Civil Case Cover SheetCal. Super. - 6th Dist.January 22, 2021CM-010 ATTWEYORPARTYWATTORNEYM,MBUWWWJ: MMWMY _ Your Legal Name: Ma“ u€\ Es-fyada YourAddms: Q5 ?\ovd St Sm 395:, , c Po “IS“O TELEPHONE N0. FAX No.2 monusv Foe mm): SeIf-Represented I L Esum count 0F choRmA. couyTY or Santa Clara STREET mess: 191 North F!I'St Street MUNGADDRESS. 191 North Fll'St Street JAN 2 2 2021cm AND ZIP cone: gianlJcosehfiA 951 1 3 : VI 0U OUSB CASEZZiENME 6' d Cris n toIfA 61395238 Ctag- NGUYm 3 Superior o o unS ‘VY'O Q VS G'qr c\ a 9y LDEPUTY mCIVIL CASE cgvsk SHEET Complex Case Designation use NUMBTWH'O 0 9 8 2Unllmltod leltod (Amount (Amount D Counter D Jolndor ' 2 c 1 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 must be completed (see instructions on page 2). 1. Cfieck on. Box below for the case type that best describes this use: Auto Ton Contract Provisionally Complex Clvll Litigation Auto (22) Breach of contracharranty (06) Cal. Rules of Court. rum 3.4004103) Uninsured motorist (46) Rule 3.740 collections (09) Antltru' stlede regulation (03) cum PI/Polwo (Pomona: Injurylpmpony ?;flflsefim)‘ 8 azgfififi‘lzdmd (1°) mmmm'M) 7°" I omue tract 39“ ) Secuntie (m') u 28 Asbestos (04) r °°" ( 7) E . s :°;T°;( to)“ 30 Product nubimy (24) Real Property I :“mn'm” a ° °d i ‘ a)" I mm Medical malpractice (45) D Emlnent domainllnvene nb:ra7.°?ezover;°|e aims "1° Other Pl/PD/WD (23) condemnation (14) a ye 4': pm s one 'y 00mmm Non PuPonD (cum) Ton WWW “cm" (33’ type“ )- Other real property (26) Enforcement of Judgment Buslnesstort/unfalrbuslness pmcflce(07) D Enfommentofjudgmem (20) Clvll rights (08) Unlawful Dohlnor Defamation (1 3) - Commercial (31) Mboellanoous Clvll Complalnt Fraud (16) ‘ Residential (32) RICO (27) Intellectual property (19) Drugs (38) Other complaint (not specified above) (42) 32:“;mg'lmmgfigg) JudIcI-I Review uncommon. cwn Pouuon Asset fotfeiture (05) Partnershlp and corporate governance (21) Employment Petition re: atbitration award (1 1) B Other petition (not specified chow) (43) Wrongful termination (36) Writ of mandate (02) Other employment (1 5) Other judldal review (39) 2. This case D is m is not complex under rule 3.400 of the California Rules of Court If the case is complex. mark the fadors requiring exceptional judicial management: a. Large number of separately represented parties d. B Large number of witwessesb. Extensive motion practice raising difficutt or novel e. Coordination with related acfions pending in one or mom courts issues that will be time-consuming to resolve in other counties. states, or countries, or in a federal court c. D Substantial amount of documentary evidence f. Substantial posq'udgmentjudicial supervision Remedies sought (check all that apply): a. D monetary b. nonmonetary; declaratory or injunctive relief c. D punitive Number of causes of action s ecify): This case D is fl is not a class action suit If there are any known related cases. file and serve a notice of related case.(You may use form CM-015.) Date; rz-lnlww NOTICE o Plaintiff must file this cover sheetwim the first paper filed in the action or proceeding (except small claims eases 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. o File this cover sheet in addition to any cover sheet required by local court rule. o If this case is complex under rule 3.400 et seq. of the California Rules of Court, you must serve a copy of this wver sheet on all other parties to the action or proceeding. o Unless this is a collections wse under rule 3.740 or a complex case. this cover sheet will be used for statistical purposes only. 9’9"?!” Pm”! Form Uu Lm CIVIL CASE COVER HEET u.wg%mia . .40: 3:30m [WW 3 meg”, {UL} K N/M L \I11/fi. . I‘ CM-O10 INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET To Plalntlffs and Others Flling First Papers. If you are filin%a first paper (for example. a complaint) in a civil case, ou must complete and file. along with your first pa r, the Civil Case over Sheet contained on gage 1. This information will used to compile stafistiw about the s and numbers o cases filed. You must complete items 1 throug 6 on the sheet. In item 1. you must check one box for the case pe that best describes the case. If the case fits both a eneral and a more specific type of case listed in item 1, check the more speci c one. If the case has multiple causes of action, check e 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 moneg was acquired on credit. A collections case does not include