Request DismissalCal. Super. - 6th Dist.September 24, 202020CV371 146 Santa Clara - Civil CIV-1 10 ATTORNEY 0R PARTY WITHOUT ATTORNEY: STATE BAR No: E Iectron i“flyfi‘wy NAME: Ronald P. Goidman. #98991; J.E.B. Pickett, #1 54294 - HRM NAME: The Goldman Law Firm by S”per'°r court 0f CA, STREET ADDRESS: 55 Main Street County Of santa Clara, CITY: Tiburon STATE: CA ZIP CODE: 94920 on 12/8/2020 11:56 AM TELEPHONE No.2 415-435-5500 FAX NO.: 415-435-5156 Reviewed By; S_ Vera E-MAiL ADDRESS: jpickett@goldmanlawfimr.net Case #Zocv371 1 46 ATTORNEY FOR (Name): SUPERIOR COURT 0F CALIFORNM, COUNTY OF Santa Clara Envelope: 543091 0 STREET ADDRESS: 191 North First Street San Jose MAILING ADDRESS: 191 North First Street San Jose CITY AND 2w CODE: California, 951 13 BRANCH NAME: Downtown Superior Coun Plaintiff/Petitioner: Laura Mayer. D.D.S. Defendant/Respondent: Constance O. Mazzetti, D.D.S.. et a1. CASE NUMBER: REQUEST FpR DISMISSAL 20cvs7h114e 'i 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) [3:] With prejudice (2) [:3 VWthoutprejudice b. (1) E] Complaint (2) C] Petition (3) E] Cross-complaintfiled by (name): on (date): (4) E Cross-complaintfiled by (name): on (date): (5) [E Entire action of all parties and all causes of action (6) [i] Other (specify)? AH Parties to bear their own costs. 2. (Compiete in all cases except family law cases.) The courtE did [E did not waive coufi fees and costs for a party in thi case. (Thi nf ation may be obtained from the clerk. If court fees and costs were waived, the declaration on the back of this (ustge qmpleted). A DatezDecember 7, 2020 y i J.E.B. Pickett ’ X/v // ,_ 51/13V ' (SIGNATURE) *lf dismissal requested is of specified parties only of specified causes of action only. mey 0r party without attorney for: or of specified cross-complaints only. so siate and identify the parties. causes of piaintifi/petitioner E gefendant/Respondent action. or cross-complaints to be dismissed. [:3 Cross Complainant 3. TO THE CLERK: Consent to the above dismissal is hereby given.” Date: } (TYPE OR PRiNT NAME OF I X I ATTORNEY I I PARTY VWTHOUT ATTORNEY) A%o (TYPE 0R PRINT NAME 0F E] ATTORNEY E PARTY wn'HOUT ATTORNEY) (SIGNATURE) *‘ If a cross-complaint - or Response (Famity Law) seeking affirmative Attorney or party Without attorney for: relief - is on file. the attorney for cross-complainant (respondent) must sign E Plaintifi/Petitioner E Defendant/Respondentthis consent if required by Code of Civil Procedure section 5B1 (i) or (j). [j Cross Complainant (To be completed by clerk) _ 4. K3 Dismissal entered as requested on (date): 12/8/2020 1 1 '56 AM 5 E] Dismissal entered on (date): as to only (name): 6. E Dismissal not entered as requested for the following reasons (specify): 12/8/2020 11:56 AM 7. a. [E Attorney or party without attorney notified on (date): b. C] Attorney or party without attorney not notified. Filing party failed to provide a cop to be conformed E means to return conformed copy . 125320 11y:56 AM /S/ S- Vera Date. Clerk, by , Deputy pagan,” fisszzifézhiisifiéi'amz REQUEST FOR DISMiSSAL 6°“ °éfiréafia°5féziaizizmi $35935; CIV-110 {Rev Jan. 1, 2013} www.couflscagov S. Vera CW4 10 Plaintiff/Petitioner: Laura Mayer, D.D.S. Defendant/Respondent: Constance O. Mazzetti, D.D.S., et at. CASE NUMBER: ZOCV371 146 COURT’S RECOVERY OF WAIVED COURT FEES AND COSTS If a party whose court fees and costs were initiaily waived has recovered or will recover $10,000 or more in value by way of settiement. 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 iien is satisfied. (Gov. Code, § 68637.) Declaration Cohceming Waived Couirt 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): ax.“ [:3 not recovering anything of value by this action. L” bi‘ E3 recovering less thafi $10,000 in vaiue by this aciion. C. E recovering $10,000 or more in vaiue by this action. (/fitem 2c is checked, item 3 must be completed.) 3. E Ali court fees and court costs that were waived in this action have been paid to the court (check one): No l declare under penaity of perjury under the laws of the State of California that the information above is true and correct. Date: } (TYPE 0R PRINT NAME 0F E ATTORNEY [:3 PARTY MAKING DECLARATION) (S‘GNATURE) Page 2 of 2CIV-1 1O [Rev‘ January 1, 2013] REQUEST FOR DISMISSAL