Plaintiff s Claim Amended No change in no claim amountCal. Super. - 6th Dist.February 28, 2020Paaflnfiffls Claim affld ORDER CIerk stamps date here when formfs filed. to Go to Smaflfl Cflaims Court Notice to the person being sued: ' You are the defendant if your name is listed in® on page 2 of this form. The person suing you is the plaintiff, listed in© 0n page 2. 2f a 2021 ' Y n he 1 'n ' ' ' . ‘ 2 . a .ou a d t p a1 tlffmust g0 to court 0n the trlal date llsted below lfyou em 0T fim Jourt d0 not g0 t0 court, you may lose the case. ; -o ‘oi CA Goa or Santa elm _ BY t _ _ WDEPUTYIf you lose, the court can order that your wages, money, 0r preperty be ' w *- taken to pay this claim. D G 0 ' Bring witnesses, receipts, and any evidence you need t0 prove your case. Fm 5n coup: name an? Street address; ' Read this form and all pages attached t0 understand the claim against you SUperior court Of califc’mia’ county Of and t0 protect your rights. .. . , . superior Court-erl Division Aviso al Demandado: 191 N First St ‘ Usted es e1 Demandado si su nombre figura en ® de la pégina 2 de este San Jose, CA 95113 formulario. La persona que 10 demanda es el Demandante, 1a que figura en ® de la pagma 2' Court fills In case number when form is fired. ° Usted y el Demandante tienen que presentarse en 1a corte en 1a fecha del Case Number: juicio indicada a continuac'ién. Si r10 se presenta, puede perder el caso. $056 08 277% ' Si pierde e] caso 1a corte podria ordenar que le quiten de su sueldo, dinero u Case Name: otros bienes para pagar este reclamo. ' Lleve testigos, recibos y cualquier otra prueba que necesite para probar su caso. ' Lea este formulario y todas las pfiginas adjuntas para entender Ia demanda en su contra y para proteger sus derechos. OrdertoGotocourt The people in G) arid ® must go t0 COU: (Clerkfilis our section befow.) I j Date Department Name and address of court if different from aboveHa Wm 11 46AM . 9:22/21 3.33 am 15W W128 PM 3. 11/19/21 8:30 am 15 W/ Date: 7/3/7774 Clerk, by fiJ>mp , Deputy Instructions for the person suing: - You are the plaintiff. The person you are suing is the defendant. - Before you fill out this form, read form SC-lOO-INFO, Informationfor the Plafntifi’, t0 know your rights. Get SC-lOO-INFO at any courthouse 0r county law library, 0r g0 t0 www.com‘IS.ca.g0v/smallclaims/forms. o Fill out pages 2 and 3 0f this form. Then make copies of all pages 0f this form. (Make one copy for each party named in this case and an extra copy for yourself.) Take 0r mail the original and these copies t0 the court clerk’s office and pay the filing fee. The clerk will write the date 0f your trial in the box above. - You must have someone at least 18-n0t you 0r anyone else listed in this case-give each defendant a court-stamped copy 0f all five pages of this form and any pages this form tells you t0 attach. There are special rules for “serving,” 0r delivering, this form t0 public entities, associations, and some businesses. See forms SC-104, SC-104B, and SC-104C. o Go t0 court on your trial date listed above. Bring witnesses, receipts, and any evidence you need t0 prove your case. JudicialCouncilofCalifornIa. wwwcoudacagov Plaintiff's Claim and ORDER SC-100, Page 1 0f5 Revised January 1, 2017. Mandatory Form Code of Civil Procedure, §§ 116.110 et seq, 9 116.220(c). “6.340(9) to Go toaMg Plaintiff (Iigt names): Case Number: 37W 80W a0 5c Deg @747! ® The plain iff (th persnmbusiness, or public entity that'ls suing) is: Name: UL“ 0M Phone: 455‘W 9‘an Street address: [475'- mléfiflm #3; swag” flA’ @5725. Street City State Zip Mailing address (ifdiflerent): Street City State Zip [f more than one plaintiff, list next plaintiff here: Name: Phone: Street address: Street City Stare Zip Mailing address ({fdifjérenfl.‘ Street City State Zip D Check here ifmore than two plaintiffs and attachform SC-IOOA. D Check here ifet'ther plaintifllisted above i3 doing business under afictitious name. Ifso, attachform SC-103. D Check here I'fany plaintiffis a "licensee ” or “defen'ea‘ deposit originator" mayday lender) zma’erFinancial Code sections 23000 et seq. ® The defendant(the erson, business, or public entity being sued) is: Name: (Tan ( OW Phone. Street address: \J‘PD wk @lpg, SMW 04/ gm Street City State Zip Mailing address (defferem‘): Street City Stare Zip If the defendant is a corporation, limited liability company, or public entity, list the person or agent authorized for service of process here: Name: Job title, if known: Address: Street City Stare Zip [j Check here ifyour case is agains! more than one defendant, and attaclzform SC-1 00A. D Check here Ifany defendant is 0n active military duty, and write his 0r her name here: @ The plaintiff claims the defendant owes $ 1 075g. 00 . (Explain below).