Dismissal Not EnteredCal. Super. - 5th Dist.May 20, 2021CIV-110 ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NO: FOR COURT usE ONLY NAME: David Romero FIRM NAME: STREET ADDRESS: 889 S.Spruce st CITY Tulare STATE: ca ZIP CODE: 93274 E-FILED TELEPHONE No»: (661) 271-6984 FAX NO: 6/15/2021 7:56 PM E-MAIL ADDRESS: david.romer03612@email.bakersfieldcollege.edu Superior Court 0f California ATTORNEY FOR (Name): County Of Fresno SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F Fresno By: C. York, Deputy STREET ADDRESS: 1 1 30 O StFresno, CA 93721 MAILING ADDRESS: CITY AND ZIP CODE: Fresno 93721 BRANCH NAME:B.F Sisk courthouse PIaintiff/Petitioner: David Romero Defendant/Respondent: Express Staffing CASE NUMBER: REQUEST FOR DISMISSAL 21CECG01448 A conformed copy will not be returned by the clerk unless a method of return is provided with the document. This form may not be used for dismissal of a derivative action or a class action or of any party or cause of action in a class action. (Cal. Rules of Court, rules 3.760 and 3.770.) 1. TO THE CLERK: Please dismiss this action as follows: a. (1) E With prejudice (2) |:| Without prejudice b. (1) E Complaint (2) |:| Petition (3) E Cross-complaintfiled by (name): on (date): (4) E Cross-complaint filed by (name): on (date): (5) E Entire action of all parties and all causes of action (6) E Other (specify):* 2. (Complete in al/ cases except family law cases.) The court E did E did not waive court fees and costs for a party in this case. (This information may be obtained from the clerk. If court fees and costs were waived, the declaration on the back of this form must be completed). Date:6.14.21 ' David Romero ’ MM (9W (TYPE 0R PRINT NAME 0F D ATTORNEY E PARTY WITHOUT ATrORNEY) (SIGNATURE) *If dismissal requested is of specified parties only of specified causes of action only, Attorney or party without attorney for: or of specified cross-complainls only, so state and identify the parties, causes of E Plaintiff/Pemioner E Defendant/Respondent action, or cross-complaints to be dismissed. E Cross Complainant 3. TO THE CLERK: Consent to the above dismissal is hereby given.“ Date:6.14.21 - David Romero } W W (TYPE 0R PRINT NAME 0F D ATTORNEY E PARTY WITHOUT ATrORNEY) (SIGNATURE) ’* If a cross-complaint - or Response (Family Law) seeking affirmative Attorney or party Without attorney for: relief- is on file, the attorney for cross-comp‘ainant (respondent) must sign E Plaintifi/Petitioner E Defendant/Respondentthis consent if required by Code of Civil Procedure section 581 (i) or (j). E Cross Complainant (To be completed by clerk) 4. E Dismissal entered as requested on (date): 5 E Dismissal entered on (date): as to only (name): 6. E Dismissal not entered as requested for the following reasons (specify): Item 1.a. is incomplete. Item 2 is incorrect as Court did waive fees 7. a. m Attorney or party without attorney notified on (date):6/1 6/2021 b. |:| Attorney or party without attorney not notified. Filing party failed to provide |:| a copy to be conformed E means to return conformed copy Date5/1 6/2021 Clerk, by C. York , Deputy Fag“ on F Ad ‘df M d1 U Cd fC"|P d ,§581t .;G .Cd, JELEia. é’EuemnimiTnfm‘iz SS REQUEST FOR DISMISSAL ° e°§eg‘eayi‘lifcifmme?e?uqn, £53.12?!) CIV-MO [Rev. Jan. 1, 2013] www.caurts.ca.gm/ CIV-110 PIaintiff/Petitioner: David Romero CASE NUMBER; Defendant/Respondent: Express staffing 21 CECG01448 COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS If a party whose court fees and costs were initially waived has recovered or will recover $10,000 or more in value by way of settlement, compromise, arbitration award, mediation settlement, or other means, the court has a statutory lien on that recovery. The court may refuse to dismiss the case until the lien is satisfied. (Gov. Code, § 68637.) Declaration Concerning Waived Court Fees 1. The court waived court fees and costs in this action for (name): David Romero 2. The person named in item 1 is (check one below): a. El not recovering anything of value by this action. b. |:| recovering less than $10,000 in value by this action. C. E recovering $10,000 or more in value by this action. (If item 2:: is checked, item 3 must be completed.) 3. |:| AII court fees and court costs that were waived in this action have been paid to the court (check one): Yes y No | declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: 6.14.21 WDavid Romero ’ / (9mm (TYPE 0R PRINT NAME 0F E ATTORNEY E PARTY MAKING DECLARAHON) (SIGNATURE) cw-nomev. January 1, 2013] REQUEST FOR D|SM|SSAL Pagezolz For your protection and privacy, please press the Clear This Form button after you have printed the form.