Request DismissalCal. Super. - 6th Dist.November 23, 2020Electronically Filed by Superior Court of CA, County of Santa Clara, on 3/1/2022 1:58 PM Reviewed By: M. Sorum Case #20CV373895 Envelope: 8401257 20CV373895 Santa Clara - Civil M. Sorum 3/1/2022 1:58 PM 3/1/2022 1:58 PM X 3/1/2022 1:58 PM M. Sorum X ClV-110 PLAINTIFF/PETITIONER: American Express National DEFENDANT/RESPONDENT: Varshankar Mungelkar, e: a1. CASE NUMBER: 20CV373895 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, 0r 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» E not recovering anything of value by this action b. [j recovering iess than $1 0,000 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.E All court fees and court costs that were waived in this action have been paid to the court (check one): E Yes a N0 l declare under penalty 0f perjury under the laws 0fthe State of California that the information above is true and correct. Date; FebruanT'”? 3r 2022 MWAVfiHem Yanden, Esq. SBN: (321 1 14) } ‘ . b“ (TYPE 0R PRINT NAME OF ATTORNEYE3 PARTY MAKING DECLARATION) <5'GNATURE) ClV-i 10 [Rev January 1, 2013} REQUEST FOR DISMISSAL Page 2 ofz Le.\‘15x\"g.\’wEJ Azumnalcd (‘algfarma Judu'iu/ ("ounclf f‘bmrs‘
