Civil Case Cover SheetCal. Super. - 6th Dist.March 9, 2021l ' I s . _ ‘ .3 CM-o1o I ATTORNEY OR PARYV ‘NI’VHOUT Ano YINGMO, (G Bar I'Mlm FOR COURT USE ONLY Your Loyal Name: ”V a du Z GangHem :23; WWW F ' L E D AnongztEp-Zéogvizg Self-Represented q Sit; MAR- 9 2021 SUPERIOR COURT 0F CALIFORNIA, (:0un 0F Santa Clara STREET ADDRESS 191 North Flrst Street Clerk 0 "16 COUft MAILING ADDRESS 191 North First Street cmrANozwcooe San Jose, CA 95113 BRANCHNAME Civil Courthouse CASE NAME: I ' \ > ’JQHWHM o/Bgth/(LL ECIVIL CASE (EVER’S‘HEET Complex Case Desi‘bnation cAss nuuasa Unlimited Limited (Amount (Amount D Counter D Jolnder 2 11: H n” 99 1_9______ 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 compleled (see instructions on page 2). 1. Check one box below for the case type that best describes this case Auto Ton Contract Provisionally Complex Civil Litigation Aulo (22) Breach of contract/warranty (06) Cal. Rules of Conn, rules 3.4004103) Uninsured motovist (46) Rule 3.740 collections (09) Antitrust/Trade regulation (03) Other collections (09) Construction defect (10) Other PIIPDIWD (Personal Injurylpmpeny Insurance coverage (18) Mass ton (40) Damagc/Wrongful Death) Tort . . . . _ Other contract (37) Securities l'tlgatlon (28) Asbestos (04) . , . V . EnwronmentallTOXIc tort (30) Product liability (24) Real Property I , . , . . ‘ , Insurance coverage claims ansmg from the Medical malpractice (45) D Eminent domalnllnverse above listed rov'sionafly com Iex case Other Pi/PDNVD (23) condemnation (14) types (41‘ p p Wrongful eviction (33) ’ "on'P'IPp’wD (O'her).T°fl. . a Other real property (26) Enforcement of JudgmentBusiness tort/unfalr busmess practice (O7) D Enforcemem of .ud mem (20) Civul rights (08) Unlawful Detalner I g Defamation (13) Commercial (31) Miscellaneous Civll Complalnt Ftaud (16) Residential (32) RICO (27'; Intellectual property (1 9) Drugs (38) Other complaint (no! specified above) (42) gzfifisjgfiiffllfggmegfifigé Judicial Review Miscellaneous cw" Petition ' ’ Asset forfeiture (05) 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) Othel employment (1 5) Other judicial 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 factors requiring exceptional judicial management. a. Large number of separately represented parties d‘ Large number of witnesses b, Extensive motion practice raising difficult or novel Coordination with related actions pending in one or more couns issues thatwill be time-consuming to resolve in othercounties states orcountries or in a federal coun c D Substantial amount of documentary ew’dence f Substantial postjudgment judicial supervision Remedies sought (check all that apply) a. D monetary b. nonmonetary; declaratory or injunctive relief c D pun. tive Number of causes of actions ecify). This case a is is not a class action suit. If there are any known related cases, file and serve a notice of related case.(You use form CM-015.) Date: 3’Hluu ‘__ ‘ z_____p- 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. 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 cover sheet on all other parties to the action or proceeding. 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. 9’??? Page 1 o! I yfiw“ “@733” c. WM! C'V'L CASE COVER SHEET C“ R‘c‘fi?§fa%3“a§‘d£v°3ufi3§aafifln3sm§nmbad 371%“0V Jlly 2N7] 93w“ "lm- mum“W /«Vem //@/5-? '2/ CM-010 INSTRUCTIONS 0N 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 complete 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 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 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 me 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, (2 punitive damages. ( ) recovery of real property. (4) recovery of personal property, or (5) a prejudgment wrét of attachment. he identification of a case as a rule 3.740 collections case on this form means that it will 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 requurements for service and obtaining a judgment in rule 3.740. To Parties in Complex Cases.ln 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 designation, a designation that the case is complex. Auto Tort Auto (22)-Personal Injury/Property DamageNVrongful Death Uninsured Motorist (46) (if the case involves an uninsured motorist claim subject Io arbitration. check this item instead of Auto) Other PI/PD/WD (Personal Injury! Property Damage/Wrongful Death) Tort Asbestos (04) Asbestos Ptoperty Damage Asbestos Personal Injury/ Wrongful Death Product Liability (not asbestos or toxic/environmental) (24) Medical Malpractice (45) Medical Malpractice Physicians & Surgeons Other Professional Health Care Malpractice Other PVPDNVD (23) Premises Liability (e.g.. slip and fall) Intentional Bodily Injury/PD/WD (e.g.. assault. vandalism) Intentional lnfliction of Emotional Distress Negligent lnfliction of Emotional Distress Other PI/PD/WD Non-PIIPDNVD (Other) Tort Business Ton/Unfair Business Practice (07) Civil Rights (e.g.. discrimination. false arrest) (no! civil harassment) (08) Defamation (e.g.. slander. libel) (13) Fraud (16) Intellectual Property (19) Professional Negligence (25) Legal Malpractice Other Professional Malpractice (not medical or legal) Other Non-Pl/PD/WD Ton (35) Employment Wrongful Termination (36) Other Employment (15) CASE TYPES AND EXAMPLES Contract Breach of ContracUWarranty (06) Breach of Rental/Lease Contract (not unlawful detainer or wmngful 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) (18) Amo Subrogation Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Property Eminent Domain/Inverse Condemnation (14) Wrongful Eviction (33) Other Real Property (e.g.. quiet title) (26) Writ of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Propeny (not eminent domain, landlordfienant. or foreclosure) Unlawtul Detalner Commercial (31) Residential (32) Drugs (38) (if the case involves illegal drugs, check this item; othenavise, report as Commercial or Residential) Judicial Revlew Asset Forfeiture (05) Petition Re: Arbitration Award (1 1) Writ of Mandate (02) Writ-Administrative Mandamus Wril-Mandamus on Limited Court Case Matter Writ-Other Limited Court Case Review Other Judicial Review (39) Review of Health Officer Order Notice of Appeal-Labor Commissioner Appeals Provisionally Complex Civil Litigation (Cal. Rules of Court Rules 3400-3403) Antitrust/Trade Regulation (03) Construction Defect (10) Claims Involving Mass Ton (40) Securities Litigation (28) Environmentalfforic Tort (30) Insurance Coverage Claims (arising from provisionally complex case Iype listed above) (41) Enfotcement 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 {ax es) Petition/Certification cf Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Miscellaneous Civil Complaint RICO (27) Other Complaint (not specified above) (42) Declaratory Relief Only lnjunctive Refief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-ton/non-complex) Other Civil Complaint (non-ton/non-complex) Miscellaneous Clvll Petition Pannership and Corporate Governance (21) Other Petition (not specified above) (43) Civil Harassment Workplace Violence Elder/Dependent Adult Abuse Election Contest Petition for Name Change Petition for Relief from Late Claim Other Civil Petition CM-O1O [Rem July 1. 2007] (co) flfinpmfi w BSEIIIM HMS" CIVIL CASE COVER SHEET Pag- 2 o' 2
