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Complaint for the Conversion of Property

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Pro Se 10 (Rev. 12/16) Complaint for the Conversion of Property	
U	NITED 	S	TATES 	D	ISTRICT 	C	OURT	
for the
__________ District of __________
__________ Division
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)Case No.	
(to be filled in by the Clerk’s Office)
Plaintiff(s)
(Write the full name of each plai ntiff who is filing this complaint.
If the names of all the plain tiffs cannot fit in the space above,
please write “see attached” in  the space and attach an additional
page with the full list of names.)	
-v- Jury Trial:  	
(check one)	’
Yes ’No	
Defendant(s)
(Write the full name of each defe ndant 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) Pro	
vide the information below 	for each defendan	t name
d 	in th	e complain	t, whether the d	efendant is an 
individual, a 	
govern	ment agency, an organization	, or 	a corporation.  	For an individual 	defendant, 
include the person’s job or 	
title (if kn	own).  	Attach add	itional 	pages if needed.	
Page 1 of  5

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)	
Page 2 of  5

Pro Se 10 (Rev. 12/16) Complaint for the Conversion of Property
II. Basis for JurisdictionFederal 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 am	
ount at stake is	
m	

ore than $75,000.  In that kind of case, called a diversity  of citizenship case, no defendant may	
 be a citizen of	
the sam	

e 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 compla int, 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 compla int, attach an additional page providing the same 
information for each additional defendant.)	
Page 3 of  5

Pro Se 10 (Rev. 12/16) Complaint for the Conversion of Property	
C. The Amount in ControversyThe amount in controversy–the amount the plaintiff cl aims the defendant owes or the amount at stake–is
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 ma	
ke legal	
argum	

ents.  Include any basis for claiming that the wrongs  alleged are continuing at the present tim	
e.  Include	
the am	

ounts 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 y
ou are entitled to actual or	
punitive m	

oney damages.	
Page 4 of  5

Pro Se 10 (Rev. 12/16) Complaint for the Conversion of Property
V. Certification and ClosingUnder Federal Rule of Civil Procedure 11, by signing belo w, I certify to the best of my knowledge, information, 
and belief that this complaint: (1) is not being presen ted 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 revers ing 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 Clerk	
’s Office with any chan	ges to my address where case–related	 papers may be 
served	
.  I understand	 that my failure to keep a current address on file with the Clerk’s Office may result 
in th	
e dismissal o	f 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	
Page 5 of  5
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