Civil Case Cover SheetCal. Super. - 6th Dist.November 23, 2020DocuSign Envelope ID: AFQSDF2F-A44B4225-96A7-o1 75822994CE CM-01 D ATTORNEY OR PARTY W|T| IOUT A‘I'I'ORNEY (Name, Stare Earnumber, and address): FOR COURT USEONLY FLINT c ZIDE, SBN 150359/5ARKI5 s KARAVAN, SBN 315925 LAw OFFICE 0F HARRIS & ZIDE 1445 HUNTINGTON DRIVE, SUITE 300 SOUTH PASADENA CA 91030 I _ TELEPHONE N0: 625-799-8444 FAX N0. (Optional): 625-799-8419 Electronlcal Iy F I led ATrORNEv Foarwamej: PLAINTIFF by Superior Court 0f CA, SUPERIOR coum or: CALIFORNIA. COUNTY 0F SANTA CLARA County of Santa Clara, STREETADDRESS 191 NORTH 15T STREET on 11/23/2020 12:59 PM MAILING ADDRESS: . _ . CWMDZIPCODE: San Jose CA 95113 REVIewed By. R. Tlen amen NAME, SAN JOSE COURTHOUSE Case #20CV373924 CASE NAME: JEFFERSON CAPITAL SYSTEMS, LLc Vs. GRACE ROMO Envempe: 5348075 CWIL CASE COVER SHEET Complex Case Designation CASE NUMBER:E Unlimited El Limited E Counter E Joinder 20CV373924 (Amount (Amount . Filed with first appearance by defendant JUDGE;demands“ demand“ '5 (Cal Rules oi Court rule 3 402)exceeds $25,000) $25,000) ' ' ' DEPT‘ Items 1-6 beiow must be completed (see instructions on page 2). 1. Check one box below for the case type that best describes 1his case: Auto Tort Contract Provisionally Complex Civil LitigationE Auto (22} E Breach of comrawwarranty (06) (cal- Rules 0f 30""! rules 34004-403)E Uninsured moion'st (46) Rule 3.740 collections (09) E AntitrusflTrade regulation (03) Other PIIPDIWD {Personal Injurnyroperty E Other colledions (09) E Construction defect (1 D) DamagaIWrongful Death) Tort E Insurance coverage [1 8) E M355 tm (40)E Asbestos. (0.4-) :I Other contract (37) E Securities litigation (28)E Pmduc‘ “ab'my (24} Real Property E Environmentalfl'oxic tort (30)E Medical malpractice (45) E Insurance coverage claims arising from theE Eminent domamflnverse above listed provisionally complex caseE OtherPllPD/WD (23) oondemnationt14) . . WPESW') Non-PIIPDnNmomenTort E Wrongfulewctuon (33) EmmmmouudgmmE Businesstomunfairbusiness practioe{07) E Otherreélpropertyam E Enforcementofjudgmenuzo)E C'V'lnghts (08) unlaw'u'DEta'n'er Miscellaneous CivilComplaintE Defamationma) CI COWWerc'a'(3” E meow?)E Fm’dUB) E :emderglsalwz) E Other complaint(notspecifiedabovej(42)E '"te"e°t”a'P'°Pe”Y(19) flialrggiigw) Miscellaneous CiviIPetition Professional negligence (25} . - Partnershl andco crate avemance 21E Othernon-PIIPDANDtan(35) E AssetTOrfeflurem-“fi E f m _ g ( J Employment E Petition raarbiiration award(11) E Otherpetltlon rnotspeclfied above)(43)E Wrongfultermination (36) E Writof mandate(02}E Omeremploymentum E Otherjudicialreview (39) 2. This caseE is m is not complex under rule 3.400 of the California Rules of Court. If the case is complex. mark the factors requiring excepiional judicial management: a. E Large number of separately represented parties d. E Large number of witnesses b. E Extensive motion practice raising difficult or novel e. E Coordination with related actions pending in one or more issues that will be lime-consuming lo resolve courts in oiher counties, states, or countries, or in a federal c. E Substantial amount of documeniary evidence court f. :l Substantial postjudgmentjudicial supervision 3. Remedies sought (check ah‘ thatapplyja. moneiary b.E nonmonetary; declaraiory orinjunctive relief c. E punitive 4. Number of causes of action (specify): 1 5 6 This case :I is is not a class action suit. . If there are any known related cases, file and serve a notice of related case. (You may use farm CM-O15.) FLI NT C. ZIDE ’ mp5 on pRINT NAME) (SIGNATURE 0F FARW on ArmRNEv FOR PARTY) NOTICE - Plaintiff must file this cover sheet with the filst paper filed in the action or proceeding (except small claims uses or cases filed under the Probate Code, Family Codea or Welfare and Institutions Code). (Cal. Rules of Court. rule 3.220.) Failure to file may result in sanctions. u File this cover sheet in addition to any cover sheet required by local court rule. o If this case is complex under rule 3.400 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on all o1her parties lo the adion or proceeding. - Unless this is a collections case under rule 3.740 or a complex case, this cover sheet will be used for statistical purposes only. Page 1 of 2 Form Adopied for Mandatory Use Cat. Rules 01 Court rues 2.30. 3.220. 3.4004403. 3.740; Judicial Council moaliromia TA044881 cw"- CASE COVER SHEET Cal. Standards «Judicial Administration, sud. 3.10 CM-010 [Ram July 1. 200?] www.warts.ca.yov DocuSign Envelope ID: AF95DF2F-A44B-4225-96A7-01 75822994CE INSTRUCTIONS 0N HOW T0 COMPLETE THE COVER SHEET CM'MD To Plaintiffs and Others Filing First Papers. If you are filing a first paper (for exam ple, a complaint) in a civil case. you must complete and file, along with your first paper, the Civil Case Cover Sheet contained on page 1. This information will be used to compile statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item 1. you must check one box for the case type that best describes the case. If the case fits both a general and a more specific type of case listed in item 1, check the more specific one. If the case has multiple causes of action, check the box that best indicates the prlmary cause of action. To assist you in completing the sheet. examples of the cases that belong under each case type in item 1 are provided below. A cover sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party. its counsel, or both to sanmions under rules 2.30 and 3.220 of the California Rules of Court. To Parties In Rule 3.740 Collections Cases. A "collections case" under rule 3.740 is defined as an action for recovery of money owed in a sum stated to be certain that i5 not more than $25,000, exclusive of interest and attorney's fees. arising from a transaction in which property, services. or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort damages, (2) punitive damages, (3} recovery of real property, (4} recovery of personal property. or (5) a prejudgment writ of attachment. The idemification of a case as a rule 3.740 collections case on this form means that it will be exempt from the general time-for-service req uirements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 collections case will be subject to the requirements for service and obtaining a judgment in rule 3.740. To Parties in Complex Cases. In complex cases only, parties musi also use the Civil Case Cover Sheet Io designate whether the case is complex. If a plaintiff believes the case is complex under rule 3.400 of the California Rules of Court, this must be indicated by completing the appropriate boxes in items 1 and 2. If a plaintiff designates a case as complex, the cover sheet must be served with the complaint on all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the plaintiffs designation. a counter-designation that the case is not complex. or, if the plaintiff has made no designation, a designation that the case i5 compIex_ CASE TYPES AND EXAMPLES Auto Tort cmma‘t Provisionally Complex Civil Litigation (Cal. Auto (22)-Personal InjurylProperty DamageNVrongful Death Uninsured Motorist (46} (ifthe case involves an uninsured motorist daim subject to arbitration, check this item instead ofAuto) Other PIIPDIWD (Personal Injury! Property DamageflNrongful Death) Tort Asbestos (04) Asbestos Property Damage Asbestos Personal Injury] WrongfiJl Death Product Liability (not asbestos or toxidenvimnmental) (24) Medical Malpractice (45} Medical Malpractice- Physicians 8: Surgeons Other Professional Health Care Malpractice Other PIIPDNVD (23) Premises Liability (3.9.. slip and fall) Intentional Bodily lnjurylPD/WD (e.g., assault, vandalism) Intentional lnfliction of Emotional Distress Negligent lnfliction of Emotional Distress Oiher PUPD/WD Non-PIIPDMD (Other) Tort Business TorUUnfair Business Practice (07) Civil Rights (9.9.. discrimination, false arrest) {not civil harassment) (08) Defamation (e.g., slander, libel) (13) Breach of Contractharranty (06) Breach of RentaIILeasa Contrad (not unlawful detainer or wrongful eviction) ContractIWarranty Breach-Seller Plaintiff (not fraud or negligenca) Negligent Breach of Contract/ Warranty Other Breach of Contract/Warranty Collections (e.g., money owed. Open book accounts) (09) Collection Case-Seller Plaintiff Other Promissory NotelCollections Case Insurance Coverage {not pmw‘sionafly compiex) (1 8) Auto Subrogation Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Property Eminent Domainllnverse Condemnation (14) Wrongful Eviction (33) Other Real PrOperty (e.g., quiet title) (26) Writ of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (not eminent domain, landlord’fenant, or foreclosure) Unlawful Detainer Commercial (31) Residential {32) Drugs (38) (if the case involves Mega! drugs, meek this item; otherwise, repofl as Commemial or Residentfafl Judicial Review Rules of Court Rules 3.400-3.403} AntilrusUTrade Regulation (03) Construction Defect (1 0) Claims Involving Mass Tort (40} Securities Litigation (28) Environmentalrl’oxic Ton (30) Insurance Coverage Claims {arising from provisionally complex case type listed above) (41 ) Enforcement of Judgment Enforcement of Judgment (20) Abstract of Judgment (Out of County) Confession of Judgment (non- domestic relations) Sister State Judgment Administrative Agency Award (not unpaid taxes) PetitionlCettification of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Miscellaneous Civil Complaint RICO (27) Other Complaint (not spedfied above) (42) Declaratory Relief Only Injunctive Relief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case {non-ton/non-oomplex) Other Civil Complaint (non-lort/non-oompfex) Miscellaneous Civil Petition Partnership and Corporate Guvemance (21) Other Petition (not specified above) {43) Fraud (16) A5531 Fo'fenure (05) Civil Harassment Intellectual Property (19} Petition Re: Arbitration Award (1 1) Workplace Violence Professional Negligence (25) wm °f_Manda_te_ (02)_ ElderIDependent Adult Legal Malpradice WrIt-Admlnlstratlve Mandamus Abuse Other Professional Malpractioe writ'Mandamus °" Limit“ 0mm Elec1ion Contest (not medical oriegafl Pa“ Matter, Petition for Name Change Other Non-PUPD/WD Tort (35) WF'EOFhe’ L'm'ted CW" Case Petition for Relief From Late Employment BYPW _ Claim Wrongful Termination (35) Othareifgx'oaf' figzififo‘fier Order Other Civil Petition Other Employment (1 5) Notice of AppeaHabor Commissioner Appeals CM-O1 O [Rem July 1. 2007] CIVIL CASE COVER SHEET Paglzm‘z