Civil Case Cover Sheet

Cal. Super. - 6th Dist.January 11, 2021

b.4110 AWORNEY OR PARTY WITHOUT ATTORNEY (Name,m Barnulmer. andmass): Nelly Amas 551 Lewis Rd San Jose Ca.951 11 Mailing P.O. BOX Z San Jose Ca.95151 TELEPHONE N0. (408) 386-6474 FAX Momma): ATrORNEv Foamame; F l L E D Fm COURT USE ONLY SUPERIOR COURT OF CAUFORNIA, COUNTY OF smear Anoness‘ 191 North First Street San Jose. CA 951 13 JA N 1 1 20 2] wwunc Aooaess 191 North First Sireet San Jose. CA 951 13 cm mo zw cooe 191 Nonh First Street San Jose. CA 951 13 Cler of the Court BRANCH NAME Civil 3009M! C ty ot Santa Clam CASE NAME: BY Nelly Amas Vs Obeth Rojas Gonzales CIVIL CASE COVER SHEET Complex Case Designation CASE "W352 1 c H 00 9 8 0 9E Unlimited E Limited E] Counter E Joinder (Amount (Amount . . demanded demanded is Flletzcwafihgfiésagfiirjgcfureygiggdam JUDGE exceeds $25,000) $25,000) ‘ ' ' DEPT‘ Items 1-6 below must be completed (see instmctions on page 2). 1. Check one box below for the case type that best describes this case: Auto Ton Contract Provisionally Complex Clvll LitigationD Auto (22) E Breach of comrawwanamy (06) (Cal. Rules of Court, rules 1400-3403)E Uninsured motorist (46) E Rub 3140 001mm,; (09) a Antitrusthrade regulation (03) Other Pupolwo (Personal InjuryIPropony D Other columns (09) D Construction detect (10) Damago’wmngfu'M) Ton E Insurance coverage (18) E M335 '0" (4°)E Asbesto§(04) [j Other comma” E Securitiesmigation(28)E Pr0dud||8b||W(24) Rodmoperty D EnvironmentaVToxictoMSO)E Medical malpradice (45) E Eminent domainnnvem D Insurance coverage daims arising from theabove listed provisionalty complex caseD Other PIIPDNVD (23) condemnation (14) types (41 ) Non-PIIPDMD (OHIO!) Tort E Wrongful eviction (33) Enforcement of JudgmomD Business tortlunfair business pradioe (07)E Other real Propefiy (25) E Enforcement of judgment (20)E CW" rights (08) unhw'u' Down“ Miscellaneous Civil ComplaintE Defamation (13) U COmWFda' (3‘) E Rico (27)D FraUd (16) D Res'dennal (32) B Other complaint (not specified above) (42)D '"‘°"°°‘”a' p’°°°"Y(‘9) E .Dlrggsiwa) Miscouanoous cavn PetitionProfessional n l‘ nee 25 u c'a 9" 9‘” .E Other nompupegn'gN; toga; E Asse‘ forfeiture (05) E Partnershlu.) and corpora'te governance (21) Emp'oymgm D Petition re: arbitration award (1 1) E Other 99mm" ("m 3999M above) (43)D Wrongfultennination (36) E: WV“ 0f mama” (02)D Other employment (15) E Otherjudicial review (39) 2. This caseE is E is not complex under rule 3.400 of the California Rules of Court. If the case is complex. mark the factors requin‘ng exceptional judicial management: a. E Large number of separately represented parties d. [j Large number of witnesses b. E Extensive motion practice raising difficult or novel e. [:3 Coordination with related actions pending in one or more issues that will be time-consuming to resolve courts in other counties, states, or countries, or in a federal c. E Substantial amount of documentary evidence court f. D Substantial postjudgment judicial supervision 3. Remedies sought (check ell that apply): a.E monetary b.E nonmonetary; declaratory or injunctive relief c.E punitive 4. Number of causes of action (specify).- 5. This caseE is E is not a class action suit. 6. If there are any known related cases, file and setve a notice of related case. (You may us CM 15.) Date: Janua . 2021 Nelly Amas (WPE 0R PRINT NAME) REijATIREIod PARTY 0R[\an NOTICE V 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. Rules of Court. rule 3.220.) Failure to file may result in sanctions. File this cover sheet in addition to any cover sheet required by local court rule. If this case is complex under rule 3.400 et seq. of the California Rules of Court. you must serve a copy of this cover sheet on all other parties to the action or proceeding. Unless this is a collections case under rule 3.740 or a complex case. this cover sheet will be used for statistical purposes orgy“; 1 d Fa'm Adopted for Mma'y Use CIVIL CASE COVER SHEET Cal Rule: d Com. rules 2 30. 