Civil Case Cover SheetCal. Super. - 6th Dist.April 1, 2021CM-01 J Rafael Melendez Puente 9101 Wren Ave Gilroy, CA 95020 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name. State Barnumber, and address): TELEPHONE No.2 (408) 464-9977 FAX N0, (Optionan: ATTORNEY FOR (Name): [n Pro Per BRANCH NAME: Probate SUPERIOR COURT 0F CAUFORNIA, COUNTY 0F SANTA CLARA STREETADORESS: 191 North First Street MAILING ADDRESS: 191 North First Street cmr ANDZIP CODE: San Jose, CA 95113 l a FOR COURT ussomv x ' ?'J’ "lifts? CASE NAME: Name Change of: RAFAEL MELENDEZ PUENTE CIVIL CASE COVER SHEET Complex Case DesignationE Unlimited E Limited E Counter D Joinder (Amount (Amount F. . . Iled w1th first appearance by defendantdemanded demanded Is C I R I f0 lexceeds $25900) $25 000) ( a U es ° 0“” r” e 3 402) Items 1-6 below must be completed (see instructions on page 2). E Medical malpractice (45)E Other PI/PD/WD (23) D Fraud (16) EmploymentE WrongquenninationGS)E OtheremploymentUS) E JnlellectualpropertyUQ) E Drugs(38)E Professiona! negligence (25) JUdICia' RBV'BWD OthernomPIrPD/wmomss) E AsselfofieiturewS) 1. Check one box below for the case type that best describes this case: Auto Tort Contract Provlsionalty Complex Civil LitigationE Auto (22) E Breach of contract/wananty (05) (Cal. Rules of Coun. rules 3.400-3.403)E Uninsured moton‘st (45) E Rule 3.740 couecuons (09) U AnfiWSWrade regulation (03) Other PUPDIWD (Personal lnjurylProperty E Other collections (09) E commotion d9fe°1(10)Damagemrongfu' Death) Ton D Insurance coverage (18) E M353 ton (4o)E Asbestos (04) E Other contract (37) E Securities litigation (28)E Predum “ability (24) Real Property D Environmentalfl'oxic tort (30)E Eminent domainllnverse condemnation (1 4) es 41 Non-PIIPDIw0(0ther)Tort D Wrongfulevictionm) EnforczgeniogauagmemE BusinessIorUunfairbusiness practioe(07) E 0merrealpr098W(7-5) E Enforcementofjudgment(20)E Civilrightswfi) ”n'amu'nm'm Miscellaneous CMICompIaIntE Defamationma) E Commem‘a'm) E RICO(27)E Residential (32) E Petition re: arbitration award (1 1) E Other Petition (”OfSPECMEd Show) (43)E Writ of mandate (02)D Otherjudicial review (39) E Insurance coverage claims arising from the above listed provisionally complex case D Other compIaint (not specified above) (42 Miscellaneous Clvil PetitionE Pannership and corporate governance (2‘) 2. This caseD is E is not factors requiring exceptional judicial management: a. D Large number ofseparately represented parties b. E Extensive motion practice raising difficult or novel issues that will be time-consuming to resolve c. E Substantial amountofdocumentary evidence court .U'PP’ .0) Date: March 30 2021 Rafael Melendez Puente f. E Substantial postjudgmentjudicial supervision Remedies sought (check af/that apply):a.E monetary b.E nonmonetary; declaratory orinjunctive relief c. E puntive Number of causes of action {specifi}: ‘1 This caseD is E 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) complex under rule 3.400 of the California Rules of Court lfthe case is compIex. mark the d. D Large number ofwitnesses e. E Coordination with related actions pending in one or more courts in other counties, states. or countries. or in a feds rai *JV/kfidg rrYPE OR PRINT NAME) WZIOK”\SM rw’ul PARfi 0R ATTORNEY FOR PARm in sanctions. NOTICE Plaintiff must file this cover sheetwith the first paper filed in the action or proceeding (except small cIairns cases or cases filed under the Probate Code, Family Code, or Welfare and Institutions Code). (Cal. Rules 0f Court. rule 3.220.) Failure t0 file may result - 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. ofthe California Rules of Court. you must serve a copy ofthis cover sheet on al 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 1 012 Fa'm Adopted fa Mandatory Use Ca]. Rules of Court rues 2.30. 3.220, 3400-3409. 3.740. Juwu’ai Counc] o! California CIVIL CASE COVER SHEET CaL Standards of Judjdal Adenlstrann, 51d. 3‘10 CM-mo [Rev. July 1. 2007] smuoourf‘s ca gov