Defendant s Claim 1501 to 5000Cal. Super. - 6th Dist.March 3, 2020131 Defendant’s Claim and ORDER I Clemstamps date here whenrormis filed. SC'1 20 . to Go to Small Claims Court Notice to the person being sued: ~ You are being sued by the person you are suing. - You must go to court on the trial date listed below. If you do not go to court, you may lose the case. - Ifyou lose, the court can order that your wages, money, or property be taken to pay this claim. - Bring witnesses, receipts, ahd any evidence you need to prove your case. Fill in courf na_me and street address: Superior Court of California, County of Downtown Superior Courthouse - Read this form and all pages attached, t0 understand the claim against you and to protect your rights. Aviso al demandado: i ' La persona que ha demandado lo esté demandando a usted. 18318:; ClliargtlsSt - Tiene que presentarse a la corte en 1a fecha de su juicio indicada a San Jose, CA 951 1 3 continuacién. Si no se presenta, puede perder el caso. . . . . _F_iII'In case number and case name: ' 81 plerde e1 caso Ia corte puede ordenar que le qulten de su sueldo, dmero u Case Number otros blenes para pagar este reclamo. ()(q? m) U, aaxWm?&QM - Lleve testigos, recibos y cualquier otra prueba que necesite para probar su caso.» - Lea este forrnulario y todas Ias péginas adjuntas, para entender 1a demanda aQQC-DX 289 3 en su contra y para proteger sus derechos. Case Name: Cm? Ord’er‘to Go {o Court The people in ® and® must go t0 court: (Clerkfills outsection below.) Trial 9 Date Time Department Name and address of court if different from above Date 1R [95sz 315D NY‘ -35 2. 3 . Date': Clerk, by , Deputy Instructions for the person suing: ' Before you fill out this form, read Form SC-IOO-INFO, Informationfor the Plaintifl, to know your rights. Get SC-lOO-INFO at any courthouse 0r county law library, or go to: www.courtinfo.ca.g0v/f0rms - Fill out pages 2 and 3 ofthis form. Then make copies of all pages ofthis form. (Make 1 copy for each party named in this case and an extra copy for yourself.) Take or mail the original and these copies to the court clerk’s office and pay the filing fee. The clerk will write the date of your trial 1n the box above. - You must have someone at least 18-not you or anyone else listed 1n this case-give each Plaintiff a court-stamped copy of all 3 pages of this form and any pages this form tells you t0 attach. There are special rules for “serving,” or delivering, this form to public entities, associations, and some businesses. See Forms SC-104, SC-104B, and SC-104C. ° Go to court on your trial date listed above. Bring witnesses, receipts, and any evidence you need to prove your case. éudiciaIdCJouncil0:02alifo1m'ij, wdww.co:rts.ca.90V Defendant’s Claim and ORDER to Go to SC'1 20s Page 1 0f 3 evise anuary . 01 . an ato arm ' Code of Civil Procedure. § 116.1102! seq. sm?gmcal"alcrlr;ismg)o urt e ‘1} 'Case Number: Defendant {list names): E5” ‘fi'C. 37m R(rt‘u‘ firmno‘lwx U tr QOSCO $95b5 J (D The Plaintiff (the person, business, or public e'ntity that sued first) is: Name. Rd (K Oxfl (f(vc?\ Q X Phone: (LWI) 595'}- \'l M Street address. 55W 5 3W k fW V&“Mk Ra a’kg‘b SMAQBQ CA cf) ‘g7x Street 0 City State Zip Mailing address (zfdz'flerent): V ' Street City State Zip If more than one Plaintiff, list next Plaintiff here: Name: ' Phone: . ( ) Street address: Street City State Zip Mailing address (ifdzflerent): > Street City State Zip D Check here z'fmore than 2 Plaintiflfv and attach Form SC-120A. ' D Check here ifany Plaintiflis 0n active military duty and write his 0r her name here. ® The Defendant (the person, business, or public entity suing now)‘Is: Name. BSLX W P(oflgfi‘vsl fiwufifl CO rp Phone: (Hm) °\\\o '539lp Street address. Sq Do] N\UY\(\m 8\l\\/&\ WGUM Lg q5b5q Street City State Zip Mailing address (ifdz'flerent): Street City State Zip If more than one Defendant, list next Defendant here: Name: Phone: ( ) Street address: Street City State Zip Mailing address (ifdiflerent): Street City State Zip D Check here z'fmore than 2 Defendants and attach Form SC-120A. y D Check here ifez'ther Defendant listed above is doing business under afictitious name. Ifso, attach Form SC-I 03. ® The Defendant claims the Plaintiff owes $ QOLDB. 35 .(Explaz‘n below).- a. Why does the Plaintiff owe the Defendant money?WWd md- Lcfi\thg mm/L Om} Mvmys ‘ MA W us Oomfiav \r‘tm b. When did this happen? (Date). g DDV'} If no specific date, give the time period: Date started: LILLQQLL- Through: 93\ c. How did you calculate the money owed t0 you? (D0 not include court costs orfeesfor service.) erfi *Efi Y =11" dams om) deMv} )0!“qu D Check here z'fyou need more space. Attach one sheet ofpaper 0r Form AllC-03J and write ‘,’SC-120 Item 3 " at the top. RevisedJanuarvw“ Defendant’s Claim and ORDER to Go to 30-1201 Page 2 °f3 » Small Claims Court 9 (Small Claims) Case Number: Defendant (list names) .' ESSLX+HEVQIR AMI ¥“flmdcxl CD(LI/ aOéto 89g b3 ® You may ask the Plaintiff (in person, in writing, or by phone) to pay you before you sue. Have you done this? Yes D No ls your claim about an attorney-client fee dispute? D Yes MNO Ifyes, and ifyou have had arbitration, fill out Form SC-I 01, attach it t0 thisform, and check here: D ® Are you suing a public entity? D Yes M No Ifyes, you mustfile a written claim with the public entityfirst. D A claim was filed 0n (date): Ifthe public entity denies your claim 0r does not answer within the time allowed by law, you canfile thisform. Have yo filed more than 12 other small claims within the last 12 months in California? D Yes No Ifyes, thefilingfeefor this case will be higher. l understand that by filing a claim in small claims court, I have no right to appeal this claim. ® If I do not have enough money to pay for filing fees or service, I can ask the court to waive those fees. I have not filed, and understand that I cannot file, more than two small claims cases for more than $2,500 in California during this calendar year. I declare, under penalty of perjury under California State law, that the information aboVe and on any attachments to this form is true and correct. Datezllaym [0me Ww ?;b/L I ' Defendant types 0r prints name here Defendant signs here Date: ’ Second Defendant types 0r prints name here Second Defendant signs here : Requests for Accommodations Assistive listening systems, computer-assisted, real-time captioning, or sign language interpreter services are available ifyou ask at least five days before the trial. Contact the clerk’s office or go to _ Www.courtinfocagov/forms for Requestfor Accommodations by Persons With Disabilities and ' '__ Response (form MC-410). (Civil Code, § 54.8.) Need' help? Your county’s Small Claims Advisor can help for free. l Or go to “County-Specific Court Information” at: www.courtz'nfo.ca.g0v/selfhelp/smallclaims RevisedJanuary1.2011 Defendant’s C'aim a'nd ORDER to Go to SC-120, Page 3 of3 Small Claims Court (Small Claims)