an action seeking the following"; (1) tort damages, (24fiunitive damages, ( ) recovery of real property, (4) recovery of personal property, or (5? a prejudgment writ of -- attachment. e identification of a case as a rule 3.740 collections case on this form means that it wi I be exempt from the eneral time-for-service requirements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 co lections case will be subject to the requirements for service and obtaining a judgment in rule 3.740. '- To Parties In Complex Casean com Iex cases only, parties must also use the Civil Case Cover Sheet to designate whetherjhe case is complex. If a plaintiff believes t e case is complex under rule 3.400 of the California Rules of Court, this must be Indicated b completing the appropriate boxes in items 1 and 2. If a glaintjff designates a case as complex, the cover sheet must be served with he complaint on all parties to the action. A defendant may le and serve no later than the time of its first appearance a joinder in the gaintiffs designation, a counter-designation that the case is not complex, or. if the plaintiff has made no designation, a designation that e case is complex. Auto Tort Auto (22)-Personal InjurylPropeny Damage/Wrongful Death , Uninsured Motorist (46) (ifthe case involves an uninsured motorist claim subject to arbitration, check this item Instead ofAuto) Other PIIPDIWD (Personal Injury] :roporty DamageIWrongful Death) on Asbestos (04) Asbestos Property Damage Asbestos Personal lnjury/ Wrongful Death Product Liability (no! asbestos or _ foxidenvironmental) (24) Medlcal Malpractice (45) Medical Malpractice- Physicians & Surgeons Other Professional Health Care Malpradice Other PI/PDNVD (23) Premises Liability (6.9.. slip and fall) -= r r Intentional Bodily lnjurylPD/WD (e.g., assault. vandallsm) Intentional Infliction of Emotional Dlstress Negligent lnfllction of Emotional Distress CASE TYPES AND EXAMPLES Contract Breach of Contract/Warranty (06) Breach of RentallLease Contract (not unlawful detainer or wrongful evicfion) Contract/Warranty Breach-Seller Plaintiff (not fraud or negligence) Negligent Breach of Contract] Warranty Other Breach of ContracWVan'anty Collections (e.g., money owed, open book accounts) (09) Collection Case-Seller Plaintifl Other Promissory Note/Collectlons Case Insurance Coverage (not provisionally complex) (1 8) Auto Subrogation Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Property Eminent Domainllnverse Condemnaflon (1 4) Wrongful Eviction (33) Other Real Property (3.9.. quiet title) (26) _ Writ of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (not eminent domain, Iandlord/Ponam, or Provlslonally Complex Clvll 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) a Environmental/Toxic Tort (30) Insurance Coverage Claims , _ (arising from provisionally oofmplex case type listed above) (41) Enforcement of Judgment Enforcement of Judgment (20) r Abstract of Judgment (Out of County) . Confession of Judgment (non- domestic relations) Slater State Judgment , Administrative Agency Award (no! unpaid taxes) PetitlonlCertification of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Mlscollanoous Clvll Complaint RICO (27) Other Complaint (not specified 1 above) (42) I; Declaratory Relief Only Injunctive Relief Onty(non- ~- harassment) Mechanics Lien Other PIIPDNVD {ombwm} Other Commercial Complaint Non-PIIPDIWD (omenj'on Unm. Downer OtheCracsls" ggmggtwmmpm) Business Iod/Unfalr Business Commercial (31 ) (nommmmmpbx)PI'IEC‘ICB (07) I . . Residential (32) Civil Rights (e.g.. dlscnmmation, Drugs (38) (inn, ca” ”wow ”’99., Ilscollanoous Clvll Petition ?:?.?sng) (gfh’fl drugs, check this item; othemlso, Pa"?£2:::f?ge?§1r§°m° n Defamation (e.g., slander, libel) "m as “mm'c’a’ ”R'sm’m'o Other Petition (not specified (13 Judlclll ROVIOW above) (43) Fraud (16) A33“ “”9"” (05) CMI Harassment Intellectual Property (1 9) Pm“ R95 Ammm" AW“ (1 1) Workplace violence Profissiolns‘l Taggence (25) wmxxigfiméggve Mandamus EIdeXbDependent Adultage a pm ca Writ-Mandamus on Limlted Coun Elewoxsceomest Ofleorpggfdeizgnn,” Malpractice .case Matter Petition for Name Change Other Non-PI/PDNVD Ton (35) mafia ”"1““ CW“cm ”Wag? Re'ieffmm m9 Employment Other Judicial Review (39) ome - Wrongful Termination (36) Review of Health Officer Order r cw" ”m" Other Employment (1 5) Notice of AppeaI-Labor Commissloner Appeals CMWIRW- July 1. 20°71 CIVIL CASE COVER SHET P-a-m_ MardADmfi BSEIIIM HIHS'” >