Plaintiff s Claim 1501 to 5000Cal. Super. - 6th Dist.March 12, 2020X114, AZ \ l,\«/ Plaintiff's Claim and ORDER to Go to Small Claims CourtSC-100 Notice to the person being sued: YOu arc the defendant ifyour name is listed in on page 2 ofthis form. The person suing you is the plaintifi, listed in on page 2‘ You and the plaintifi must go to court on the tr‘ial daxe listed below. Ifyou do not go to court, you may lose the case. If you losc. the court can order that your Wages, money, or property be taken to pay this claim. Brihg witnegcs, receipts. and any evidcpge you need t9 pmve 5/99! gage.- Rcad this form and all pages attached to understand the claim against you and to protect your rights. Avlso al Demandado: Ustod cs cl Dcmandado si su nombrc figum en ®dc la pagifia 2 dc estc fonnulario La persona quc lo dcmanda cs cl Dcman_da__n_tc, la quc figum en ®de la pfigina 2 U_s_,ted y cl Demandamc licnen que presentarsc en fa cone enfli'a fccha del j‘u‘icib ihdicada a continuacién. Si no se presenta, puede perder e1 caso‘; Si pierde e1 caso la cone podria ordcnar quc le qu'iten dc su sueldo, dinem u otms b'i‘cngs para pagar este reclamo. Llcvc testigos, recibos y cualquier otta pmeba que neceéite para probar su caso. // ‘ {\n/r Clam stamps dais hora when form ls mod. Fin in court name and strut nddnss: Supellor Court of California, County of Santa Clara 19] Ngrth Firgt Street San Jose. 951 13 Downtown Superior Court Coir} fl”: {Ii céég numbejr whoh form Is fled. Case Number: camem 8 2 8w HUMANGOOD NORQAL. etc. v. FEINSTEIN Lea este formulario y todas las péginas adjuntas pm entender- la demanda en su contra y para pmtcger sus dcrcchos. Order to Go to Court _'__l'he people in Q) a_nd ® must go to court: (Cler'kfills ouTsEfijén below.) Name and addmss of court, ifdifl‘crcnt from aboveTrial -) Da Time Department Date :iLQW l4 e MAR 1 22020 Clerk, by Instructions for the person suing: You are the plaintifi'. The person you are suing-is the defendant. Before you fill out this form, read form SC-l OO-INFO, lnformalionfor Ihe Plainnfi to know your fights. Get SC-l 00- INFO at any courthouse or county law library, or go to www.courts.cagav/smallclalms/forms. Fill out pages 2 and 3 of this form. Then make ccpics of all pages of this form. (Make one copy for each party named in this case and an extra copy for yourself.) Take or mail the original and thcse mpies to the caurt clerk’s ofiice and pay the filing fee. The clerk will wn'tc the date ofyour trial in the box above. You mus: have someone at least 18-110: you or anyone else listed in this case-givc each defendant a court-stampcd copy of all five pages ofthis form and any pages this form tells you to attach. There arc spccial rules for “serving," or delivering, this form to public entities, associations, and some businesses. Sec forms SC-lO4, SC-104B. and SC-104C. Co to court on your trial date listed above. Bring witnesses, receipts, and any evidence you need to prove your case. v 5-..-..wm. deCmr-d dcailcmb moans a.gov Rum .bouary 1. 20m Mandalay Form Cod-anlFlmll. fl HOA‘IDM "q. 110.2203) 1 [8.340(9) (Small Claims) Plaintiffs Claim and ORDER to Go to Small Claims Court 80-100, Page 1 0'5 jWMEMW .9 \ a; ,2 ‘\ \\/ . 