Clerk Rejection LetterCal. Super. - 6th Dist.March 10, 2020SUPERIOR COURT OF CALIFORNIA SANTA CLARA COUNTY Downtown Courthouse - Small Claims Division 191 North First Street San Jose, CA 951 13 (408) 882-2100 options 2, then 7 0 Public Case Information Website: www.scccaseinfo.org Providing access to local cases through online search & retrieval. 0 Main Website: www.scscourt.org _Providing access to rules, forms, fees, locations & phone numbers. Document Return Form [Paul A. Losch ] Case Number: 2030082902 [891 Lincoln Ave. ] [Palo Alto, CA 94301 ] Case Title: Dear Sir/Madam: Your amended Plaintiff's Claim is being returned for the following reason (s): D The document requires a $ fee or a waiver granted by this court. D A “Request for Dismissal” must be filed if a judgment has not been rendered. D DUDE DD EDD SUD DD D The "Acknowledgement of Satisfaction of Judgment" which is on the back of your original Notice of Entry of Judgment is required after a judgment has been entered D The EJ-1 00 form (Acknowledgment of Satisfaction of Judgment) is required when an Abstract of Judgment has been recorded. The defendant’s statement of assets must be sent to the plaintiff. The court does not fon/vard mail between parties. There is an automatic 30 day Stay of Enforcement from the date of judgment. The Facsimile Transmission Cover Sheet is required and must include the following information D three digit verification code iocated in the signature area on the back of the credit card D the zip code of the billing address for the credit card The document requires a $ fax filing usage fee or waiver of fees granted by this court. When the party filing did not appear in court at the time the judgmentwas entered the Notice of Motion to Vacate is required. When a judgment is reached at a contested hearing where both parties appeared the Notice of Appeal is required. The Request to Pay Judgment in _installments requires that the financial statement be completed. A Notice of Appeal has been filed. Enforcement ofjudgment cannot be processed until the Appeal’has been decided. The Order of Examination D must indicate the name of an individual or the representative of a business D must list the defendant’s name exactly as it's listed on the Notice of Entry of Judgment D may not be processed if an Order of Examination was conducted within the last 120 days. The costs claimed on line 12 of your Writ are not allowed at this time. D A Memorandum of Costs has been filed but the time has not elapsed for the judgment debtor to file a Motion to Tax Costs. The does not match the original information on file. The document requires D an original signature D a notarized signature D the signature of D a copy to be sent to the opposing party before it can be considered by the court. The above form is D incomplete D incorrect. Please review the information where the “Red" check marks are placed. The case has been dismissed. D In the future please submit a self addressed stamped envelope. Other: Duplicate request. Amended claim was processed and filed 5/6/20, service copy was mailed to you. Clerk of the CourtA I MAY 1 3 2020 Clerk, by 001%?ka 04M DeputyV A. GRANADOSI V ‘ Wle Court smflis not authorized to give you legal advice 0r instruct you on which Iegalfl7rms to use, as this constitutes an unauthorized practice oflaw. The Court recommends that you seek appropriate legal assistance. SC-801 3 REV 7/12/11 AM E'N'D‘M‘ENT“” ' Plaintiff's Clalm and ORDER Clerk stamps date here when formis filed. SC'1 00 to Go to Small Claims 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 Cl) on page 2. ' You and the plaintiff must go to court on the trial date listed below. If you do not go to court, you may lose the case. ' If you lose, the court can order that your wages, money, or property be taken to pay this claim. ' Bring witnesses, receipts, and any evidence you need to prove your case. F”, in com name and street address: Superior Court of California, County of Santa Clara Downtown Superior Court ' Read this form and all pages attached to understand the claim against you and to protect your rights. Aviso al Demandado: ' Usted es el Demandado si su nombre figura en® de la pégina 2 de este formulario. La persona que lo demanda es e] Demandante, la que