Request DismissalCal. Super. - 6th Dist.November 20, 2020Electronically Filed by Superior Court of CA, County of Santa Clara, on 8/20/2021 8:02 AM Reviewed By: R. Nguyen Case #20CV373832 Envelope: 7102961 20CV373832 Santa Clara - Civil R. Nguyen 8/20/2021 8:02 AM 8/20/2021 8:02 AM X 8/20/2021 8:02 AM R. Nguyen X CW4 10PLNNTIFFIPEH’HONER: J?Mofg‘an Chase Bank, NA; ' " ' ‘. CASE NUMBER; DEFENDANI/RESPQNDENT: VALERIAN JERDES .2OCV373832 I COURTS RECOVERYOF'WAIVED COURT FEESAND COSTS tfv’a part‘yi‘whose-court fees and costs we‘re initially waived has recovered ‘on’wfll recover $1 03000 or»more in valué byway of settlement; compromise. arbittation award, mediation semement,or othermeans the- court has a statutory lien on that recovery. The court may refuse to dismiss the mse unti! the lien ls satisfied (Gov Cfode §68637.) Declaration Concerning Waived Court. Fees 1r. The court Waived? court fees and} costs inthis action for (name): 2. The person named‘ih'item 1 is (check one beiow)‘: ' a E not recovering anything of value by this action. b E recovering less .than $10 000 In value by this action. c. C recovering $1.0 000 or more in value by this action. (Ifitem 2c: is checked, item 3 must be completed.) 3. E] AH court fees and court costs that were waived m thi_s action have been paid. to the court (check one): E Yes E N0 I declare under penalty of: perjury under the l’awsof the State of California that the information aboVeais true and’con‘ect (SIGNATURE) Date: (rYPEOR PRINT NAME 0FE ATTORNEYE PARTY MAKING DECLARAmN) Eaga2‘of32 CN-fio'IRBv-mrvimial 3 ,REQUEST‘FOR‘ nisinlss’AL,