4/ Plaintifi‘ (Iisl names). HUMANGOOD NORCAL‘ a Calitomla domestic nonprofit CaneZNumber 8 8 gcorporation doing business as THE TERRACES AT LOS ALTOS SICQ g ~ ®NThe plaintiff ggesgrson, business, or public entity that ls sulng)‘Is:HUMANG ORCAL Cal'fo ia domest'cnon rol'rtoo orationW2 AT 1 rm A1 rnqp m Phone: (659) fig-ggm Street address 373 Pine Lane Los Aflos CA 94022 Strut City Stale le Mailing address (:fdtfl'erenr): Shae! City gap: le If more than one plaintiff, list next plaintiff here: Name: Phone; Swat éédrfiss; Shae! Clly State le Mailing address (ifdifferem): Street ? ” cuy '7"? State 21p D Check here if more than lwo plainlifls and allachform SC-l00A. E Check here 1} either plainlijflisted above is doing business under aficlirious name. lfsa, attachform SC-I 03. D Check here {fany plai'miflis a "licensee " or "deferred deposit originator " (payday lender) under Financial Co_de_ sections 23000 e1 seq. ® The defendant (the person, business, ox public entity being sued) Is: Name- DnnakLEemsteIn WW W. H Phone: (516)76341375 Street addeSI Z Gariand Place Mauls Ban» z 9A 94025 8m“ I CRY I Stats Zip Mailing address (Ifdifl‘erem): Shea! I City Slgrai Zip lf-the defendant is a corporation, limited liability company, or public entity, list the person or agent authorized for service of process here: Address: ,. . V Strap! City Slate le a Check here {fyour case is against more than one dejéndant. and attachform SC-l00A. D Check here ij any defendam is on active military duty. and write his or her name here: ® The plaintiff claims the defendant owes $ 5 mm .(Explain below)- a Why docs thc defendant owe the plaintifi money? Plaintiff a skilled nursing faculty provided care and services to Defendant Donald Felnsteln. Mr. Felnsteln has failed to pay When did this happen? (Date): b. If no specific date, give the time pcn'od: Dam started:W Through: lammm 28 20m ‘ c. How did yOu calculate the money owed to you? (Do nol Include cbur! casts orfeesfor service.) U Check here Ifyou need more space, Attach one sheet ofpaper orjbrm M0031 and write “SC-100, Item. 3 " at (he lop. “mmim’ Plaintiff’s Claim and ORDER to Go to Small Claims Court 3°“'°°- P3992“ ' (Small Claims) -> , ' r\_ ‘\ 3 ‘L \J \_,/ Plaintiff ([15! names):HUMANGOOD NORCAL, _a California domesfic nonprofit case Numbet: corporation, doing business as THE TERRACES AT LOS ALTOS ' 2 ® S Ca ® 8 i3 8 9 P? You must ask the defendant (in person, in writing, or by phone) to pay you before you sue. If your claim ls for possession of property, you must ask the defendant to give you the property. Have you done this? Yes D No Ifno, explain why not: .j Why ate you filing your claim af fhls-‘courthduse? ’ This courthouse covers _th_e a_rea (duck the One (bar applies): a'. E ( l) Where the defendant lives or docs business. (4) Where a contract (written or spoken) was made, (2) Where the plaintiff’s pmpeny was damaged. signed, performed, or broken by the defendant or (3) Where the plaintiff was injur’ed‘ where phg defendant lived or did business when the I defendant made the contract. b. D Where thq buyer or lessee signcd the oontra‘ét, livcs now, or lived when the contract was made, ifthis claim, is about an'bffer or contract for pgrsonal, family, or household goods, sc_rvices, or loans. (Code Civ. Proc.. § 395(5)) I c. D Where the buyer signed the contract, lives now, or lived when the contract was made, ifthis claim is about a retail instaHmentcontxact (like a credit card), (Civ Code. § 1812.19.) d. D Wham the buyer signgd thp contract. lives now. or livog when ghc cophagt was made, or whcre the vehicle is permanently gamgcd, if this claim is about a vehicle finance sale. (Cw Code. § 2984.4.) e. D Other (specifi): ® List the zip code of the place checked ini®fabove (z’fyou know): 94022 ® Is your claim about an attorney-client fee dispute? D Yes B No Ifyes. and [/‘yoa have had