3.220. 3.40044N. 3.70.LMI RN Inril MRm r‘nl COW N In dinin| Aminminn M 1 ‘Ih INSTRUCTIONS 0N How To COMPLETE THE COVER SHEET CIHHO 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 descn‘bes 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. lf 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 patty. 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 cenain that is not more than $25,000, exclusive of interest and attomey'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 propeny. 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 rules. 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 mIe 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 sewed 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 plaintiffs designation. a counter-designation tha‘ 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 (45) (if tho case involves an uninsured motorist claim subject to arbitration, check this item instead ofAuto) Other PIIPDIWD (Personal Injury! Propony DamageIWrongful Death) Tort Asbestos (04) Asbestos Property Damage Asbestos Personal Injury] Wrongful Death Product Liability (not asbestos or toxic/environmental) (24) Medical Malpractice (45) Medical Malpraaioe- Physicians 8. Surgeons Other Professional Health Care Malpractice Other Pl/PDNVD (23) Premises Liability (e.g.. slip and fall) Intentional Bodily InjurylPDlWD (e.g.. assault. vandalism) Intentional lnflidion of Emotional Distress Negligent Infliction of Emotional Distress tCASE TYPES AND EXAMPLES Breach of Contractharranty (06) Breach of RentaVLease Contract (not unlawful delaimr or wrongful eviction) ContractIWarranty Breach-Seller Plaintiff (not fraud or negligence) Negligent Breach of Contract/ Warranty Other Breach of ContrawWarranty Colledions (e.g., money owed, open book accounts) (09) Collection Case-Sefler Plaintiff Other Promissory Now/Colledions Case Insurance Coverage (not provisionally complex) (1 8) Ame Subrogation Other Coverage Other Contract (37) Contractua! Fraud Other Contrad Dispute Real Property Eminent Domainllnverse Condemnation (14) Wrongml Evidion (33) Other Real Property (9.9.. quiet rifle) (26) Writ of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (not eminent domain, Iandlord/renant, or Provisionally Complex Civil Litigation (Cal. Rules of Court Rules 3400-1403) AntitrustlTrade Regulation (O3) Construction Defect (10) Claims lnvotving Mass Tort (40) Securities Litigation (28) Environmental/Toxic 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 RICO (27) Other Complaint (no! specified above) (42) Declaratory Relief Only Injunctive Relief Only (non- harassment) Mechanim Lien Other Pl/PDNVD Other Commercial Complaint Non-PIIPDIWD (Other) Tort ”Mosu’e) Case (non-(ort/non-complex) Business Tort/Unfair Business unw“. 0'9“" Other Civil Complaint Practice (o7) °°",‘"‘°'F"' (3') (non-(on/nonmmplex) CM: Rights (e.g.. discrimination, Res'de'ma' (.32) , , uncommon: cm: mum false arrest) (not civil Drugs (38) (’f "’9 5:83"“m? ”’99“, Partnership and Corporate harassment) (08) dmgs' Cheek ""3 "9”” omen?” , Govemanoe (21) Defamation (e.g‘, slander. libel) mm" as pomme’c’a’ 0'Remma’) Other Petition (no! specified Judicial Rewow (1 3) _ above) (43) Fraud (16) A539“ F°”°_""'°,(°5) Civil Harassment lntelledual Property (1 9) Pem'o" Re‘ Amman“ Award (1 1) Workplace Violence Professional Negligence (25) W” “Mama? (02). Elder/Dependem Adult Legal Malpractice Wm+dmlnlstmhw Maqdamus Abuse Other Professional Malpractice wr'gfiansgggs °" L'm't“ CW" Eloaion Contest (not medical or legal) , ° . , Petition for Name Change Other Non-PI/PD/wo Ton (35) W'éflgar “"“ted CW" 0‘” Petition for Relief From Lame Employment _ _ . Claim Wrongful Termination (36) om" J‘,‘°'°'°' RN" (39) Other Civil Petition Other Empbymem (1 5) Revuew of Health Officer Order Notice of Appan-Labor Commussnoner Appeals CM-O1O [Rom July 1. 2007] CIVIL CASE COVER SHEET Plgozofz