Request Dismissal Entire Action With PrejudiceCal. Super. - 6th Dist.September 23, 202020CV371 1 33 Santa Clara - Civil CIV-1 10 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): Stanley J. Michael, SB# 145596 / Dorothy T. Tran, SB# 269617 Michael, Tran, et a|., 3055 Oak Road, MS W430, Walnut Creek, CA 94597 . . TELEPHONE No.: (925 )279-5254 FAXNQ (0pm (925) 279-5623 E'eCtmn'FaHV Wed E-MAIL ADDREsswptionaI): stanley.michael@csaa.com by SUperlor court 0f CA, ATTORNEY FOR(Name): Plaintiff CSAA Insurance Exchanqe county Of santa Clara, on 11/23/2020 1:19 PMSUPERIOR COURT 0F CALIFORNIA. COUNTY 0F Santa Clara FOR COURT USE ONLY STREETADDRESS; 191 N. First Street Reviewed By: R. Aragon MAILING ADDRESS: case #20CV371 1 33 CITYAND ZIP CODE: san Jose; CA 951 13 Envelope: 5348344 BRANCH NAME; Limited Civil Jurisdiction PLAINTIFF/PETITIONER: CSAA Insurance Exchange DEFENDANT/RESPONDENT: Javier Navarro Flores, et al. R. Arlagon REQUEST FOR DISMISSAL CASE NUMBER: 20CV371 133 A conformed copy will not be returned by the clerk unless a method of return is provided with the document. This form may not be used for dismissal of a derivative action or a class action or of any party or cause of action in a class action. (Cal. Rules of Court, rules 3.760 and 3.770.) 1. TO THE CLERK: Please dismiss this action as follows: a. (1) With prejudice (2)E Withoutprejudice b.mm Complaint (2)E Petition (3)E Cross-complaintfiled by (name): on (date): (4)E Cross-complaintfiled by (name): on (date); (5) Entire action of all parties and all causes of action (mm Other (specify):* 2. (Complete in all cases except family law cases.) The court E did did not waive court fees and costs for a party in this case. (This information may be obtained from the clerk. If court fees and costs were waived, the declaration on the back of this form must be qompleted). Date; November 20, 2020 ’ Z 5 W Stanley J..Miqhacl ............................ (TYPE 0R PRINT NAME OF E ATTORNEY E PARTY WITHOUT ATTORNEY) (SIGNATURE) *Ifldismis?al reqtgegted is of spefified par’lties only of specéfiecé catfiers] of action Attorney 0r party WithOUt attorney for: on y, oro speCI Ie cross-comp aints on y, so state an i enti t e parties, - - -- causes of action, or cross-complaints to be dismissed. Pla'nt'fi/Pet't'oner E Defendant/R95pondentE Cross-Complainant 3. T0 THE CLERK: Consent to the above dismissal is hereby given.“ Date: ’ (TYPE 0R PRINT NAME 0F E ATTORNEYE PARTY WITHOUT ATTORNEY) (SIGNATURE) ** If a cross-complaint- or Response (Family Law) seeking affirmative Attorney 0r party Without attorney for: relief - is on file, the attorney for cross-complainant (respondent) must . . . . sigr} this consent if required by Code of Civil Procedure section 581 (i) E Plalntlfi/Petltloner E DEfendant/ReSpondent °r (J) E Cross-Complainant (To be completed by clerk) 4. E Dismissal entered as requested on (date): 1 “23/2020 1 I19 PM 5 E Dismissal entered on (date): as to only (name): 6. E Dismissal not entered as requested for the following reasons (specify): 7. a.m Attorney or party without attorney notified on (date); “23/2020 1 519 PM b. E Attorney or party without attorney not notified. Filing party failed to provideE a copy to be conformed E means to return conformed copy /s/ R. Aragon , DeputyDate: 11/23/2020 1:19 PM C'erk’ by Page1of2 F AdtdfMdt u Cd fc'IP d ,581t .; OSTdiciSpceounocril ofanCaaIifgrryniase REQUEST FOR DISMISSAL Gov. Code, § esesgéfcm'YIRulreogfLérgug, rurlteesiggo www.cou s.ca.govCIV-110 [Rev. Jan. 1, 201 3] CIV-1 1 0 PLAINTIFF/PETITIONERI CSAA Insurance Exchange CASE NUMBER: DEFENDANT/RESPONDENT: Javier Navarro Flores, et al. 20CV371 133 COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS If a party whose court fees and costs were initially waived has recovered or will recover $10,000 or more in value by way of settlement, compromise, arbitration award, mediation settlement, or other means, the court has a statutory lien on that recovery. The court may refuse to dismiss the case until the lien is satisfied. (Gov. Code, § 68637.) Declaration Concerning Waived Court Fees 1. The court waived court fees and costs in this action for (name): 2. The person named in item 1 is (check one below): 8- E not recovering anything of value by this action. b. E recovering less than $10,000 in value by this action. c. E recovering $10,000 or more in value by this action. (If item 20 is checked, item 3 must be completed.) 3.E AII court fees and court costs that were waived in this action have been paid to the court (check one): E Yes E N0 | declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: b (TYPE 0R PRINT NAME 0FE ATTORNEYE PARTY MAKING DECLARATION) (S'GNATURE) CIV-110 [Rev. January 1, 2013] REQUEST FOR DISMISSAL Page 2 of 2