arbitratiomfill outform $6101. attach i! to thisform, and check heré: [32 Are you suing a public entity? D Yes B No lfyes, you musljile a wrillen claim with the enlityfirsl. D A claim wgs filed 9n (dale): lfrhe public entity deniesyour claim or do'es not answer within the time allowed by law. you canflle Ihisjbrm. Have you med mpre than 1g otngr small claims within the last 12 months In oamomla? D ch m No lfyes, thefilingfeefor this case will be higher. ® Is your claim for more than $2,500? E Yes [j No Ifyws, I have nolflled. and understand {hat I cannolflle. more than two small claims casesfor more than $2.500 in Califilmia during (his calendaryear. | understand that by filing a claim in small claims court. I have no right to appeal this claim. - I declare, under penalty of perjury under Califomia State law, that the infomation above and on any attachments to this form is true and correct. - Dam o \ 19L; ' ‘ ‘ >WW Plamti s or prints na-tw her fl Li“, ) \\ @ifl-ans here Date: r Second plainnjfl'lypes or prints name here Sgcondplainnflsigns here ' Requests for Accommodations .~ i=3: Assistive listening systems, computcr-assisted real-time captioning, or sip language interpreter crviccs arc avaiIablc ifyou ask at least five days before the trial. Contact the clerk’s office for form : MC-4 10, RequesrforAccommodations by Persons With Disabilities and Response (Cw. Code. § 54.8.) ‘ WW1“ ‘ Plaintiff's Claim and ORDER to Go to smau Claims Court 86-100. Pena acts (small Claims) '9 / A‘ / \a /] {v} Case Number: SC-1 00A Other Plaintiffs or Defendants g g S (M) 8 2 8 9 ”27 _ ms form is attached to form sc-Ioo. item lorz. CD If more than two plaintiffs (person, business, or entity suing), list their information below: Other plaintiff's name: Street address: I V ‘ I ~ ‘ ‘ ’ ' -' _ _ I I _ Phone: City;- ’ State . Zip; . H MaiI-ihg address ({ldtflerem) ’ City; » 4 Statez: ,._‘ ., :_ Zip: Is this- plé?hnfdbihg'busine§: undef bfibfifiou} name? C] Yes ‘D No [fyes. arrachform SC-103.» Other plaintiff’s name: Street address: _ 4 m - Phage: Cit)": > s I r II I u ~ State: Zip: Mailing address (:fdg'flerem); ‘ I I , . C_i_ty;.. } _ _Sta_tc Zip: ls Ihi‘l plaihnfl'doihg‘bm'mess under aficfinous namé?D Yes D No lfjm. a(Iachj'orr'n-‘SCJOi t D Check here ifmore Ihan 4 pIainnjfls- andfl'll our and attach anolherfarm SC-IOOA Q) If more than one defendant (person, business pr entity being sued). llst their lnfgrmatlon ' ’ below: Other defendant's name: Barbara Feins'em Sweet address. 7 Garland Place phgnc; (516) 7684875 City; Menlo Park State: CA Zip: 94025 Mailing address (ifdm'erenya; Cit}: State x ‘ Zip r , lf this defendant is a corporation. limited liability company. or public emiiy. list the person or agent aulhorizedfor N service ofprocess: Name: lob title, ifknown: Address: V ' ‘ _ City: " V ‘ * “MW" ‘ ’ I ' Stétci ' M " ” Zip}; ’ ' D Check here ifyour case 'i's agaihsf beé'rhan two dejé'ndanrs, andfill du'! dnd attach anothe'rform SC-IODA. n ® ls your claim for more than $2.500? E Yes D No lfyes, 1 have not_filed. and understand that] cannoljile, more than two small claims casesfor more than $2.500 in Califbrnia during {his calendar year. G) l understand that by filing a clalm in small claims court, l have no right to appeal this claim. Idcclare under penalty of peljur)‘ under California state law-that the information above and on any attachments to this form is true and correct. p WW Type or print your name Sign your name mm°§$$$$$£fw Other Plaintiffs or Defendants 86-10%. Page _or_“W‘m‘m WWW“ (Attachment to