Plaintiff s Claim More than 12Cal. Super. - 6th Dist.December 24, 201830100 Plaintiff's Claim argd ORDER (csc/3868717/WJ ) ‘ to GO to small Cla'ms court Clerk stamps date here when form is filed. Notice to the person being sued: Y0u ore the defendant'if your name is listed in g on page 2 of this form The person suing you is me ploinfiff, listed in l on page 2. You ond me ploinfiff mus’r go to courT on the irioi dofe listed below. If you do not go to court, you moy lose the cose. If you lose, the courT con order that your wages, money] or property be taken to pay this claim. c Bring witnesses, receipts, and any evidence you need to prove your case. A. Gtmymdos . f I . . ‘ . o Read thus orm and al pages attached to understand the claim against Fm out COW, name and street address: you and to protect your rights. SUPERIOR COURT 0F CALIFORNIA Aviso al demandado: commr 0F SANTA CLARA . . ms, SMALL CLAIMS DIVISION Usted es el Demandado sn su hombre figura en g de Io pagma 2 de este Street: 191 N FIRST ST formu1orlo. La persona queto demanda es elDemandonte, Io que figuro _ , enldelo O mag Matlmg: 191 N FIRST ST - p g ‘ SAN JOSE, CA 95113 t ' . . . 4 Usted y e] Demandan e henen que presentarse en Io corte en Ia fecha C’erk W5 In case number when form IS Med. del‘uicioindicada'oconfinuacion. Sinose resento, uede erderelcaso‘ J p p p Case Number: Si pierde el case la cone podrio ordenar que Ie quiten de su sueldo. - dinerou otros bienes para pagareste reclamo. ase Nanjes S c 07 6 9 7 3 Lleve tesfigos, recibos y cualquier otra prueba que necesite para probar su caso. DONALD STARSES Lea este formulario y todas Ias paginas a‘djuntas para entender Ia demanda en su contra y para proteger $us derechos. Order to Go to Court The people in 1 and g must go to court on: (Clerk fills out section below.) Trial a Date Time , Department Name and address of court if different from above Date I L‘, Superior Court InnLozlatph"! 8330mm ' ' 191N.First3t 2. San Jose, CA 95113 3. Date: DEC 2 8 291B Clerk by, OJWQVWP Cfil/V .DeputyEmacs r Instructions for the person suing: You are the plaintiff. The person you are suing is the defendant. Before you fill out this form, read Form SC-lOO-INFO’, Information for the Plaintiff, to know your rights. Get SC-lOO-INFO at ony courthouse or county law library, or go to: www.cowts.cagov/smailc/oims/forms. FII out pages 2 and 3 of this form. Then make copies of all pages of this form. (Make 1 copy for each party named in this case and an extra copy for yourself.) Take or mail the original and these copies to the court clerk's office and pay the filing fee. The clerk will write the date 0f your trial in the box obove. You must have someone at least lsunot you or anyone else listed in this case-give each Defendant a court-stamped copy of oli five pages of this form and any pages this form tells you to attach: There are special rules for "serving," or delivering, this form to public entities, associations, and some businesses. See Forms SC-l04, SC-lOAB, and SC-iOAC. Go to court on your trial date listed above. Bring witnesses, receipts, and any evidence you need to prove your case. SC-100, Page 1 of 5 JudkuICo u rc=Mo I ans . . . ‘ . RevisedJa:nu:ryot. 2017mbjatzvdmfypfirr:dyw Plalntlffls Clalm and ORDER c d Ic UP a uo1w l . .feégorcinéfifoé'f W“ ° 5°“ to Go to Small ClaIms Court (Small Claims) 5/07/19 8:30 am 14 Plaintiff(risrnomes):COUNTY 0F SANTA CLARA case NUPtgrsc 0 7 6 9 7 3 l The Plaintiff (the person, business, or public entity that is suing) is: Nome: COUNTY OF SANTA CLARA Phone: 408 -282-3200 Streefoddress: P.O BOX 1897 SAN JOSE‘ CA 95109-1897 Shoal Cffy Slave Zip Mailing address (if different): Sues! Ciry Srato Zip If more than one Plaintiff, list next Plaintiff here: Nome: Phone: Street address: $11561 .