Defendant s Claim 5001 to 10000Cal. Super. - 6th Dist.April 24, 2020Defendant’s Claim and ORDER CIenkstamps date here when formis filed to Go to Small Claims Court " ‘ ' D am E Notice to the person being sued: ° You are being sued by the person you are suing. ° You must g0 to court 0n the trial date listed below. Ifyou d0 not g0 t0 court, you may lose the case. ° If you lose, the court can order that your wages, money, or property be taken t0 pay this claim. E. Mart ez ° Bring witnesses, receipts, and any evidence you need to prove your case. Fill in court name and street address: Superior Court of California, County of ° Read this form and all pages attached, t0 understand the claim against you and t0 protect your rights. SANTA CLARA Aviso al demandado: 191 N First St. San Jose, CA 95113 ' La persona que ha demandado 10 esta' demandando a usted. united States ° Tiene que presentarse a la corte en la fecha de sujuicio indicada a continuacién. Si no se presenta, puede perder el caso. Fifl in case number and case name: Case Number: 20$C083473 ° Si pierde e] caso la corte puede ordenar que [e quiten de su sueldo, dinero u otros bienes para pagar este reclamo. ' Lleve testigos, recibos y cualquier otra prueba que necesite para probar su caso. Case Name: ° Lea este formulario y todas las pa'ginas adjuntas, para eutender [a demanda en su contra y para proteger sus derechos. Order to Go to' C'burf'fi The people in (D and ® must go to court: (CIerkfi/Is omsecn'on below.) Date Time Department Name and address 0f coun if different from above 1 09/0 [/2020 1:00 pm 14 ' Seperior Court of California 19] N First SL, Slh flood San Jose, CA 95113 Uniltd Snalcs 2' /'_\ 3. A )f Date: AUEZ 6 2820 Clerk, byY f\}!L / \ Instructions for the person suing: E- Mfilmnez v o Before you fill out this form, read Form SC-lOO-INFO, Informationfor the Plaintifi to know your rights. Get SC-l OO-INFO at any courthouse 0r county law library, 0r g0 t0: www.cOurlinf0.ca.g0v/f0rms o Fill out pages 2 and 3 of this form. Then make copies 0f all pages ofthis form. (Make 1 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 ofyour trial in the box above. - You must have someone at least 18--n0t you 0r anyone else listed in this case-give each Plaintiff a court-stamped copy of all 3 pages ofthis form and any pages this form tells you t0 attach. There are special rules for “serving,” or delivering, this form t0 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. J . i . . _ ‘ I . - Rflgggfiggggfiyfifjgfifimmgggnw9°v Defendant’s Claim and ORDER to Go to SC 120- P8991 0"3 CodeofCivilProcedure,§116.110etseq. Small Claims Court (Small Claims) Defendant (list names): « Case Number: 9930,086W73 (D The Plaintiff (the person, business, or public entity that sued first) is: Name: DAVID SARASURA Phone: 408.972.5809 Street address: 3002 BREEN CT. SAN JOSE CA 95121 Street City State Zip Mailing address (ifdifferent): Street City State Zip If more than one Plaintiff, list next Plaintiff here: Name: Phone: Street address: Street City State Zip Mailing address (ydifler‘em): Street City State Zip D Check here ifmore than 2 Plaintiffs 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: DAVID A. PAZ JR. Phone: 669.294.4100 Street address: 966 PACIFIC AVE. SAN JOSE CA 95126 szneet City State Zip Mailing address (ifdiflerent): Street City State Zip If more than one Defendant, list next Defendant here: Name: Phone: Street address: Street City Stare Zip Mailing address (:fdifi’erent): ' Street City State Zip D Check here ifmore than 2 Defendants and attach Form SC-IZOA. D Check here ifet'ther Defendant iisied above is doing business under aficiitious name: Ifso, qttach Form SC-I 03. The Defendant claims the Plaintiff owes $ 10,000 (Explain below).- a. Why does the Plaintiff owe the Defendant money? breach of contract, breach ofwarranty 0f habitability, breach of quiet enjoyment, negligent & intentional emotional distress, breech of privacy, nudity, sexual misconduct... b. When did this happen? (Date): If no specific date, give the time period: Date started: 07/01/2013 Through: 12/31/2020 0- How did you calculate the money owed t0 you? (D0 not include court costs orfeesfor service.) rerun tsmmmrwmmgmmaMhmmmeec-aMW.wumubmmmpmuymmm;mmmdmrmmmmmmrmmmqLanna D Check here ifyou need more space. Attach one sheet ofpaper 0r Form MC-031 and write “SC-120, Item 3 ” at the top. RevisedJanuaWO“ Defendant’s Claim and ORDER to Go to 30-120. Page2 of3 Small Claims Court (Small Claims) Defendant (list names): ' Case Number: L( 7 Q)Q68 C086 ® You may ask the Plaintiff (in person, in writing, or by phone) to pay you before you sue. ® Have you done this? D Yes E No Is your claim about an attorney-client fee dispute? D Yes E No Ifyes, and ifyou have had arbitration, fill out Form SC-I 01, attach it to thisform, and check here: D Are you suing a public entity? D Yes E No Eyes, you mustfile a written claim will: the public emityfirst.B A claim was filed 0n (dare): Ifthe public entity denies your claim 0r does not answer within the time alloxved by law, you canfile lhisform. Have you filed more than 12 other small claims within the last 12 months in California? D Yes E N0 Hyes, thefilingfeefor this case will be higher. l understand that by filing a claim in small claims court, l have no right to appeal this claim. ® If] d0 not have enough money to pay for filing fees 0r service, I can ask the court t0 waive those fees. ® I have not filed, and understand that l cannot file, more than two small claims cases for more than $2,500 in California during this calendar year. I declare, under penalty ofperjury under California State law, that the information above and 0n any attachments to this form is true and correct. Date: g5 2&5 30 /: $Da-w 00421 Defefifffl‘ types or prints name here DefendanLSigM-hgey Date: Second Defendant types orprinls name here Second Defendam signs here Requests for Accommodations Assistive listening systems, computer-assisted, real-time captioning, 0r sign language interpreter services are available if you ask at least five days before the trial. Contact the clerk’s office 0r g0 to wmv.comriryrocagov/forms for Requestfor Accommodations by Persons With Disabilities and Response (fonn MC-410). (Civil Code, § 54.8.) Need help? ¥9 Your county’s Small Claims Advisor can help for free. Smali-Claims Advisor (408) 882-2100, (Options 2, 6) Or g0 t0 “County-Specific Court Information” at “WW. courtinfo. m.gov/s6W1eLv/smallclaims RWWUJWWWO“ Defendant’s Claim and ORDER to Go to 56-120, P3963 °f3 Foryour protection and privacy, please presé the Clear Small Claims Court (Small Claims) This Form button afteryou have printed the form. . | Print this fomT| | Save this form Clear this fo’rm