Plaintifi's Claim and ORDER mmmw to Go to Small Claims Court) “\;/ /’ \\-/ Information for the defendant (the person being sued) "Sma" 0mm? 90'1“" '5. § 3999‘?!WWW?” dEims '°' ' Prove this is th'e wrong court. Send a Ietier to the court $1 0.000 0f 3668 are deddfid- Individua's. induflnfl 'namfal before your' trial explaining why you think thle-le the wrong court. Persons" 30d 90'9 PTODVMOFS. may Claim UP t0 310.000- Ask the court to da_mles the dalm. You mm! serve (give) a copy CorporafiQM- Paflnemflm- Puwc 903398. and Other WBIHGSSGB o! your letter (by méii 6r in person) to all parties. (YOU! letter to are limited to clalms ol $5.000. (Seq belowfor exceptional) The ‘ 1119 court must say you have done so.) processiis quick and cheap. The tuléa are simpla' and inlormal. , . Go to the trial ahd try to win your case. Bring You meme defendgmqhe person bemg sued The person Who I8 witnesses te‘ceipm, and any evidence you need to prove your sums you ls me plain!“ case. To have the court order a witnesg to go to the trial fill out Do I need a lawyer? You may taIk to a lawyer beforeor afler torin sc-107 (Small Claims Subp'o'ene) énd have it served on the case. But you may no! have a lawyer reptese'ht you in court the witness. (unless this l_s a_n appeal {tom a small claims case). . Sue-{hg person whp i8 SUing YQU- nYW haVe 3 daim HOW _d° l 9°! ready for 69"“? YOU don't have t0 file any .againanhe plaintiff, and tn'e cialm Ie‘appropriate tor small dainis papers bdore your tn'al. unless you think this ls the wrong- court for court aadescribed on this form, you mayzflle Defendant's Claim Your 038° 9m bflng 10 YOU! Ma! any Witnesses. fBCGIPB. 8M (1mm 80-120) and bn'ng’ihe claim in this action. If your claim ls evidence that prom' your case And fead‘ae Prepared for Your tor more than allowed In small claims court, y'ou may ‘stm me n In Tflar- 81WWW COWS 08 QOV/Smafldalmypmmm ‘s'ma'fi claims coud i! you give up the amount over the small What [f I need an accommodation?u you have a cl_ajms value ampum oryou_ may flla a daim fat (he full v_elue of disability or are hearing impaired fill oul torm MC-410 Requésl {or mé dam m the appwp'me court If y°ur dam '8 f°r mom than Accommodations. Give the form to your court dark or the ADA! “I'md "‘ “ma" claim“ mu" WIBMW t° "w same WW8“- Access Coordinate“ """ trwgaction. mataler. ox egg: thiagt: thq subjfid of thq plaintiffs .. - c a m, you may e you: m n eaapptopr ate court and flle aWhat fl I don’t speak Engns" we"? Aa-k the mu“ de'k motion to transfer the plaintlfi‘a '8 daim to ihal court to resolve 83 80°" 33 PWBWB for 3 coun'PTOVidgq in‘9’P'9t9L Y0" may “.39 both matters together. You can see a description oi the amoums term INTT300 orjoc'al-court form to rgqgg'gt an in_l‘grprater. If a= Iau'awed in the paragraph above fiu'ed "Small calm, Conn;- ooun interpreter i8 notgv'allable-at the time of your tn‘algjit m'ay be . . _ . . necessary to teachedula your trial; You cannot bring yo'ur own ' Agree W'th the Plamt'fi‘s 3'3”“ and Pay the i'nterpretar for thé kial unless thé Interpreter has beéh apptoved money. Or, if you can‘t pay the money now, go to you: triei by the court as a certified register_ed or provisionally qualified and gay you want to m’eke paymenm. mggzeote)" (-399- ca-I' Ru,“ Of count 'me- 2~ 893' a~nd form ' Let the case "default." If you don't Betti: and do not go to the trig! (default), the judge may give the pléimjfi what ha or she Where ca." | get. the 6.99.