Request DismissalCal. Super. - 6th Dist.April 28, 2021Electronically Filed by Superior Court of CA, County of Santa Clara, on 2/4/2022 7:44 AM Reviewed By: M. Sorum Case #21CV381157 Envelope: 8215302 21CV381157 Santa Clara - Civil M. Sorum 2/4/2022 7:44 AM 2/4/2022 7:44 AM X 2/4/2022 7:44 AM M. Sorum X .ClV-1 10 PLNNIIFF/PETITIONER: Citibank, NA. V CASE NUMBER: DEFENDANT/RESPONDENT: NguyetM V0 . ' 2 1CV381 157 COURTS RECOVERY OF WAIVED COURT FEES AND COSTS If a party whose 'coun fees a'nd eqsts were initially Waived has recpvered or will redov'er $1 0,000 or more in valu'e 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 wse until the lien'Is satisfied. (Gov Code. § 68637.) Declaration Cpncerniing Waived Court Fees 1. The court waived court'f’ees and‘Costs in thig 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 recovenng less than $10 000 In value by 'this action. c. D recovenng $10 000 o'r more in value by this action. (Ifitem 20 Is' checked, item 3 must be completed.) '3.- All court fees and court costs that were .wa'wed'In this action have been p'_aid to the court (check one): E Yes a N0 l declare under penalty of perjury under"the laws 9f the State of California that the information above is tme and correct. Date: D (rYPE OR PRINTNAME 0Fa mTORNEYE EARTY humus DECLARAn'oM). ‘ '(S’GNATURE) cwqjo (Rev. Jmuary 1; $13] 'REQ'UEST'FORms'ms’sAL,’ ' ' ' I ._ - r mam;