Request DismissalCal. Super. - 6th Dist.April 26, 202121 CV381065 Santa Clara - Civil CIV-HMuyen ATTORNEY OR PARTY WITHOUT A'I'I'ORNEY: STATE BAR NO: m COURT "3E ONLY NAME: Christopher D. Mandarich SB 220693; Ajay Sood SB325294; Martin Weinganen SB 201906 . . FIRM NAME: Hayk Stambultsyan SB320973; ; Elecltron lcal ly Fl led STREETADDQEQDARICH LAW GROUP’ LLP by Superior Cou rt of CA, cmr: Po. Box 109032Chicago, 1L 60610 STATE: zup oonE: County of Santa Clara, TELEpHoNE ~o.= 877.285.4918 FAX ~0-= 818.888.1260 on 9/20/2021 10:55 AM EMAILADDREss: Reviewed By: R. Nguyen AWORNEY FOR ("mt LVNV FUNDING LLC Case #21 CV381 065 SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F SANTA CLARA E -nvelo e. 7297008 STREET ADDRESS: 191 N FIRST STREET p MAILING ADDRESS: 0'" AND Z'P°°°E_= SAN JOSE CA 951 13 BRANCH ”AME DOWNTOWN COURTHOUSE PIaintiff/Petitioner: LVNV FUNDING LLc Defendant/Respondent: Sanjay Jayawardena CASE NUMBER= 21cv381065 REQUEST FOR DISMISSAL A conformed copy will not be retumed by the clerk unless a method of retum 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. T0 THE CLERK: Please dismiss this action as follows: a. (1) m With prejudice (2) E Withoutprejudice b. (1) E Complaint (2) E Petition (3) E Cross-oomplaintfiled by (name): on (date): (4) E Cross-oomplaintfiled by (name): on (date): (5) Entire action of all parties and all causes of action (6) E Other (speciMfl‘ 2. (Complete in afl cases except famifyfaw cases.) The courtE did m did not waive court fees and costs for a party in this case. (This infomation maybe obtained from the clerk. If court fees and costs were waived, the declaration on the back of this form must be completed). Date: 09/20/2021 Chn‘stopher D. Mandarich SB 220693 ’ dM-flj (TYPE 0R PRINT NAME 0F I X I ATrORNEY | | PARTY wrrHOUT ATTORNEY) (SIGNATURE) *If dlsmlssal requested Is of speclfled partles only of speclfled causes of acflon only, Attorney Ol' party WithOUt attorney for: LVNV FUNDING LLc or of spedfled cross-oomplalnts only, so sme and Identlfy Ihe parfles, causes of m plaintifilpetitioner E DefendanfiRespondentacflon, or cross-oomplalnts to be dlsmlssed. E Cross Complainant 3. T0 THE CLERK: Consent to the above dismissal is hereby given.“ Date: 09/20/2021 ’ (TYPE OR PRINT NAME OF I x I A'I'I'ORNEY l l PARTY WITHOUTATTORNEY) (SIGNATURE) ** If a crossoomplalnt - or Response (Family Law) seeking affirmative Attorney or party without attorney for: rellef- Is on flle, Ihe athomey for cross-oomplalnant (respondent) must sun E Plaintifilpetitioner E Defendant/RespondentIhls consent If requlred by Code ofCIvII Procedure section 581 (I) or (j). E Cross Compla_nantI (To be completedby clerk) 4. E Dismissal entered as requested on (date): 9/20/2021 10:55 AM 5 E Dismissal entered on (date): as to only (name): 6. E Dismissal not entered as requested for the following reasons (special): 7. a. E Attorney or party without attorney notified on (data): 900/2021 10155 AM b. E Attorney or party without attorney not notified. Filing party failed to provideE a copy to be conformed E means 130 return conformed copy Date; 9/20/2021 10:55 AM mark, by R- Nguyen ,Deputy Pawm Form Adopted for Mandatory Use Code of Civil Procedure, § 531 st seq; Gov. Code, Judicial Council of California REQUEST FOR DISMISSAL § 63637tc); Cal. Rules of Court, mle 3.1390 ClV-1 10 [Rem Jan. 1 , 201 3] mmmagov "“DSOOO4415280* CIv-1 1 o' PLAINTIFF/PETITIONER: LVNV FUNDING LLC CASE NUMBER;21CV381065 ' DEFENDANT/RESPONDENT; Sanjay Jayawardena 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 $10,000 or more in value by way of settlement, compromise, arbitration award, mediation settlement, or other means, the court has statutory lien on that recovery. The court may refuse to dismiss the case until the lien is satisfied. (Gov. Code, Section 68637) Declaration Concerning Waived Court Fees 1‘. The court waived fees and costs in this action for (name): 2. The person in item 1 is (check one): a- E not recovering anything of value by this action. b. E recovering less than $10,000 in value by this action. c. [j recovering $10,000 or more in value by this action. (Ifitem 20 is checked, item 3 must be completed.) 3. [j All court fees and costs that were waived in this action have been paid to the court (check one):E Yes E N0 f declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: (TYPE 0R PRINT NAMEOPE ATTORNEYE PARTY MAKING DECLARATION) (S'GNATURE) ClV-1 10 {Rem January 1, 201 3] REQUEST FOR DISMISSAL Page 2 of 2