Civil Case Cover SheetCal. Super. - 6th Dist.January 27, 2021' .4 CM-o1o - Your LegalName: Huck, ‘/ F(MSth ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Slate Bar number, and address) FOR COURT USE ONLY YourAddress: \01% S 0H" §‘T S4“ Tux CA qr‘a TELEPHONE No. (906/ 202 ‘‘95 3 FAX N0. manna Foa (Name) Self-Represented I SUPERIOR coum or CALIFORNIA. cougmr 0F Santa Clara STREETADDRESS 191 North F!|'St Street JAN 2 7 2021 MAILING ADDRESS 191 North FlrSt Street CITV ANDZIP CODE san Jose, CA 951 1 3 ' ' r of the CourtBRANCH NAME CIVII Courthouse 8mm? County a Sam cm CASE NAME: BY DEPUTYF'mvw‘srh VS Momh o CIVIL CASE COVER SHEET Complex Case Designation cAss muses: Unlimited D Limited 2 1 c H 00 98 2 8 (Amount (Amount D Counter D Jolnder 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 comleted (see instructions on page 2). 1. Check one box below for the case type that best describes this case: Auto Tort Contract Provisionally Complex Civil Litigation Auto (22) Breach of contract/warranty (06) Cal. Rules o! Court, rules 3.400-3.403) Uninsured motorist (46) Rule 3.740 collections (09) Antitrust/Trade regulation (03) Other collections (09) Construction defect (10) 3:2: Palmer:O'LTOD333'T'22MPWPOW Insurance coverage (18) Mass tort (40)9 g Other contract (37) Securities litigation (28) ASbEStOS (04) Environmental/Toxic tort (30)Pmdum “abmty (24) Real Fromm Insurance covera e claims arisin from the Medical malpractice (45) D Eminentdomain/lnverse above listed rovigsionany com leg case Other Pl/PDNVD (23) condemnation (14) p p Wrongful eviction (33) types (41) Other real property (26) Enforcement of Judgment Enforcement of judgment (20) Non-PIIPDIWD (Other) Ton Business tort/unfair business practice (07) Civil rights (08) Unlawful Detalner Defamation (13) Commercial (31) Miscellaneous Civil Complaint Fraud (16) Residential (32) a Rico (27)Intellectual property (19) Drugs (38) Other complaint (not specified above) (42) PrOfeSSional negligence (25) Judlclal Review Miscellaneous Civll Petltlonomer non'Pl/PDIWD ton (35) Asset fodeiture (05) a Partnership and corporate governance (21)Employment Petition re: arbitration award (1 1) Other petition (not specified above) (43) Wrongful termination (36) Writ of mandate (02) Other employment (1 5) Other judicial review (39) 2. This case a is m is not complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the factors requiring exceptional judicial management: a. Large number of separately represented parties d. a Large number of witnessesb. Extensive motion practice raising difficult or novel e. Coordination with related actions pending in one or more 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 postjudgmentjudicial supervision 3. Remedies sought (check all that apply): a. D monetary b. nonmonetary; declaratory or injunctive relief c. D punitive 4. Number of causes of action s ecify): 5. This case D is fl is not a class action suit. 6. If there are any known related cases, file and serve a notice of related case.(You may use form CM-015.) Date: [/2 5//702 ‘ g 1: N'lc‘gp‘ecowwmgNAMffafia‘s‘c L ’ ( A NOTICE 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. o File this cover sheet in addition to any cover sheet required by local court rule. g 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 only. Page 1 o! FormA led! M ndat d. R f n . . 3220. 34004403 3.740: éu’gagflljog‘mm ?aaliaofig U“ L .9 “w!“ _. CIVIL CASE COVER SHEET C galeésotagggrdw3u$au Adrrimuauonbstd. 3.10 GV‘ Jay .2 7] r. ESSEIHM ”mm WWWCOUNH £8.90V PutzM/m/L i/'\I [fin‘l CM-01 0 INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET To Plaintiffs and Others Filing First Papers. If you are filing a first paper (for example. a complaint) in a civil case, you must compIete and file, along with your first pa er, the Civil Case Cover Sheet contained on statistics about the types and numbers o cases filed. You must complete items 1 throug age 1. This information will be used to compile 8 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 general 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 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 fqr .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, arlsmg from a transaction in which property. services, or moneg was acquired on credit. A collections case does not include an action seeking the followmg: (1) tort damages, (2) punitive damages. ( ) 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 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 Casean com lex cases only, parties must also use the Civil Case Cover Sheet to designate whether the case is complex. If a plaintiff believest e 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 plaintiffs designation. a counter-designation that the case is not complex, or, if the plaintiff has made no designakion, a designation that the case is complex. Auto Ton Auto (22)-Personal InjurylPropeny DamageNVrongful Death Uninsured Motorist (46) (if the case involves an uninsured motorist claim subject to arbitration, check this item instead of Auto) Other PIIPDNVD (Personal Injury] Property DamageIWrongtul 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 8. Surgeons Other Professional Health Care Malpractice Other Pl/PDIWD (23) Premises Liability (e.g., slip and fall) |ntentional Bodily Injury/PDIWD (e.g.. assault. vandalism) Intentional lnfliction of Emotional Distress Negligent lnfliction of Emotional Distress Other PI/PDIWD Non-PIIPDIWD (Other) Tort Business Tort/Unfair Business Practice (07) Civil Rights (e.g.. discrimination, false arrest) (not civil harassment) (08) Defamation (e.g.. slander. libel) (13) Fraud (16) Intellectual Propeny (19) Professional Negligence (25) Legal Ma|practice Other Professional Malpractice (not medical or legal) Other Non-PI/PD/WD Tort (35) Employment Wrongful Termination (36) Other Employment (1 5) CASE TYPES AND EXAMPLES Contract Breach of ContracWVarranty (06) Breach of Rental/Lease Contract (no! unlawful detainer or wrongful eviction) Contract/Warranty Breach-Seller Plaintiff (no! 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) (1 8) Auto Subrogation Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Propatty Eminent Domain/lnverse Condemnation (14) Wrongful Eviction (33) Other Real Property (e.g.. quiet title) (26) Wn‘l of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (not eminent domain, landlord/tenant, or foreclosure) Unlawful Detalner Commercial (31) Residential (32) Drugs (38) (if the case involves illegal dmgs. check this item; otherwise, report as Commercial or Residential) Judlclal Revlow Asset Forfeiture (05) Petition Re: Arbitration Award (1 1) Writ of Mandate (02) Writ-Administrative Mandamus Writ-Mandamus on Limited Court Case Matter Wn't-Other Limited Coun Case Review Other Judicial Review (39) Review of Health Officer Order Notice of Appeal-Labor Commissioner Appeals Provlslonally Complex Clvll Litigation (Cal. Rules of Court Rules 1400-3403) Antitrust/Trade Regulation (O3) Construction Defect (10) Claims Involving Mass Tort (40) Securities Litigation (28) Environmentalfl'oxic Ton (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 Enuy of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Mlscellaneous Clvll Complalnt RICO (27) Other Complaint (not specified above) (42) Declaratory Relief Only Injunctive Relief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-tort/non-complex) Other Civil Complaint (non-tort/non-complex) Miscellaneous Clvll Petition Partnership and Corporate Governance (21) Other Petition (not specified above) (43) Civil Harassment Workplace Violence Elder/Dependem Adult Abuse Election Contest Petition for Name Change Petition for Relief from Late Claim Other Civil Petition CM-O1O [Rev‘ July 1. 2007] ‘09 mm”: u BSEIIIMHM" CIVIL CASE COVER SHEET Pug: 2 o! 2