Pro Se 10 (Rev.

12/16) Complaint for the Conversion of Property

UNITED STATES DISTRICT COURT

for the
__________
__________ District
District of
of __________
__________

__________ Division
__________ Division

) Case No.
) (to be filled in by the Clerks Office)
)
Plaintiff(s)
(Write the full name of each plaintiff who is filing this complaint.
)
If the names of all the plaintiffs cannot fit in the space above, ) Jury Trial: (check one) Yes No
please write see attached in the space and attach an additional )
page with the full list of names.) )
-v- )
)
)
)
)
Defendant(s) )
(Write the full name of each defendant who is being sued. If the )
names of all the defendants cannot fit in the space above, please )
write see attached in the space and attach an additional page
with the full list of names.)

COMPLAINT FOR THE CONVERSION OF PROPERTY

(28 U.S.C. 1332; Diversity of Citizenship)

I. The Parties to This Complaint

A. The Plaintiff(s)

Provide the information below for each plaintiff named in the complaint. Attach additional pages if
needed.
Name
Street Address
City and County
State and Zip Code
Telephone Number
E-mail Address

B. The Defendant(s)

Provide the information below for each defendant named in the complaint, whether the defendant is an
individual, a government agency, an organization, or a corporation. For an individual defendant,
include the persons job or title (if known). Attach additional pages if needed.

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Pro Se 10 (Rev. 12/16) Complaint for the Conversion of Property

Defendant No. 1
Name
Job or Title (if known)
Street Address
City and County
State and Zip Code
Telephone Number
E-mail Address (if known)

Defendant No. 2
Name
Job or Title (if known)
Street Address
City and County
State and Zip Code
Telephone Number
E-mail Address (if known)

Defendant No. 3
Name
Job or Title (if known)
Street Address
City and County
State and Zip Code
Telephone Number
E-mail Address (if known)

Defendant No. 4
Name
Job or Title (if known)
Street Address
City and County
State and Zip Code
Telephone Number
E-mail Address (if known)

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Pro Se 10 (Rev. 12/16) Complaint for the Conversion of Property

II. Basis for Jurisdiction

Federal courts are courts of limited jurisdiction (limited power). Under 28 U.S.C. 1332, federal courts may
hear cases in which a citizen of one State sues a citizen of another State or nation and the amount at stake is
more than $75,000. In that kind of case, called a diversity of citizenship case, no defendant may be a citizen of
the same State as any plaintiff. Explain how these jurisdictional requirements have been met.

A. The Plaintiff(s)

1. If the plaintiff is an individual

The plaintiff, (name) , is a citizen of the

State of (name) .

2. If the plaintiff is a corporation

The plaintiff, (name) , is incorporated

under the laws of the State of (name ) , and
has its principal place of business in the State of (name) .

(If more than one plaintiff is named in the complaint, attach an additional page providing the same
information for each additional plaintiff.)

B. The Defendant(s)

1. If the defendant is an individual

The defendant, (name) , is a citizen of the

State of (name) . Or is a citizen of (foreign nation)
.

2 If the defendant is a corporation

The defendant, (name) , is incorporated under

the laws of the State of (name) , and has its principal
place of business in the State of (name) .
Or is incorporated under the laws of (foreign nation) ,
and has its principal place of business in (name) .

(If more than one defendant is named in the complaint, attach an additional page providing the same
information for each additional defendant.)

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Pro Se 10 (Rev. 12/16) Complaint for the Conversion of Property

C. The Amount in Controversy

The amount in controversythe amount the plaintiff claims the defendant owes or the amount at stakeis
more than $75,000, not counting interest and costs of court, because (explain):

III. Statement of Claim

A. Describe the property that you own that is the subject of this complaint, including its value.

B. How and when did you come to own the property?

C. How and when did the defendant(s) obtain possession of the property? Describe with particularity the
actions the defendant(s) took to convert the property.

D. (If the defendant(s) rightfully came into possession of the property): Describe how and when you
notified the defendant(s) that the property belonged to you. Describe how and when you demanded that
the defendant(s) deliver or return the property, and what response you received from the defendant(s).
Attach a copy of any written correspondence with the defendant(s), if such copies exist.

IV. Relief

State briefly and precisely what damages or other relief the plaintiff asks the court to order. Do not make legal
arguments. Include any basis for claiming that the wrongs alleged are continuing at the present time. Include
the amounts of any actual damages claimed for the acts alleged and the basis for these amounts. Include any
punitive or exemplary damages claimed, the amounts, and the reasons you claim you are entitled to actual or
punitive money damages.

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Pro Se 10 (Rev. 12/16) Complaint for the Conversion of Property

V. Certification and Closing

Under Federal Rule of Civil Procedure 11, by signing below, I certify to the best of my knowledge, information,
and belief that this complaint: (1) is not being presented for an improper purpose, such as to harass, cause
unnecessary delay, or needlessly increase the cost of litigation; (2) is supported by existing law or by a
nonfrivolous argument for extending, modifying, or reversing existing law; (3) the factual contentions have
evidentiary support or, if specifically so identified, will likely have evidentiary support after a reasonable
opportunity for further investigation or discovery; and (4) the complaint otherwise complies with the
requirements of Rule 11.

A. For Parties Without an Attorney

I agree to provide the Clerks Office with any changes to my address where caserelated papers may be
served. I understand that my failure to keep a current address on file with the Clerks Office may result
in the dismissal of my case.

Date of signing:

Signature of Plaintiff
Printed Name of Plaintiff

B. For Attorneys

Date of signing:

Signature of Attorney
Printed Name of Attorney
Bar Number
Name of Law Firm
Street Address
State and Zip Code
Telephone Number
E-mail Address

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