Request Court Order Small ClaimsCal. Super. - 6th Dist.April 29, 2020sc_105 Request for Court Order and Answer _ (Small Claims) Request This form is used to ask the court to make an order before or afier the trial in a small claims case. The court will notify all plaintiffs and defendants in this case about its decision by mail, at the trial, or at a hearing (depending on when the request is filed). If you are the person asking the court to make an order, ask the Small Claims Adviser ifthis is the right form for the kind of order you want. If so, follow these steps: - Fill out page 1 ofthis form and‘ file it at the clerk’s office. ° Ifyou are making this request before your trial, you must mail (or deliver in person) a copy of this form to all other plaintiffs and defendants in your case. Exception: If the plaintiffs claim has not been served, you do not have to serve thiS’request 0n the other plaintiffs and defendants in your case. ° If you are making this request after the judge has decided your case, the clerk will mail a copy of this form to all other plaintiffs and defendants in your case. The court will give the other plaintifis and defendants at least 10 days t0 answer this Request. If you receive this form, read below, then fill out®-.on page 2. ® The person asking the court to make an order is: Name: Oportun Inc Address: P.O Box 2146 Menlo Park, CA 94026 Check one: D A defendant in this case E A plaintiff in this case D Other (explain): Clerk stamps date here when form is filed. APR 2 9 2021 Clerk of the Court Cnurfiv n1 9mm Glam DEPUBY y Fillin court name and stmet address: Superior Court of California, County of Santa Clara Santa Clara-San Jose Courthouse 191 N 1st St. San JoseCA951 1 3 u Fill: in your case number and case name below: Case Number: 205c083274 Case Name: Oportun Inc. vs. Jose Alberto Bedoy Carrillo ® Notice t0: (List names and addresses ofall other defendants andplaintififs in your case.) Name Address a. Jose Alberto Bedoy Carrillo 5366 LARCH GROVE PL SAN JOSE CA 95123 b. a . C. E Check here ifyou need more apace. Use Form MC-03 I or aplain Sheet ofpaper. Write "SC-I 05, Item 2 " 0n top. If your request is made before the trial and afte’r‘the claim was served, fill out below: I D mailed D delivered in person l ask the court to make the following order (specifiz): a copy ofthis form to every0ne listed in ® on (date): Dismissal was granted Without Prejudice. The request is to dismiss the case With Prejudice. 0 ® l aSk for this order because (explain andgivefacts ofyour case here): D Check here tfyou need more space. Use Form MC-03I or a plain sheet ofpaper. Write "SC-I 05, Item 3 " on top. The corrections is being requested as there is no intention t0 refile the case and would like for court records t0 reflect that. In making its order, I ask the court to consider the infonnation 0n this form, holds a hearing, the evidence presented at that hearing.®® true and correct. Dat : 04/15/2021 n x 7, marEs. (For Oport'un) Qpecialinf =~v‘ Type or printyour name D Judicial Council of California wwwloourfinfomgov Revised January 1. 200?, Optional Form Coda of CM! Procedwe, §§ 116.130(h): Califomla Rifles of Court. rule 3.2107 (Small Claims) Sign you;W Request for Court Order and Answer D Check here ifyou need more space. Use Form MC-031 0r aplain sheet ofpaper. Write "SC-I 05, Item 4 " 0n top. any records on file, and, if the court I declare under penalty of perjury under California state law that the information above and on all attachments is _/ SC-1 05, Page 1 of2 .9 sc_1 05 Request for Court Order and Answer (Small Claims) Answer The person listed in© 0n page 1 ofthis form has asked the court to make an order in your small claims case. Follow these steps to tell the court what you want to do about this request: - Read page l to see what the person in @is asking for. - F111 out ®-. below. - Mail your completed form to the court right away. ° Mail a copy ofthis form to each plaintiff and defendant listed in ® and ® on page 1 of this form. The court will mail its decision to all plaintiffs and defendants in this case or will make a decision at a court hearing or trial. Ifyou do nothing, the court may make the order without hearing fi'om you. The person filing this answer is: Name: Address: Check one: D A defendant in this case D A plaintifi in this case Tell the court what you want to do about this request. (Check all that apply): a. U Iagree to the order requested in ®. b. D Ido not agree to the order requested in ®. (Explain below.) CIerk stamps date here when {om} ls filed Fi/I in court name end street address: Superior Court of Califomla, County of Santa Clara Santa Clara-San Jose Courthouse 191 N 1st St. San Jose95113 Fill in your case number and case name below. Case Number: 205c083274 Case Name: Oportun Inc. vs. Jose Alberto Bedoy Carrillo D Check here zfyou need more space. Use Form MC-031 or a plain Sheet ofpaper. Write "SC-105, Item 8" 0n top. c.D I ask the court to have a hearing to decide this matter. 669 true and correct. Date: D Type or print your name Need help? For free help, contact your county’s Small Claims Advisor: {mailed a copy ofthis form to everyone listed in© and® ofthis fonn on (date): Ideclare under penalty of pexjury under California state law that the information above and on all attachments is Sign your name Ifthe request 0n page I was made m?er the hearing, the clerkfz‘lls out below.- Clerk’s Certificate ofMailing- Icertify that I am not involved in this case and (check one): D A Certificate ofMailing is attached. Or, go to "County-Specific Court Information" at www. courtinfo.ca. gov/selfhellv/smallclaims D The Requestfor Court Order andArzswer was mailed first class, postage paid, to all parties at the addresses listed in . 0n (date): From (city): . California Clerk, by . Deputy Revised January 1. 2007 (Small Claims) Request for Court Order and Answer SC-1 05, Page 2 of2