- a. Why does the defendantowethe laintiffmoney? unpaid M-ha’pemm @2409me 0M We Lemm/mfl- flow": +0Wgrzw- Qwr/WW /77//7&r When did this happen? (Date): [I Z! (’21)? b. If no specific date, give the time period: Dare starred: Through: c. How did you calculate the money owed t0 you? (D0 not include court costs orfeesforsendce.) D Check here ifyou need more Space. Attach one Sheet ofpaper orform 11/1003] and write "SC-I 00, [rem 3 ” af the (0p. ““59“““a'ymo” Plaintiff’s Claim and O toés g1 q}! _ ., ($4 Iglg s ME ' q ég FL ».: ask? Q52 : -. 80-100, Page 2 of 5 =9 Plaintiff (list names): Case Number: 7L} 3W} W19» 105w®m ® You must ask the defendant (in person, in writing, or by phone) to pay you before you sue. If your claim is for possession of property, you must ask the defendant to give you th property. Have you done this? Yes D N0 Ifno, explain why not: 018mm £9,475” 9x} 70m ® Why are you filing your claim at this courthouse? This courthouse covers the area (check me one rim: appiies): a. (I) Where the defendant lives Or does business. (4) Where a contract (written 0r spoken) was made, (2) Where the plaintiff’s property was damaged. signed, performed, 0r broken by the defendant 0r (3) Where the plaintiff was injured. where lhe defendant lived 0r did business when the defendant made the contract. b. D Where the buyer 0r lessee signed the contract, lives now, 0r lived when the contract was made, ifthis claim, is about an offer or contract for personal, family, or household goods, services, or loans. (Code Civ. Proa, § 3937b).) c. D Where the buyer signed the contract, lives now, 0r lived when the contract was made, ifthis claim is about a retail installment contract (like a credit card). (Civ Code, § 18/210.) d. D Where the buyer signed the contract, lives now, 01' lived when the contract was made, or where the vehicle is permanently garaged, ifthis Claim is about a vehicle finance sale. (Civ Code, § 2984.4.) e. D Other {specifiyz List the zip code of the place checked in © above (ifyou know): CfS/Z 6 ls your claim about an attorneyaclient fee dispute? D Yes We [fyes, and ifyou have had arbitration, fill omform SC-l 01, attach ft t0 (hisjbrm, and check here: D Are you suing a public entity? D Yes E/No Ifyes, you musrfile a written claim with the emffyfirst. D A claim was filed 0n (dare): (film public emily denies your claim 0r does nor answer wiihin rhe time allowed by law, yon canfi/e t/zisform. °®® Have you filed more than 12 other small claims within the last 12 months in California? D Yes E/No Ifyes, I/Iefilingfeefbr (his case will be higher. ls your claim for more than $2,500? E’Yes D No [/‘yex, I have norfi/ea’, and understand rlmt I cannoffile, more Man rwo small claims casesjbr more than $2,500 in California during this calendm‘year. | understand that by filing a claim in small claims court, l have no right to appeal this @969 claim. I declare, under penalty ofperju under California State law, that the information above an on any attachments to this form is true and orrect Date: '7;L‘SPDZ] gag;ggk (2,,- xx,” WQ® Pfamrff] types 0/ pi mfs IM/nebr/ OfP/aimiffsigns hele Date Secom/p/aimi/fgwes 01' prim: name here Secondplainnffsigns here c g Requests for Accommodations _¢ _Assistive listening systems, computer-assisted real-time captioning, 0r sign language interpreter services are available ifyou ask at least five days before the trial. Contact the clerk’s office for fom1 MC-410, RequestforAccommodations by Persons With Disabilities and Response. (Civ. Code, § 5448,) ReVisedJWW'm Plaintiff’s Claim ang ORDER to Go toS CllaimsmCourt 30-100: P898 3:; é I G] “m g a1 a1m$) E Pa ;...;\ .Lf I 93% ”i F:9? i ' '4! “m; .. w i: E3 g fgmk’im W-a Information for the defendant (the person being's'ued) "small Claims court" i5 a SPeCial court Where Claims for ' Prove this is the wrong court. Send a Ietterto the court $10,000 or less are decided. Individuals. including "natural before your trial explaining why you think this is the wrong court. persons" and sole proprietors, may claim up to 310.000. Ask the court t0 dismiss the claim. You must serve (give) a copy Corporations- PartnerShiPS- PUbliC entities. find Other bUSineSSBS of your letter (by mail or in person) to all parties. (Your letter to are limited to claims of $5.000. (See below for exceptionsf) The the court must say you have done so.) process is quick and cheap. The rules are simple and informal. . - - . You are the defendant-the person being sued. The person who is GP to the ma] and try to‘wm your case' Brmg . . . . thnesses, receipts, and any ewdence you need lo prove your su'ng you 'S the p/amt’fi' case, To have the court order a witness to go to the trial, fill out DO I need a lawyer? YOU may talkto a lawyer heme 0r after form 80-107 (Small Claims Subpoena) and have it served on the case. But you may not have a lawyer represent you in court the witness. (unless this is an appeal from a small claims case). . Sue the person who is suing you. ”you have a Claim HOW d0 I get ready for court? YOU don't haVe t0 me any against the plaintiff. and the claim is appropriate for small claims Papers Wore Your “13'- UnleSS YOU think this 15 the wrong COUN for court as described on this form. you may file Defendant's Claim your case. But bring t0 your trial any Witnesses. receipts. afld (form 86-120) and bring the claim in this action. If your claim is evidence that supports your case. And read "Be Prepared for YOUI' for more than allowed in small claims court. you may still file it in Tria1" at www.courts.ca.gov/smaflclar’rns/prepare. small c1aim5 court if you give up the amount over the small What ifl need an accommodation? ”you have a claims value amount, oryou may file a claim for the full value of disability or are hearing impaired. fill oul form M0410, Request for the Clam? 'n the appfomate court If your C'alm '5 for more than Accommodations. Give the form t0 your court Clerk 0r the ADA, allowed In small claims court and relates to the same contract. Access Coordinator. transaction, matter. or event that is the subject of the plaintiff‘s claim. you may file your claim In the appropriate court and file a motion to transfer the plaintiff's 's claim t0 that court to resolve both matters together. You can see a description 0f the amounts allowed in the paragraph above titled "Small Claims Court." What if I don’t Speak English well? Ask the court clerk as soon as possible for a court-provided interpreter. You may use form 1NT-300 or local court form to request an interpreter. If a court interpreter is not available at the time of your trial, it may be necessary to reschedule your trial. You cannot bring your own ' Agree With the plaintiff‘s Claim and Pay the interpreter for the trial unless the interpreter has been approved money. 0r. if yOU can't Pay the money now. go to your trial by the court as a certified. registered. or provisionally qualified and say you want to make payments. I . c . . ~ 1 d u n u I 1241:3283? (see al Rmes 0f court rUIe 2 893 an form - ° Let the case default. lfyou dontsettle and d0 not go to ‘ mtr‘lflt,1h' 'h " Where can I get the court forms l need? GO t0 any e Ia (de au ) ejudge may glvex e plalntlffwhathe or she is asking for p1us court costs. If this happens. the plaintiff can legally take your money, wages, and propeny lo pay the judgment. What ifl need more time? You can change the trial date if: You cannot go t0 court on the scheduled dale (you will have to pay a fee t0 postpone the trial). or courthouse 0r your county law library, or print forms at WWW. courts.ca.gov/smaflc!aims/forms. What happens at the trial? Thejudge will listen to both sides. The judge may make a decision at your tria1 or mail the decision to you later. What if I lose the case?lfyou lose, you may appeal. You'll have to pay a fee. (Plaintiffs cannot appeal their own ciaims.) You did not get served (receive this order to go to court) at least . If you were at the trial. file form SC-‘140, Nolice oprpeal. You . 