Civil Case Cover SheetCal. Super. - 6th Dist.January 4, 2021__AT1'ORN OR PARTY WITHOUT ATTORNEY (Name. Slate Ear number: and address): 89mg; A Mobwok‘mBos‘fiRaTU/(UJ CuchE [9.57722 (141;: (La ?46’06’ ELEPHONENO- £50 Q76- $833 ATTORNEY FOR (Name): FAXNO: FOR COURT USE ONLY SUPERIOR COURT 0F CALIFORNIA, COUNTY OF 5R“) FA CLARE 5mE=TADDRESI /?/ l‘I/L'effl {I&S r 5 fei¢ 7 MAxLING ADDR:ss 5”” fiai afl 95/13 FILE CM-o1o JAN- 4 2021 the Courtmé‘iffiifiiii (hrs) / , wooomm vs om County oi Santa aura DEPUTY IVIL CASE COVER SHEET Complex Case Designation Unlimited D Limited (Amount (Amount D counter D “binder 2 1 Clnl’ 9 6 9 I? 9 5 demanded demanded is Filed with first appearance by defendant JUDGE exceeds $25,000) $25,000 or less) (Cal. Rules of Court, rule 3.402) DEPT? Items 1-6 below mus! be completed (see instructions on page 2). L4.-Check one box beiow for the casetype that best describes this case: Auto Tort ContractD Auto (22) Breach ofcontractjwarranty (O6) Uninsured motorist (46) Rule 3.740 collections (09) Other PIIPDNVD (Personal lnjurylProperty Other collections (09) DamageNVrongful Death) Tort Insurance coverage (18) ASbeStos (04) Other contract (37)E Product Iiabilib/ (24) Rea, propertyB Madica' malpradice (45) Eminent domain/lnverseD Other PuPD/WD (23) condemnation (14) Non-PI/PD/WD (Other) Ton D Wrongful eviction (33) Business tort/unfair business practice (07) D Other rea' proDeflY (26) Civil rights (08) Unlawful Detainer Defamation (13) Commercial (31) Fraud (16) D Residential (32) Intellectual property (19) D Drugs (38) Professional negligence (25) Judicial Review Other non-Pl/PDNVD ton (35) Asset forfeiture (05) Employment Petition re: arbitration award (1 1) Wrongful lamination (36) E Writ of mandate (02)B Other employment (15) E Other judicial review (39) DUDDD DDDDDDD Provisionally Complex Civil Litigation (Cal. Rules of Court, rules 3.400-3.403)D Antitrust/Trade regulation (03) Construction defect (10) Mass tort (40) Securities litigation (28) EnvironmentaI/Toxic tort (30) Insurance coverage claims arising from the above listed provisionally complex case types (41) EDEE Enforcement of Judgment Enforcement of judgment (20) Miscellaneous Civll ComplaintD Rxco (27) Other complaint (not specified above) (42) Miscellaneous Civil Petition Partnership and corporate governance (21) Other petition (not specified above) (43) This case E is is not factors requiring exceptional judicial management: a.E Large number of separately represented parties b.E Extensive motion practice raising difficult or novel issues that will be time-consuming to resolve c.D Substantial amount of documentary evidence Number of causes of actio (specify): This case D is is not a class action suit.9.0.9.!» Date /' 04 202', J74m2; A woobwoan/ (TYPE OR PRlNT NAME) NOTICE V in sanctions. ° File this cover sheet in addition to any cover sheet required by local court rule. 0 lfthis case is complex under rule 3.400 et seq. ofthe California Rules of Court. you other parties to the action or proceeding Fovrn Adopted f0: Mandatory Use Judicial Councfl of Cantomia CM-mo rRev. Julv 1. 20071 CIVIL CASE COVER SHEET o Unless this Is a collections case under rule 3 740 or a complex case, this cover sheet will be used for statistical purposes only. complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the d.a Large number ofwitnesses e.E Coordination with related actions pending in one or more courts in other counties, states, or countries. or in a federal court f. E Substantial postjudgmentjudicial supervision Remedies sought (check al/ that apply): am monetary b.M nonmonetary; declaratory or injunctive relief C.E punitive If there are any known related cases file and serve a notice of related case. (You may use form CM-015.) } $Wé/z/4/MM (EGNATURE OF PARTY OR ATTORNEY FOR PARTY) o Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed under the Probate Code. Family Code, or Welfare and Institutions Code). (Cal. Ruies of Court. rule 3.220.) Failure to file may result must serve a copy of this cover sheet on all age 1 of 2 Cal. Rules o! Court rutes 2.30. 3.220. 3.400-3 403, inc: Cal Standards of Judioal Administration. std. 3.10 www.cnum'nfn ca nnv M. INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET c O10 To Plaintiffs and Others Filing First Papers. If you are filing a first paper (for example, a complaint) in a civil case, you must complete and file, along with your first paper, the Civil Case Cover Sheet contained on page 1. This information will be used to compile statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item 1, you must check one box for the case type that best describes the case. If the case fits both a general and a more specific type of case listed in item 1, check the more specific one. If the case has multiple causes of action, check the box that best indicates the primary cause of action. To assist you in completing the sheet, examples of the cases that belong under each case type in item 1 are provided below. A cover sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party. its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court. To Parties in Rule 3.740 Collections Cases. A "collections case" under rule 3‘740 is defined as an action for recovery of money owed in a sum stated to be certain that is not more than $25,000, exclusive of interest and attorney's fees, arising from a transaction in which property, services, or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort damages, (2) punitive damages, (3) recovery of real property. (4) recovery of personal property, or (5) a prejudgment writ of attachment. The identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the general time-for-service requirements and case management mles, unless a defendant files a responsive pleading. A rule 3.740 collections case will be subject to the requirements for service and obtaining a judgment in rule 3.740. To Parties in Complex Cases. In complex cases only, parties must also use the Civil Case Cover Sheet to designate whether the case is complex. If a plaintiff believes the case is complex under rule 3.400 of the California Rules of Court, this must be indicated by completing the appropriate boxes in items 1 and 2. If a plaintiff designates a case as complex, the cover sheet must be served with the complaint on all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the plaintiff‘s designation. a counterdesignation that the case is not complex. or. if the plaintiff has made no designation, a designation that the case is complex. Auto Tort Auto (22)-Personal lnjury/Property Damage/Wrongful Death Uninsured Motorist (46) (ifthe case involves an uninsured motorist claim subject to arbitration, check this item instead ofAuro) Other Pl/PDNVD (Personal Injury] Property Damage/Wrongful Death) Tort Asbestos (O4) Asbestos Property Damage Asbestos Personal Injury/ Wrongful Death Product Liability (not asbestos or toxic/environmental) (24) Medical Malpractice (45) Medical Malpractice- Physicians a Surgeons Other Professional Health Care Malpractice Other Pl/PD/WD (23) Premises Liability (e.g., slip and fall) Intentional Bodily Injury/PDNVD (e.g.. assault, vandalism) Intentional Infliction of Emotional Distress Negligent lnfliction of Emotional Distress Other PIIPD/WD Non-PIIPDIWD (Other) Ton Business Tort/Unfair Business Practice (07) Civil Rights (e.g.. discrimination. false arrest) (no! civil harassment) (08) Defamation (e,g.. slander, libel) (13) Fraud (1G) Intellectual Property (19) Professional Negligence (25) Legal Malpractice Other Professional Malpracfice (not medical or IegaD Other Non-Pl/PDIWD Tort (35) Employment Wrongful Termination (36) Other Employment (15) CM-mo (Rev. July 1, 2007] CASE TYPES AND EXAMPLES Contract Breach of Contract/Warranty (06) Breach of RentallLease Contract (nol unlawful delainer or wrongful eviction) Contract/Warranty Breach-Seller Plaintiff (not fraud or negligence) Negligent Breach of Contract! Warranty Other Breach of Contract/Warranty Collections (e.g., money owed, open book accounts) (09) Collection Case-Seller Plaintiff Other Promissory Note/Collections Case Insurance Coverage (not provisionally complex) (18) Auto Subrogation Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Property Eminent Domain/lnverse Condemnation (14) Wrongful Eviction (33) Other Real Property (e.g.. quiet title) (26) Writ of Possession of Real Property Mongage Foreclosure Quiet Title Other Real Property (not eminent domain, Iand/ord/tenant, or foreclosure) Unlawful Detainer Commercial (31) Residential (32) Drugs (38) (if the case involves illegal drugs, check this item; otherwise, report as Commercial or Residential) Judicial Review Asset Forfeiture (05) Petition Re: Arbitration Award (1 1) Wn't of Mandate (02) Writ-Administrative Mandamus Writ-Mandamus on Limited Court Case Matter Wn‘t-Other Limited Court Case Review Other Judicial Review (39) Review of Health Officer Order Notice of Appeal-Labor Commissioner Appeals CIVIL CASE COVER SHEET Provisionally Complex Civil Litigation (Cal. Rules of Court Rules 3.400-3.403) Antitrust/Trade Regulation (03) Construction Defect (10) Claims Involving Mass Tort (40) Securities Litigation (28) Environmentalfl'oxic Tort (30) Insurance Coverage Claims (arising from provisionally complex case type listed above) (41) Enforcement of Judgment Enforcement of Judgment (20) Abstract of Judgment (Out of County) Confession of Judgment (non- domestic relations) Sister State Judgment Administrative Agency Award (not unpaid taxes) Petition/Certification of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Miscellaneous Civil Complaint R|CO (27) Other Complaint (not specified above) (42) Declaratory ReHef Only lnjunctive Relief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-torf/non-complex) OtherCivil Complaint (non-lort/non-complex) Mlscellaneous Civil Petition Partnership and Corporate Governance (21) Other Petition (not specified above) (43) Civil Harassment Workplace Violence EIder/Dependent Adult Abuse Election Contest Petition for Name Change Petition for Relief From Late Claim Other Civil Petition Page 2 of 2