“ forms I need? 6° t° any is‘ ahklng tor plus court costs If thi's happens the plaintiff can wurthousa 6r your county lawllbrary, oi print forms at www. .egany {aka you, money. wages and property go pay the waits.cal.gov/smaltclaims/fms. judgment What happens at the trial? The judge wiu-insten io both What if l need more time? aides, The judge may make a decision at you: tdal or mall the You can changa' the mg dgte‘ If “dew" t° W" '3‘"- V You cannoi go to court on the schequlqd date (you wlll have to What if l lose the case?" you lose. you may appeal. Yod‘ll pay a fee to postpone the tdal) or have to pay a fee. (Plaintiffs cannot appeai their own claims.) You d_id no‘l get served (receive this order to go to coun) at least . Ir you were a1 the trial, me {mm sc-140, Notice orAppeargvou . 15 days WOW the "18' (0' 20 “BYE Ff YOU “V8 Outside "‘9 must fiie within 30 days after the clerk hands or malls you the WUNW). 0' I ‘ judge-s decision (judgment) on Mm 50.200 o, 10m $0.1 30' You need more flme to get an Interpreter One postponement Is Noyce of En,” O!Judgmem aflowad and you will not have to pay a foe to delay the trial. . Ir you were nor a: me trial, rm out and me torm sc-135, Notice or A8“ "‘° Sm“ 9'8"“ C‘e'k am" "‘9 "“93 3"" '“8 ’°' Motion to Vacate Judgment end Declaration, to ask the Judge to ”mm“ a ma" 0' fl" °mmm SC 15° (.or wme a letter) and cancel the judgment (decision). "the Judge does no! give you a mm} it to the court end to all othe! peopte listed on your court I newtrial, you have 10 days to appeal the decision. Fna form paw“ heme "3° deadnne' Endme a °h°°k f” ym" °°un feefl' 5C4 40‘ unless a fee waiver was gtanled. For mom information on appeals, Bee www.cowts.ca.gov/ Need he'p? sma’ma'myappee’s' Your county's Small Claims Adviser can help vior free. Do l have options? _ I Yea. If you ale being sued, you can: I- SmaII-Clalms AdVISor j ‘ Settle your case before the trial. Ifyou and the (408) 882-2100, (Options 2, 6) plainu'fl agree on how to settle the case, the piaintiff muat file g ' form CIV-1 10, Request for Dismissal, with me clerk. Ask the L. _ .J Smafl Claims NMBO’ 10f WP- 0r go to www.coufls.m.gov/smallclaims/edvisor. ' Excepfions: Diflerem limits apuy In an action against a defendant who Is a guarantor. (See Code Civ. Proc.. § 116.220(c).) . “W“W'H’m Plaintiff's Claim and ORDER to Go to Small Claims Court 3°40": F898 “0'5 ‘ (Small Ciaims) a InformaciOn para el demandado (la persona demandada) La "Com do reclimon mfinoms” ea una cone eapeclal donda ea dedden eases por S10.000 o menou', Loa individuos. o sea lea 'pamonas flsieas- y los propnemrios por cuenm propia. pueden raclamar hash 310 000. Ls: oorpomdonu; asociacionos. entidados pubficaa y aims emroaae solo pueden mdamar ham $5.000. (Von abajo para las excapcipnes. ') E1 proo'eeo ea répido y bamto Les 'regl'as son uncillas o Infannaloa Umd as cl Dorhandddo-h pemna-qua w adé damndnndo. La persona qua lo 93th demandahdo ea ol Demandahm. maceslb un abogado? Puede hablar con un abogado antes o después dol ease Pero no puedo tenor a un abogado qua Io reprea'anm ante Ia cone (a mono; qu_e ac kale do una a_pelaelbn da un e930 dé redamoa menores) (,cbmo me prepam para lr-a la cone? No Hana qua presenmr ningunos papal” a_nmq de'! Maia, a mono: qua pionu quo 6m es la eérte 'oquivocada para eu case. Para Ileve al juicio cualquior tosflgoa. redbos y pmabas quo apoyan w ceao. Y loa- 'Esté pmparado pn'rn su iuxdo' _e_n www.counn ca.govlrecl'amomenore'slpreparase. zuué ago}! n9 Ibo una a_d'apta'albn? Si fiana una digcapacadad o fiana irnpadimantos do audiu'dn; Hone el funnulado M6410 Request for Accomodatiana