Request DismissalCal. Super. - 6th Dist.April 30, 2021Electronically Filed by Superior Court of CA, County of Santa Clara, on 7/2/2021 2:40 PM Reviewed By: D Harris Case #21CV381172 Envelope: 6777256 21CV381172 Santa Clara - Civil D Harris 7/2/2021 2:40 PM 7/2/2021 2:40 PM X 7/2/2021 2:40 PM D Harris X ClV-110 PLAINTIFF/PETITIONER: Midland Credit Management, Inc CASE NUMBER: DEFENDANT/RESPONDENT; : PATRICIA c ACEVEDO, an individual 21CV381172 COURT’S RECOVERY 0F 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) 1. The court waived fees and costs in this action for (name): 2. The person in item 1 is (check one): a- D not recovering anything of value by this action. b. D recovering less than $10,000 in value by this action. c. D recovering $10,000 or more in value by this action. (If item 20 is checked, item 3 must be completed.) 3.D A|| court fees and 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 CaIifornia that the information above is true and correct. Date: June 22, 2021 Christopher D. Mandarich SB 220693 } QQMM (SIGNATURE)(TYPE 0R PRINT NAMEOPE ATTORNEYE PARTY MAKING DECLARATION) ClV-110 (Rev. January 1, 2013] REQUEST FOR DISM'SSAL Page 2 of2