- Cw Stare Zp Mailing address (if different): Swear Crty Stare Zp . D Check here ir more man two Plaintiffs and attach form 30-100A. D Check here if either Plaintiff listed above is doing business under a fictitious name. If so, attach Form 80-103. D Check here if any plaintiff is a ”licensee“ or "deferred deposit originator“ (payday lender) under Financial Code sections 23000 e? seq. g The Defendant (the person, business, or public entity being sued) is: I A 408-252-7730 Nome: DONALD STARSES aka See Attached Phone: Sheet address: 6 3 6 8 MYRTLEWOOD DR CUPERTINO CA 9 5 0 1 4 Sflaet City Stare 2w Mailing address (if differenf): Slieel CW Slave Z'p lf the defendant is a corporation, limited liability company, or public entity, list the person or agent authorized for service of process here: Nome: Job fine, if known: Address: Sues! Cny Slate Zip D Check here ff your case is against more than one defendant, and attach form SC-100A. D Check here if any defendant is 0n active military duty, and write his or her name here: g The Plaintiff claims the Defendant owes $ 526 . 61 . (Explain below): o. Why does the defendant owe the plaintiff money? VALLEY MEDICAL CENTER 3 8 68717 b. When dad this happen? (Dore); 08-09-16 If no specific date, give The Time period: Date smn‘ed: Through: _ c. How did you calculate The money owed To you? (Do nofinclude courT c0513 or fees for service.)We of charges are referred to DTAC by the County department listed in section 3(a) for the collection of money owed :9 ngntx 9f ganta Clara. D Check here i/ you need more space. Attach one sheet of paper or Form MC-031 and write "80-100, Item 3" at me top. / nwseamm man - Plaintiff's Claim and ORDER to Go to Small Claims Court SC-wo, Page 2 of 5 (Small Claims) Plaintiff (Iisfnames):COUNTY OF SANTA CLARA Case Number: N I01 Im ILO 18S£0i£9?3 You must ask the defendant (in person, in writing, or by phone) to pay you before you sue. If your claim is for posseSsion of property, you must ask the defendant to give you the property. Have you done this? Yes E No If no, explain why not: List the zip code of the place checked in § above (if you know): Why are you filing your claim at this courthouse? This courthouse covers the area (check me one mat applies): o. (1) Where the Defendant lives or does business (4) Where a contract (written or spoken) wos model (2) Where the Plaintiffs property wos domoged. signed, performed, or broken by the Defendant or (3) Where the Plaintiff was injured. where the Defendant lived or did business when the Defendant mode the contract. b. D Where the buyer or lessee signed the contToct, lives now, or lived when the contract wos mode, if this cloim, is about on offer or contract for personal, family, or household goods, services, or loons. (Code Civ. Proc., par. 395(b).) C. D Where the buyer signed the contract, lives now, or lived when the contract wos mode, if this ctoim is about o retail instotlment contract (Iike o credit cord). (Civil Code, par. 1812. 10.) d. D Where the buyer signed the contract, lives now, or lived when the contract was mode. or where the vehicle is permanently goroged, if this claim is ob0ut o vehicle finance sote. (Civil Code, par. 2984.4) e. D Other (specify): ls your claim about an attorney-client fee dispute? D Yes No If yes, and if you have had arbitration, fill Out Form 50-101, attach it to this form and check here: E] Are you suing a public entity? D Yes No If yes, you must file a written claim with the entity first. D A claim was tiled on (date): If the public entity denies your claim or does not answer within the time allowed by law, you can file this form. Have you filed more than 12 other small claims within the last 12 months in California? yes D No If yes, the filing fee for this case will be higher. 19 Is your claim for more than $2,500? D Yes E No If yes, I have not filed, and understand that I cannot file, more than two small claims cases for more than $2,500 in California during this calendar year. Per 1 16 .23 1 (D) -Does not apply 1_‘]_ l understand that by tiling a claim in small claims court, I have no right to appeal this claim. l deciare, under penalty of perjury under California State law, that the information above and on any attachments to this form is true and correct. Date: 12-18-18 Angie Desai, SUPERVISING RCO p MQWL Platmi/l apes a/prlnts na me hers Flaw signs hale Date: D Second Pinimtll types or p/lnts name hale Second Plaintlfl signs hue Requests for Accommodations Assistive listening systems. computer-ossisted, reoI-fime captioning, or sign language interpreter services ore ovoilobte if you osk ot least five doys before the trioL Contact the clerk's office for Form MC-Ai O, Request for Accommodations by Persons with Disabilities and Response. (Civil Code, par. 54.8) nutsmmmtzon Ptaintitt's Claim and ORDER to Go to Small Claims Court SC-too, Page 3 ot 5 (Small Claims) SC-1 00 Information for the Defendant (the person being sued) "Small claims court" is a special coun where claims for $10,000 or less are decided. Individuals. including ”natura1 person' and sole proprietors. may claim up to $10,000. Corporations, pannershlps, public entities, and other businesses are limited 10 claims of $5,000. (See below tor excepifons.