Entogua el fon‘nulario a_l Bocrowrio da la com o al Coordinador de AweaolADA do su com. (,Qué pun s’l no hablo blen lngléi? Solicits un imamrete al Beaumrio da la com Io més pronm paslbb. Puode user al fonnulado |NT-300 o un formuario de au cone local Si no cam diaponiblo un intérpmtg do [a corté para su Juido. a'a pcslbla qua s_e tgngn qua eamblér. [a fe'cha do nuMom No puada never Bu propio Interprets para ~'almin a meme qua el imbrproh hayg aide aprobado par [a com coma unJntérprah certifimdo mglstrado, o provisionalmems calificado (v.63 b rogla 2893 d9 1a8 Rogl'a's do la Corte de California. y _el formulano INT-1 ‘0. ) (,Déndg pugdo ghggg‘er log tongulgrios de l'a com qua neceslto? Vaya a w‘alquiet edifieio da la code la bibliotece hgal d9 au condado. o impr'ima lqs fotmularios en www.coum ca.gov! amallclqimsnorms (pég’in’a' om a_n lnglés). ¢Qu¢ pan a‘n cl lulclo? El juez es‘oucharéiaiambaa partaa._ El juez pqedeflgmsr au decisién duranta la audianda o enviérsela par correo deepué's. (,ch pan ll pl‘erdo 'el cam? SI plerda pupda apelar. Tendm qua pager una ouofa (El Demendante no puode apclarsu propio rodamo ) . Si astuvo pmsenm-en el julcio, Sena el lormularlo SC-140, Aviso d9 apolacidn (Notice of Appeal). Tiene qua presantndo denim de 30 dlas despué‘a da qua s] mercuric la entragua o envlo la decisibn publicacidn do! fella (Notice of Emry oi Judgment) . Si no estuvo en el jw'olo Ilene y presents el formulan'o SC-135 Awm dc pencidn para anular o! folio y Dedamcién para pedina al juez qua anuie el fallo (dac'miOn). SI In com no la otorga un nuavo luldo, fiono 1O dies para epolar Ia decisién. Preseme el formulario 80-140. Para obtaner mfiglnformacibn eobre Ina npelacionas, van www. courts.m.govfladamomnona/apolocionos. Henge otras opctones? SI, Si Io eaten damandando. puedo: . Rnsolvér su oalo antes del lulcld. Si usted y 6| Demendante so ponen d9 awerdo en coma rosalvot o! woo. el Domandanto tione que presenter el fonnuiario CIV-1 10, Soiicimd d3 dosesb'macién (quuast (or Dismissal) ante el secretario de Ia aorta. Pldaie al Asesor do Rodamoa Menoraa qua Io nyudo. . Probar qua u la com oqulvocada. Envle una carts a Ia corto antes d8! hido expflmndo por qué ctog qua es Ia com equivooada Pldele a la‘ com qua despHa ol recla'mo.Tiene qua entregar (dar) una oopla do su carts (por eorreo o en persona) a Mas la: paths. (Su cam a la corps flene qua decir que hizo Ig 0W3 . Ir a! Julclo y tratar ds‘gan‘ar cl caso. Lievo tés‘ufgos. recibos y oualquier prueba qua nbcesite para probar su easjo. Si doses que la' corfa emim un_a orden de oomparecana’a para qua loa- tasfigos v_ayan al Mdo‘ Ilene c! Emlgqjg 36-10]. Cifalpn'o go m_dqmgs monoras (Small Claims Subpoena) y entr'égue‘selo legalmenta el tastigo. . Déinapdgr a la panong qua Io damgndé. SI flgng un rggamo aorta da mdamas menoros m! oomo sa desaibe an am formularlo, puodo prgsonhr e! {annulaflo 80-120. Reclaim dol damangada (Dgfgpdant’s Claim) y prosentado o'n eats trim case. Si su mdamo a‘xmda el- limits perm‘iflda an la cone de reclamoa m_enorqg. puadp igmlmenb proacnhrlo 9n _la_ oorte de radamo‘s menor'a'e si-em dispue‘gto a {imimrw molamo al méxlmo permiu'do o puada prgaonbr un reclamo po'r el rn'onto Cowl en la com apropmd_a.