15 days before the trial (0r 20 days if YOU “Ve OUtSide The must file within 30 days after the clerk hands or mails you the COUNY) 0’ . _ I judge's decision (judgment) on form 80-200 or form 80-130, You need more tlme to get an Interpreter. One postponement Is Notice Of Entry Of Judgment _ allowad. and you will not have to pay a fee to de1ay the trial. . 1f you were not at the trial. fill out and file form 80-135, Notice of ASK the ,Sma“ qaims Clerk abom the mes andfees for Motion t0 vacate Judgment and Declaration! t0 ask me judge t0 pos'tponlng a tnal. Or fill out form SC-150 (pr write a letter) and cancel the judgment (decision) If the judge does not give you a mall It t0 the court and t0 all other people listed on your court new trial“ you have 1O days t0 appeal the decisi0n_ File form papers before the deadline. Enclose a check for your court fees, 80440 unless a fee waiver was granted. For morg information on appeals. see www.coufis.ca.gov/ - Need help? smaHCIa'mS/appeals' Your county‘s Small Claims Advisor can help for free. Do | have options? Yes. If you are being sued, you can: |- 7 ' Settle your case before the trial. Ifyou and the plaintiff agree on how to settle the case. the plaintiff must file Lform ClV-1 10, Request for Dismissal. with the clerk. Ask the J Small Claims Adviser for help. Or go to wwwcourts.ca.gov/smaflciaims/advisor. ‘ Exceptions: Different limits apply in an action against a defendant who is a guarantor. (See Code Civ. Proc.. § 11B.220(c).) R°”‘m”“”a’y‘-2°2° Plaintiff’s Claim and ORDER to Go to Small Claims Court 30-100- Pa984°f5 (Small Claims) a Informacién para eI demandado (la persona demandada) La “Corie de reclamos menores" es una corte especial donde se deciden casos por$10,000 o menos. Los individuos, o sea las “personas fisicas” y los propietan’os por cuenta prepfa. pueden reclamar hasta $10,000. Las corporaciones. asociaciones, entidades pflblicas y otras empresas solo pueden reciamar hasta $5.000. (Vea abajo para las excepciones.') E1 proceso es répido y baralo. Las reglas son sencilIas e informales. Usted es el Demandado-Ia persona que se esta’ demandando. La persona que lo esté demandandd es e1 Demandante. ' ¢Neceslto un abogado? Puede hablar con un abogado antes o después del caso. Pero no puede tener a un abogado que lo represente ante la corte (a menos que se irate de una apelacién de un caso de reclamos menores). ¢Cémo me preparo para Ir a la corte? No tiene que presenter ningunos papeles antes del juicio. a menos que piense que ésta es la cone equivocada para su caso. Pero lleve a1 juicio cualquier testigos. recibos y pruebas que apoyan su caso. Y lea “Esté preparado para su juicio“ en wvm.courts.ca.goy/reclamosmenoreslpreparese. ¢Qué hago sl necesito una adaptacién? Si tiene una discapacidad o tiene impedimentos de audicién. Ilene el formulario MC-410, Request for Accomodations. Entregue el formulario aI secretario de la corte o a1 Coordinador de AccesolADA de su corte. LQué pasa sl no hablo bien inglés? Solicite un inte’rprete al secretario de Ia corte lo més pronto posible. Puede usar e! formulan'o lNT-SOO o un forrnulario de su corte local. Si no esta’ disponible un intérprete de la corte para su juicio, es posible que se tenga que cambiar la fecha de su juicio. No puede llevar su propio intérprete para e] juicio a menos que el lntérprete haya sido aprobado por la code como un intérprete certificado. registrado. o provisionalmente caiificado. (Vea la regla 2.893 de Ias Reglas de la Corte de California, y el’formulario INT-140.) ¢Dénde puedo obtener los formularios de la corte que necesito? Vaya a cualquier edificio de ia corte, la biblioteca legal de su condado. o imprima los formularios en www.courts.ca.govl smallclalms/forms (pégina esté en inglés). ¢Qué pasa en el juicio? El juez escucharé a ambas partes. El juez puede tomar su decisién durante la audiencia o enviérsela por correo después. ¢Qué pasa 5i pierdo e! caso? Si pierde, puede apelar. Tendré que pagar una cuota. (El Demandante no puede apelar su propio reclamo.) . Si estuvo presente en el juicio. Ilene el fon'nulario 80-140. Aviso d9 apeiacién (Notice oprpeal). TIene que presentarto denlro de 30 dias después de que e! secretario le entregue o envle la decision (fallo) del juez en el formulario 80-200 o 80-130. Aviso de publicacién def fallo (Notice of Entry of Judgment). . Si no estuvo en el juicio. Ilene y presente