Request DismissalCal. Super. - 6th Dist.March 24, 2021Electronically Filed by Superior Court of CA, County of Santa Clara, on 9/7/2021 4:33 PM Reviewed By: M. Sorum Case #21CV381076 Envelope: 7216809 21CV381076 Santa Clara - Civil M. Sorum 9/7/2021 4:33 PM 9/7/2021 4:33 PM X 9/7/2021 4:33 PM M. Sorum X ClV-110 PLAi NT! FF/PETiTIONERZ Gerald Chavez DEFENDANTIRESPONDENTI Arturo John Basurto, Jr. and Sanco Pipeline, 1110., et aL CASE NUMBER: 2 1 CV38 l 076 If a party whose court fees and costs were initiail COURT'S RECOVERY 0F WAIVED COURT FEES AND COSTS y waived has recovered or wiH recover $10,000 or more in value by way 0f settlement, compromise, arbitration award, mediation settlement, or other means, the court has a statutory iien on that reoovew. The coun may refuse to dismiss the case untii the lien is satisfied. (Gov. Code, § 68637.) Declaration Concerning Waived Court Fees 1. The courtwaived court fees and costs in this action for (name): 2. The person named in item 1 is (check one below): a4 m not recovering anything ofvalue by this action. b. E recoveringlessthan $10,000in c. D recovering $10,000 or more in value by this action. (Ifitem 2c is checked, item 3 must be compieted.)value by this action. 3.B All court fees and court costs that were waived in this action have been paid to the court (check one): D Yes E N0 1 declare under penalty 0f perjury under the laws of the State of Caiifomia that the information above is true and correct. Date: } (TYPE 0R PRsNT NAME 0FD ATTORNEYD PARTY MAKtNG DECLARATEON) (SIGNATURE) CIVV‘HO [Rev January 1, 2013] REQUEST FOR DISMISSAL Page 2 o! 2
