Request DismissalCal. Super. - 6th Dist.November 20, 2020Electronically Filed by Superior Court of CA, County of Santa Clara, on 10/27/2021 10:24 AM Reviewed By: F. Miller Case #20CV373874 Envelope: 7546724 20CV373874 Santa Clara - Civil F. Miller 10/27/2021 10:24 AM 10/27/2021 10:24 AM X 10/27/2021 10:24 AM F. Miller X CIV-1 1 0 PLAINTIFF/PETITIONER: GOLDMAN SACHS BANK USA CASE NUMBER: DEFENDANT/RESPONDENT: RUTH REYESJOHNSON 20CV373874 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): a. D not recovering anything of value by this action. b. D recovering less than $10,000 in value by this action. c. D recovering $10,000 or more in value by this action. (Ifitem 2c is checked, item 3 must be completed.) 3. D All court fees and court costs that were waived in this action have been paid to the court (check one): D Yes D No | declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: b (TWE on PRINT NAME orD ATTORNEYD PARTY MAKING DECLARATION) (SIGNATURE) CIv-11o [Rev. January 1. 2013] REQUEST FOR DISMISSAL Page 2 on 265742012568