‘) The process is quick and cheap. The rules are simple and informal. You are the defendathe person being sued. The person who is suing you is the plaintiff. Do I need a Iawyer?You may talk io a lawyer before or afterthe case. But you may nothave a iawyer represent you in coun (unless this is an appeal from a small claims case). o Prove this Is the wrong court. Send a Ietterto the court before your trial explaining why you think this is the wrong court. Ask the countto dismiss the claim. You must serve (give) a copy oi your letter (by mail or in person) to all parties. (Your letter to the court must say you have done so.) o Go to the trial and try to wln your case. Bring witnesses. receipts. and any evidence you need to prove your case. To have the court order a witness to go to the trial. tili out torm 80-107. (Small Claims Subpoena) and have it served on the witness. ' How do l get ready for court? You don't have to file any papers . Sue the person who is suing you. It you have a claim before your trial. unless you think this is the wrong court tor y0ur case. But bring to your trial any witnesses. receipts,iand evidence that supports your case. And read 'Be Prepared tor your Trial“ at: www.couns.ca.gov/smaflclaims/prepare. What if] need an accommodation? it you have a disability or are hearing impaired, fili out torm MC-410, Request for Accomodations. Give the form to y0ur court clerk or the ADA/Access Coordinator. What if | don't speak English well? Ask the court clerk as soon as possible if your court has a court-provided interpreter available and how to request one. A court-provided interpreter may not be availabie. Altemativeiy. you may bring an aduit who is not a witness or an attorney to interpret for you or ask the court tor a list 0t interpreters for hire. Where can l get the court forms | need? Go to any courthouse or your county law library, or print forms at: www. courts. ca. go v/smaliclaims/rorms What happens at the trial? The judge wiil listen to both sides. The judge may make a decision at your trial or mail the decision to you later. What if l lose the case? If you lose, you may appeal. You'll have to pay a fee. (Plaintiffs cannot appeai their own claims.) u it you were at the trial, tile form 80140, Notice of Appeal. You must tile within 30 days after the clerk hands or mails you the judge's decision (judgment) on form 80-200 or form 80-130. Notice ot Entry of Judgment. n If you were notat thetrial, till out and. tile form SC-135. Notice of Motion to Vacate Judgment and Declaration. to ask the judge to cancel the judgment (decision). If the judge does not give you a new trial, you have 10 days to appeal the decision. File torm 80-140. For more information on appeals. see: www.courts.cagov/smal/claims/appeals Do | have options? Yes. it you are being sued, you can: u Settle your case before the trial. It you and the plaintiff agree on how to settle the case, the plaintiff must tile torm CIV-110. Request tor Dismissal. with the clerk. Ask the Small Claims Advisor tor heip. against the plaintiff, and the claim is appropriate tor small claims court as described on this torm. you may tile Defendant's Claim (torm 80-120) and bring the claim in this action. It your claim is tor morethan allowed in small claims court. you may still tile it in small claims court it you give up the amount over the small claims value amount, or you may tile a claim tor the tuII value ot the claim in the appropriate coun. It your ctaim is tor more than allowed in small claims court and relates to the same contract, transaction, matter. or event that is the subject 01 the plaintiff‘s claim. you may file your claim In the appropriate court and tile a motion to transfer the plaintitt's claim to that court to resolve both matters