~ Si cu mdnmo exeede. ol limits permltido en |_a com de rechmos m‘enor‘as‘ y am m_jaclonado eon epmpiada y pydaamr u_na modbn para Iranslenr ol moiemo dol Domandanm a dicha com, para podbr ren'ulva'r loé do'a raciémos‘ pérrafo ariErioi fimlado‘cma dc mdamogmenores'. . Aepmr el m_clqmo dal Demandante y pagar el dlnetp. O, 'aino' puedo pager en one momanto, vaya al'Juicio y diga qua quiere- hacer loa pagoa. . No Ir a_l julclq y accpta? O_I‘ra'llo pgr gig d3 cgmpamccncla S; no Hogs a un awerdo con el Demandanm y no va al'.gyicio (tallo ' por farm do eompamoencip). ol juez le puede otorgaq 5i Demandanh Io qua 03% radama'ndo mas lo‘s castes de [a cone, En eae mag. 'ol Dymandanla lagalmente puedo tamer su dinerp'. su waldo o 'sua bianoa para oobrer 'el lallo. ¢Qué hago :1 neceslto mt: ue'mpo? Puada cemblar la techs del Ju'cio sj: - No puede {r a la aorta en la techs programada‘flandrt qua. pager una ouch: para aflazar el julclo). o - No lo entogaron loa documentos loga‘lmante (no rché Ia ordan para ir. a lg mm) pér lo méhbs 15 dléé aims dal jdido (6 20 dla‘a si vrve mm del eondado) o - Naceam mas fiempo para consaguir intétprate (So permits un solo aplgzamieppo a_in bnpr que_ p‘agar cuot‘a pam aplazar _el julcbo) Proguntele Bl woremrio da redamoa manoros cobra [as raglas y lea moles para aplazar un juicio. 0 Ilene al formulario 80-150 (o asaiba una mm) y onvlalo antes d_el plaza a la com y a todas Ins o(ms persona: qua figuran en sun papoles de Ia cone Adjunta un cheque pare pager loo cosine do la outta a manou' qua la hayan dado una exendbn. ¢Nece‘slta ayuda? El Asesor de Recbmos Menoros do su oondado ls puede ayudar sin cargo. Small-Claims Advisor (408) 882-2100, (Options 2, 6) J ' 0 viaite www.oouns.ca.gov/rudanwsmanoms/esesoms. ' Exccpclom: Eth Ithwm rum an u-n Iodum camem gamma. an u‘ Codlgo d. Proocd'rnenw Civil; uccb: 116m (6)) Emu Jammy 3. 2am Reclamo del Demandante y ORDEN 80-100. Page 5 or 5 Para lr a la Corte de Reclamos Menores (Reclamos Manores) /’\ / /7\ l, ‘X/A} «,X‘J ’ Case Number: Q&éffiflgggg “misfonnisattachedto: E] Form sc 100 0R D Formsc 120 C1) If you want to flle a small claim and you are doing buslness under a flctltlous name (“dglng business as," or “dba") give the following information. (Nanprofiu and exempt real estate inve.mnent :ru.m do not have tmlesothisom6RCAL. a Califomla domestic nonpmfit corporation. doing business as Business name of the person suing: IHETERROACDES AT LOS ALTOS Business address (no: a U.S. Postal Service P.0. Box): 37a Ping Lgn‘g,‘ L95 511951 CA 94022 Mailing address ((fdifi‘erem): ® The business Ilsted In G) does business as (check ONLY one).- D n9 inéivflae! E acomranlon D ' an association D a limited liability compaay D apanncrship D other (specify): You mu.srfollow the_ lawsforfl‘critious business names. U‘you have notfallowed these laws mcludmgfilmg a ficmmus business name stalement in your county and pubfishing this information'm a local newspaper, the court can dismiss your case. ® Name ot county where you med your Fictitious Business Name Statement (dba): Samanlamfiountv ® Your Fictitious Business Name Statement number: FBN542151 ® Dale your Fictitious Business Name Statement expires: may 10. 2023 o I declare. under penalty of perjury unilcr California State law. (hat the infbrmation above. is true and correct.- Only the owner, president, chief executive officer (CEO), or other qualified officer can sign this form. Date: 31 L_ZZQZO_._._..__° Typ rim your name nd title Sign ®J$® help?®Your county's Small Claims Adviser can help for free. l SmaII=CIaimsAdvisor 1 (408) 882-2100, (Options 2, 6‘. I 0r go to "County-Specific Court Information" at: www.courtinfo.m.gov/selfllelp/smallclaims Menioouflciol Calioma. . m. . RM“, Jaw, hmwggfiw “9°" Fictitious Buslness Name s_C 103353;:31 Coda at Cmrfimauas ussao, (Small Claims) Bwneu ma Pumas Code, § 17m c1 Mo
