Request DismissalCal. Super. - 6th Dist.November 20, 2020Electronically Filed by Superior Court of CA, County of Santa Clara, on 3/9/2021 4:08 PM Reviewed By: R. Nguyen Case #20CV373887 Envelope: 5997586 20CV373887 Santa Clara - Civil R. Nguyen 3/9/2021 4:08 PM 3/9/2021 4:08 PM X 3/9/2021 4:08 PM R. Nguyen X CW-1 10 PLAINTFF’PETmONER: iPMorgan Chase Bank, N.A. CASE NUMBER: DEFENDANTIRESPONDENT: TERESITA R MAPALAD ZOCV373887 C-OURT'S‘ RECOVERY OF WAIVED COURT FEES AND?COSTS If a party‘whosezcourt fees and eosis were initially waived has recovered or«wfll recover $10,000 qr more in valué‘ by way of settlement. compromise,,arbittation award, mediation settlement; or other means. the court has a statutory Il'en' 'on thatrecovery. The court may. refuse to dismiss the mse until the lien is satisfied. (Gov. Code, § 68637;) Declaration Concerning Waived Court Fees 1. The court waiVed; court fees. and, costs in thié action for (name): ' 2. The person named in item 1 is (check one below): a-L [j not recovering anything of value. by this action. b.E recovering less than $1 0,000,in\value by thi's action. c. E recovering $1 0,000 or more in value by this-vactionr (Ifitem 2c is, checked, it‘em 3 must be completed.) 3. E] A_Il court'fees and courtzcosts that were waived in this action have been paid tothe‘coun (check one): :1 Yes E N0 I 'dédare under penalty of peq‘ury _under theylaws of the. State of California that the infomation above is true and correct Dates. b (rYPE 0R Palm NAME 0FE ATTORNEYE PARTY MAKINGDEGLARATION), A (S‘GNATURE) ctvL‘rm [Ran January 1; 20133 > REQUEST'F'OZR DISMISSAL mum