together. You can see a description ot the amounts allowed in the paragraph above titled "Small Claims Court." a Agree with the Plaintiff's claim and pay the money. Or, it you can't pay the money now, go to your trial and say you _ want to make payments o Let the case "default. " 1t you don't settle and do not go to the trial (default), the judge may give the plaintiff what he or she is asking tor plus court costs. It this happens, the plaintiff can legally take your money, wages. and property to pay the judgment. What if l need more time? You can change the trial date it: u You cannot go t0 court 0n the scheduled date (you will have to pay a tee to postpone the trial), or u You did not get served (receive this order to go to court) at least 15 days betore the trial (or 20 days if you live outside the county), or u You need more time t0 get an interpreter. One postponement is allowed, and you will not have to pay a tee to delay the trial. Ask the Small Claims Clerk about the rules and tees tor postponing a trial. Or till out Form SC-150 (or write a letter) and mail it to the court andto all other people listed on your court papers before the deadline. Enclose a check for your court tees, unless a fee waiver was granted. Need help? Your county's Smoll Claims Advisor con help for free. '- Smoll Claims Advisor 408 882-2100, O tion 2.6 |- < ) D _J Or go to www.courts.cagov/smallclaims/odvisor. ‘ExceptionsDifferent limits opply in an action against o defendant who is o guarantori (See Code Civ.Proc. i 16.220(c).) RevisedJanuaryt.2017 Plaintiff's Clalm and ORDER t0 G0 t0 small Claims COUI‘t SC-100, Page 4 Of 5 (Small Clalms) . SC-1 00 Informacion para el demandado (Ia persona demandada) La "Cone de reclamos menores" es una cone especial n donde se deciden casos por $10,000 o menos. Los individuos, o sea Ias “personas iisicas“ y los propietarios por cuente propla. pueden reclamar has1a $10,000. Las corporaciones, asociaciones. entidades publicas y otras empresas soIo pueden reclamar hasta $5,000. (Vea abajo para Ias excepciones.‘) EI proceso es rapido y barato. Las reglas son sencillas e informales. Usied es el Demandado 4a persona I que se esta demandando. La persona que 10 esta demandando es el Demandame. Necesito un abogado? Puede hablar con un abogado antes o despues del caso. Pero n0 puede tener a un abogado que Io represente ante Ia cone (a menos que se irate de una apelacion de u un caso de reclamos menores). Como me preparo para ir a la corte? No-tiene que presentar ningunos papeles antes del juicio. a menos que piense que esta es la cone equivocada para su caso. Pero Ileve al juicio cualquier testigos. recibos y pruebas que apoyan su caso. Y lea "Este preparado para su juicio“ en: www.courts.ca,gov/rec/amosmenores/preparese. Que hago si necesito una adaptacion? Si tiene una discapacidad o tiene impedimentos de audicion. Ilene el formulario MC-410.Hequesr for Accommodations. Entregue el tonnulario al secretario de 1a corte o al Coordinador de Acceso/ADA de su cone. Que pasa si no hablo bien ingles? Preguntele aI secretario de Ia corte lo mas pronto posible si en el juzgado habra un interpreie disponible y como solicitario. No slempre estan disponibles Ios interpretes de la cone. Otra opcion es Ilevar a un adulto que peuda interpretar para usted siempre que esa persona ' no sea un testigo ni un abogado. O puede pedir a Ia corte una Iista de interpretes particulares disponibles para contratar. Donde puedo obtener los formularios de la cone que " necesito? Vaya a cualquier ediflcio de Ia cone, la biblioteca legal de su condado, o imprima los formularios en: www.courts.ca.gov/smallclaims/forms(pagina esia en ingles). Que pasa en el juicio’? El juez escuchara a ambas panes. E1 iuez puede tomar su decision duranie 1a audiencia o enviarsela por correo despues. Que pasa si pierdo el caso? Si pierde, puede apelar. Tendra que pagar una cuota. (El Demandame no puede apelar su propio reclamo.) u Si estuvo preseme en el juicio, Ilene el Iormulario 80-140. Aviso de apelacion. (Notice of Appeal). Tlene que presentarlo dentro de 30 dias despues de que e1 secretario le entregue o I envie Ia decision (fallo) del juez en el formu1an‘o 80-200 o SC-1 30. Aviso de publicacion def fallo (Notice oi Entry Judgment). I Si no