Request DismissalCal. Super. - 6th Dist.March 16, 202121 CV378972 Santa Clara - Civil c'v_1 1o S. Vera ATTORNEY 0R PARTY WITHOUT ATTORNEY (Name, Slate Bar number, and address): Romano Stancrofi Pc - Timothy Whelan, SBN: 255037 Emamnigff’ffiifi‘fi’” 360 N. Pacific Coast Hwy., Ste. 1010, El Segundo, CA 90245 by superior court of CA, TamoNe No.2 310477-7990 FAX No. (opfimau. 31 0-477-7995 E-MAIL ADDRESS (Optional): County of Santa Clara, ATT°RNEY FORWamwvuan Melecio Aquacaliente. Plaintiff on 7/27/2021 9'43 AM SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F Santa Clara Rev'ewed By' S' vera STREETADDRESS: 191 N. First Street Case #21CV378972 MAILINGADDREss: Same aS above Envelope: 6929572 CITY ANDZIP 000E San Jose. CA 951 13 BRANCH NAME; Downtown Santa Clara Courthouse PLAINTIFF/PETITIONER: Juan Melecio Aguacaliente DEFENDANT/RESPONDENT: General Motors LLC REQUEST FoR DISMISSAL cAsE NUMBER: 21CV378972 A conformed copy wl|| not be returned by the clerk unless a method of return is provided with the document. This form may not be used for dismissal of a derivative action or a class action or of any party or cause of action in a class action. (Cal. Rules of Court, rules 3.760 and 3.770.) 1. TO THE CLERK: Please dismiss this action as follows: a. (1) With prejudice (2)E Without prejudice b. (1)E Complaint (2)E Petition (3)D Cross-oomplaintfiled by (name): on (date): (4)E Cross-complaintfiled by (name): on (date): (5) Entire action of all parties and all causes of action (mm Other(specify):* 2. (Complete in all cases except family law cases.) The court E did did not waive court fees and costs for a party in this case. (This inform ion may e obtained from the clerk. If court fees and costs were waived, the declaration on the back of this form must be omp/eted) Date; July 27, 202] o Timothy. Whelan, Esq. ......................... ’ /' r (TYPE 0R PRINT NAME 0F m ATrORNEY E PARTY WITHOUT ATrORNEY) (SIGNATU Attorney or party wi ut attorney for:'Ifldismis?al r Heegted is of spe<|2iflietd parlties only‘oit‘ specgfleg caflygetfi of aggionon .orosec cross-com alnson , so sae an Ian e ales. - - ~ calyses of acaionmrcross-compaintsto bejgismissed. p Pla'nt'fl/Pet'tloner E Defendant/R35pondent Cross-Complainant 3. TO THE CLERK: Consent to the above dismissal is hereby given.“ Date: ’ (TYPE 0R PRINT NAME 0F E ATTORNEYE PARTY WITHOUT ATTORNEY) (SIGNATURE) " If a cross-complaim - or Response (Family Law) seeking affirmative Attorney 0r party Without attorney for: relief - is on file, the attorney for cmss-complainant (respondent) must . . . . sign this consent it required by Code of Civil Procedure section 531 (i) E PlalntIfi/Petltloner E Defendant/Respondent °' m' D Cross-Complainant (To be completed by clerk) 4. Dismissal entered as requested on (date):7/27/2021 9'43 AM 5 E Dismissal entered on (date): as to only (name): 6.D Dismissal not entered as requested for the following reasons (specify): 7/27/2021 9:43 AM 7. a. Attorney or party without attorney notified on (date): b.E Attorney or party without attorney not notified. Filing party failed to provide a copy to be conformed E means to return conformed copy S. Vera Date: 7/27/2021 9:43 AM Clerk- by . Deputy Page 1 012 “flfiafifif’éiifi’él“S?E‘ii‘f‘éfii‘a’“ REQUEST FOR DISMISSAL eov.cwe, geasca‘9‘25)?£§i"'kfl':s°3$"c'§afififif:é,m ClV-1 10 [Rem Jan. 1. 2013] www.couns.m.gav CIV-110 PLAlNTlFF/PETITIONERS Juan Melecio Aguacaliente CASE NUMBER: DEFENDANT/RESPONDENT: General Motors LLC 21CV378972 COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS If a party whose court fees and costs were initially waived has recovered or will recover $1 0,000 or more in value by way of settlement, compromise. arbitration award, mediation settlement, or other means. the court has a statutory lien on that recovery. The court may refuse to dismiss the case until the lien is satisfied. (Gov. Code, § 68637.) Declaration Concerning Waived Court Fees 1. The murt waived court fees and costs in this action for (name): 2. The person named in item 1 is (check one below): a-E not recovering anything of value by this action. b. E recovering less than $10,000 in value by this action. c. E recovering $10,000 or more in value by this action. (/f item 20 is checked, item 3 must be completed.) 3.E All court fees and court costs that were waived in this action have been paid to the court (check one): E Yes E N0 I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: D (TYPE 0R PRINT NAME 0FE ATTORNEYE PARTY MAKING DECLARATION) (S'GNATURE) ClV-110 [Rev‘ January 1, 2013] REQUEST FOR DISMISSAL Panoz orz