Actions/PITA):
[ ] Habeas Corpus/Prisoner petitions
[ ] Expungement
[ ] Extradition
[ ] Foreign Judgment
[ ] Judicial Review/Mandamus
[ ] 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:
(EMERGENCY
/EXPEDITED
PETITIONS):
[ ] Small Claims
[ ] Landlord/Tenant/FED
[ ] Petition for Temporary Restraining Order
[ ] Other Emergency Petitions

REV 05/2013

Super. Ct. Form No. 013GEN

Plaintiff(s) Page 3

## FAMILY ACTIONS:

TRACK 1:
[ ] Uncontested Divorce; Dissolution of Vesper Marriage
[ ] Legal Separation
SUMMARY PROCEEDINGS
[ ] Visitation
[ ] Paternity;
[ ] Adoption;
[ ] Conservatorship/Trusteehip;
[ ] Name Change,
[ ] PINS petitions,
[ ] Guardianship (Juvenile)

TRACK 2:
STANDARD
[ ] Custody (UCCA, Foreign Judgment, and Private Custody);
[ ] Child support (All child support)
[ ] Abuse; Neglect;
[ ] Dependency/Child Victim;
[ ] Contested Divorce

TRACK 3:
COMPLEX
[ ] Juvenile Delinquency;
[ ] Custody (Public);
[ ] Termination of Parental Rights

TRACK 4:
EMERGENCY PETITIONS
[ ] Petition for Restraining Order (DV);
[ ] Involuntary Commitment;
[ ] Guardianship (Adult);
[ ] 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;
SUBMARY 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):

PRINT: Kyle R. Waldner
PRINT:<empty>

SIGNATURE: /s/ Kyle R. Waldner
SIGNATURE:<empty>

DATED: 8/19/2022
DATED:<empty>

REV 05/2013

Super. Ct. Form No. 013GEN
documents/doj-612ef7c9d1abcbed.pdf
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