estuvo en el juicio. Ilene y presente el formulario 80-135, Aviso de pericion para anular e/ fa/Io y Declaracion para pedirle al juez que anule el fallo (decision). Si la corte no Ie otorga un nuevo juicio, tiene 10 dias para apelar Ia decision. Presente el formulario 80-140. Para obtener mas informacion sobre las apelaciones, vea: www.courts.ca.gov/rec/amosmenores/apelaciones. Tengo otras opciones? Si. Si Io estan demandando, puede: . Resolver su caso antes del iulcio. Si usied y el Demandame se ponen de acuerdo en como resolver el caso. el Demandante fiene que presentar el fonnutario CIV-110. Solicitud de desestimacion (Request for Dismissal) ante e1 secretan‘o de Ia cone. Pida1e a! Asesor de Reclamos Menores que Io ayude. r. |_ Probar que es la corte equivocada. Enyie una cana a Ia cone antes del juicio explicando por que cree que es Ia cone equivocada. Pidale a Ia cone que despida el reclamo. Tiene que entregar (dar) una copia de su cana (por‘correo o en persona) a todas Ias panes. (Su cana a Ia corte tiene qu‘e decir que hizo Ia entrega.) Ir al Julclo y tratar de ganar el caso. Lleve tesfigos. recibos y cualquier prueba que necesite para probar su.caso. Si desea que Ia cone emita una orden de comparecencia para que los testigos vayan al juicio. Ilene el formulan'o 80-107, Citatorio de reclamos menores (Small Claims Subpoena) y entregueselo legalmente al testigo. Demandar a Ia persona que lo demando. Si tiene un reclamo contra el Demandante. y el reclamo se puede presentar en Ia cone de reclamos menores. tal como se describe en este formulario. puede presentar e1 tormulan'o 80-120, Recalmo del demandado (Defendant's Claim) y presentarlo en este mismo caso. Si su recIamo excede el limite permitido en Ia corte de reclamos menores, puede igualmente presentarlo en Ia corte de reclamos menores 5i esta dispuesto a limitar su reclamo al maximo permilido, o puede presentar un reclamo por el monto total en Ia cone apropiada. Si su reclamos excede e1 Iimite permitido en Ia cone de reclamos menores y esta relapionado con e1 mismo contrato, transaccion. asunto o acontecimiento que e1 reclamo del Demandante, puede presentar su reclamo en la cone apropiada y presentar una mocion para transferir e1 reclamo del Demandante a dicha cone, para poder resolver los dos reclamos juntos. Puede ver una descripcion de los montos permitidos en el parrafo anterior titutado ”Cone de reclamos menores'. Aceptar el reclamo del Demandante y pagar el dlnero. O. si no puede pagar en ese momento. vaya‘al juicio y diga que quiere hacer los pagos. No ir al Julclo y aceptar el fallo por falta de comparecencia. Si no Ilega a un acuerdo con el Demandante y no va al juicio (fallo por falta de comparacencia). el juez le puede otorgar al Demandante Io que esta reclamando mas los costos de la corte. En ese caso, el Demanante legalmente puede tomar su dinero. su sueldo o sus bienes para cobrar eI fallo. Que hago si necesito mas tiempo? Puede cambiar Ia fecha def juicio si: No puede ir a Ia cone en Ia fecha programada (tendra que pagar una cuota para aplazar el juicio) o No le4entregaron los documentos legalmeme (no _re_cibio Ia orden para 1r a la cone) por Io menos 15 dias antes del JUICIo (0 20 dias si vive fuera del condado). o V Necesita mas tiempo para conseguir interprete. (Se permite un solo apfazamiemo sin tener que pagar cuota para aplazar el juicio). Preguntele aI secretario de redamos menores sobre Ias reglas y Ias cuotas para aplazar un juicio. O Ilene el formulano SC-150 (o escriba una carta) y envielo antes del plazo a la cone ya todas las otras personas que 1iguran en sus papeles de ra cone. Adjunte un cheque para pagar Ios costos de la cone. a menos que le hayan dado una exencion. Necesita ayuda?E| Asesor de Reclamos Menores de su condado le puede ayudar sin cargo. Small Claims Advisor (408) 882-2100, Option 2,6 _J O visite www.courrs.ca. gov/reclamosmenores/asesores. 'ExcepcioneszExisien diferentes limites en un reclamo contra un garante. (Vea el Codigo de Procedimiento Civil. seccion 116.220 (0).) Revised January 1, 20I7 Reclamo del Demandante y ORDEN 80-100, Page 5 of 5 Para Ir a la Corte de Reclamos Menores (Reclamos Menores) Additional name attachment Defendant 1: DONALD R‘STARSES DONALD STARSES 'D R STARSES 1850076973