el formulario 80-135, Aviso d9 peticién para anular el falio y Declaracién para pedirie al juez que anuIe el fallo (decisién). Si la corte no le otorga un nuevo juicio. tiene 10 dias para apelar fa decisic’m. Presente el formulario SC-1 40. Para obtener més informacién sobre Ias apelaclones, vea www. courts.ca.gov/reclamosmenores/apelaciones. ¢Tengo otras opciones? Si. Si lo estén demandando. puede: . Resolver su caso antes del juicio. Si usted y el Démandante se ponen de acuerdo en cémo resolverel caso, el Demandante tiene que presentar el formulario ClV-1 10, Solicitud de desestimacién (Request for Dismissal) ante el secretario de Ia corte. Pfdale al Asesor d8 Reclamos Menores que Io ayude. . Probar que es la corte equivocada. Envie una carta a la corte antes del juicio explicando por qué cree que es la cone equivocada. Pidale a Ia code que despida el reclamo.Tiene que entregar (dar) una copia de su carta (por correo o en persona) a todas las panes. (Su carta a la corte tiene que decir que hizo Ia entrega.) . lr al juicio y tratar de ganar el caso. Lleve testigos, recibos y cualquier prueba que necesite para probar su caso. Si desea que Ia corte emita una orden de comparecencia para que los lestigos vayan a! juicio. Ilene el formulario 80-1 07, Citaton‘o de reclamos menores (SmaIl Claims Subpoena) y entrégueselo Iegalmente al testlgo. . Demandar a la persona que lo demando'. Si tiene un reclamo contra el Demandante. y el reclamo se puede presentar en la code de reclamos menores, tal como se describe en esle formulario. puede presentar el fonnulario 80-120, Reclamo del demandado (Defendant's Claim) y presentarlo en este mismo caso. Si su reclamo excede el llmlte pen‘nlfido en la cone de reclamos menores. puede igualmente presentarlo en Ia cone de reclamos menores si esté dispuesto a limitar su reclamo al méximo permitido. o puede presenter un reclamo por eI monto tolaI en la cone apropiada. Si su reclamo excede eI limite permifldo en la cone de reclamos menores y esta’ relacionado con et mismo contrato, transaccién. asunto o acontecimiento que eI reclamo del Demandante. puede presenter su reclamo en fa cone apropiada y presenter una mocién para transferir el reclamo del Demandante a dicha cone, para poder resolver [03 dos reclamos juntos. Puede ver una descripcién de [os montos permilldos en al pérrafo anterior titulado “Corte de reclamos menores". . Aeptar el reclamo del Demandanta y pagar el dinero. O. si no puede pagar en ese momento. vaya al juicio y diga que quiere - hacerlos pagos. ' . No ir al juicio y aceptar el fallo porfalta de comparecencia. Si no Mega a un acuerdo con el Demandante y no va al juicio (fallo porfalta de comparecencia), el juez Ia puede otorgar al Demandante lo que esté reclamando ma's 105 costos de la cone. En ese caso, el Demandante legalmente puede tomar su dinero, su sueldo o sus bienes para cobrar el fallo. ¢Qué hago SI necesito més tiempo? Puede cambiar Ia fecha del juicio 3i: - No puede ir a Ia cone en Ia fecha programada (tendra' que pagar una cuota para apIazar el juicio), o - No le entregaron Ios documentos legalmente (no recibié Ia orden para 'Ir a la corte) por lo menos 15 dias antes del juicio (é 20 dias si vive fuera del condado). o - Necesita mas tiempo para conseguir intérprete. (Se permite un solo aplazamiento sin tener que pagar cuota para aplazar eI 'uicio . Prelgflntgle a1 secretario de reclamos menores sabre Ias reglas y las cuotas para aplazar un juicio. O Ilene el forrnuIario 80-150 (o escriba una carta) y envielo antes del plazo a Ia cone y a todas las otras personas que figuran en sus papeles de la corte. Adjunte un cheque para pagar los costos de la cone. a menos que le hayan dado una exencién. K&Necesita ayuda‘? El Asesor de Reclamos Menores de su condado [e puede ayudar sin cargo. r J 0 visite wmv.courts.ca.gov/reclamosmenores/asesores. ' Excapcionas: Exislen diferenles limiles en un redarno contra un garanla. (Vea el Cédigo de Procedimianlo Civil, seoddn 116.220 (c1) Revised January 1. 2020 Reclamo del Demandante y ORDEN 80-100, Page 5 of 5 Para Ir a la Corte de Reclamos Menores (Reclamos Menores) For your protection and privacy. please press the Clear This Form button after you have printed the form. |??th fhis;f_dj:rnil I Save this form I ?’CTgé‘Efi'HigffE’fifi:
