Request DismissalCal. Super. - 6th Dist.November 24, 2020Electronically Filed by Superior Court of CA, County of Santa Clara, on 4/28/2021 11:53 AM Reviewed By: R. Nguyen Case #20CV373992 Envelope: 6333813 20CV373992 Santa Clara - Civil R. Nguyen 4/28/2021 11:53 AM 4/28/2021 11:53 AM X 4/28/2021 11:53 AM R. Nguyen X CIv-1 1 o' PLAINTIFF/PETITIONER: Midland Credit Management, Inc CASE NUMBER22OCV373992 DEFENDANT/RESPONDENTZANTHONY NGUYEN COURT’S RECOVERY 0F 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 statutory lien on that recovery. The court may refuse to dismiss the case until the lien is satisfied. (Gov. Code, Section 68637) Declaration Concerning Waived Court Fees 1‘. The court waived fees and costs in this action for (name): 2. The person in item 1 is (check one): a. E not recovering anything of value by this action. b. E recovering less than $10,000 in value by this action. c. [:j recovering $10,000 or more in value by this action. (lfitem 20 is checked, item 3 must be completed.) 3.E All court fees and costs that were waived in this action have been paid to the court (check one): E: Yes [j N0 | declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date; 04/23/2021 ' OQMM Christopher D. Mandarich SB 220693 (TYPE 0R PRmT NAMEOFD ATTORNEYE PARTY MAKING DECLARATION) (S'GNATURE) CIV~1 10 {Rev‘ January 1, 2013] REQUEST FOR DISMISSAL Page 2 of 2