figura en 5a“ 1°56) CA 951 13 191 North First Street CD de la pégina 2. Court fills in case number when form is filed. ' Usted y e1 Demandante tienen que presentarse en 1a corte en la fecha del Case Number: juicio indicada a continuacién. Si n0 se presenta, puede perder e1 caso. ' Si pierde e1 caso 1a corte podria ordenar que le quiten de su sueldo, dinero u Case Nam - Paul Loschev. Cedar Crest Nursing & otros blenes para pagar este reclamo. Rehabilitation Center ' Lleve testigos, recibos y cualquier otra prueba que necesite para probar su caso. ' Lea este formulario y todas las paginas adjuntas para entender 1a demanda en su contra y para proteger sus derechos. ~Order to=66$6 Cd‘t’lrt The people in Q) and ® must go to court: (Clerkfills outsection below.) a Date Time Department Name and address of court, if different from above Date 2. 3. Date: Clerk, by , Deputy Instructions for the person suing: - You are the plaintiff. The person you are suing is the defendant. - Before you fill out this fonn, read form SC-lOO-INFO, Informationfor the Plaintiff: to know your rights. Get SC-IOO- INFO at any courthouse or county law library, or go to www.courts.ca.gov/smallclaims/forms. - Fill out pages 2 and 3 of this form. Then make copies 0f 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 these copies to the court clerk’s office and pay the filing fee. The clerk will write the date of your trial in the box above. - You must have someone at least 18-11ot you or anyone else listed in this caseagive each defendant a court-stamped copy of all five pages of this form and any pages this form tells you to 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. JudicialCouncilofCalifomia, www.couns.ca.gov Plaintiff's Claim and ORDER SC-100, Page‘] 0f5 Revised January 1. 2020, Mandatory Form Cd rC'w d , 116.1101 ., ' 1:6'Z§0(C;YI11§36:0(1;39 §§ e seq to Go to Small Clalms Court '9 (Small Claims) Generated by Guide and File Plaintiff (list names): Case Number: k Paul Losch fifimflimjemfizygb G) The plaintiff (the person, business, or public entity that is suing) is: Name: Paul Losch Phone: 415-269-1427 Street address: 891 Lincoln Ave Palo Alto, CA 94301-3333 Street City State Zip Mailing address (ifdijferent): Street City State Zip If more than one plaintiff, list next plaintiff here: Name: Phone: Street address: Street City State Zip Mailing address (ifdijj’erent): Street City State Zip U Check here ifmore than two plaintififs and attachform SC-IOOA. D Check here ifeitherplaintifllisted above is doing business under afictitious name. Ifso, attachform SC-103. D Check here z'fcmy plaintiflis a "licensee ” or "deferred deposit originator” (payday lender) under Financial Code sections 23000 et seq. ® The defendant (the person, business, or public entity being sued) is: Name: Cedar Crest Nursing & Rehabilitation Center Phone: 408_738_4880 Street address: 797 East Fremont Ave. Sunnyvale, CA 94087 Street City State Zip Mailing address (#difi’erent): Street City State Zip lf the defendant is a corporation, limited liability company, or public entity, list the person or agent authorized for service of process here: waarmeg-mTfaGie-MUEIKYWN Job title, ifknown: Administrator Address: 797 East Fremont Ave. Sunnyvale > r ¥ CA 94887 Street City State Zip D Check here z'fyour case is against more than one defendant, and attachform SC-I 00A. D Check here ifanv defendant is 0n active militarv dutv. and write his 0r her name here: G) The plaintiff claims the defendant owes $ $131.00 . (Explain below).- a. Why does the defendant owe the plaintiff money? I entered Cedar Crest for physical rehab after I broke my shoulder on 1/ 19/2020. My personal belongings, including my shoes, were placed in patient bags at E1 Camino Hospital, ,where I initially stayed, and were transferred with me t0 Cedar Crest - When did this happen? (Date): b. If no specific date, give the time period: Date started: 1/22/2020 Throughx3/3/2020 C. How did you calculate the money owed to you? (D0 not include court costs or fees for service.) Price paid for shoes Check here ifyou need more space. Attach one sheet ofpaper orform MC-031 and write "SC-100, Item 3 ” at the top. REV‘SWWW-ZDZ" Plaintiff’s Claim and ORDER to Go to Small Claims Court 30100: P3992 °f5 (Small Claims) "N 9
