Request DismissalCal. Super. - 6th Dist.May 3, 202121 CV381254 Santa Clara - Civil CIV-110 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): LAW OFFICES OF PATENAUDE & FELIX, A.P.C. Raymond A. Patenaude (#128855) / Stephanie J. Boone (#1 60182) Dean Keshavarz (# PL-496493) / Carolyn S. Elliott (#335870) / Kaden D. Byron (#333158) 9619 Chesapeake Drive, Suite 300, San Diego, CA 92123 TELEPHONE No.: (858) 244-7600 FAX No. (Optional): (858) 836-0318 E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name).- PLAINTIFF SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREET ADDRESS: 191 NO. FIRST STREET MAILING ADDRESS: 191 NO. FIRST STREET CITY AND ZIP CODE: SAN JOSE CA 951 13 BRANCH NAME: SANTA CLARA CIVIL DIVISION PLAINTIFF/PETITIONERI VEROS CREDIT, LLC DEFENDANT/RESPONDENTI MICHELLE NEVAREZ, Fon coum uss ONLY A. Villar ueva Electronically Filed by Superior Court of CA, County of Santa Clara, on 11/29/2021 12:00 AM Reviewed By: A. Villanueva Case #21 CV381 254 Envelope: 7741461 REQUEST FOR DISMISSAL CASE NUMBER: 21 CV381 254 A conformed copy will not be returned by the clerk unless a method of return 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. TO THE CLERK: Please dismissthis action asfollows: a. (1) D With prejudice (2) X Withoutprejudice b. (1) D Complaint (2) D Petition (3) D Cross-complaintfiled by (name): (4) D Cross-complaintfiled by (name): (5) D Entire action ofall parties and all causes ofaction (6) E Other (specify):* As To DOES 1 THROUGH 15, INCLUSIVE ONLY. 2. (Complete in all cases except family law cases.) on (date): on (date): The court D did g did not waive court fees and cost for a party in this case. (This information may be obtained from the clerk. If court fees and cost were waived, the declaration on the back of this form must be completed). Date: November 16, 2021 WW[ ] CAROLYN S. ELLIOTT [X] KADEN D. BYRON > (TYPE OR PRINT NAME OFg A'ITORNEYD PARTY WITHOUT ATTORNEY) (SIGNATURE) *lf dismissal requested is of specified parties only, of specified causes of action only, Attorney 0r party Without attorney for: PLA|NT|FF or of specified cross-complaints only, so state and identify the parties, causes of action, or cross-complaints to be dismissed. g PIaintiff/Petitioner D Cross-complainant 3. TO THE CLERK: Consent to the above dismissal is hereby given.** Date: D Defendant/Respondent (TYPE OR PRINT NAME OFD ATTORNEYD PARTYWITHOUT ATI'ORNEY) (SIGNATURE) ** If a cross-complaint-or Response (Family Law) seeking affirmative - _ relief-is on file, the attorney for cross-complainant (respondent) must Attorney 0r party WlthOUt attorney for- sign this consent if required by Code of Civil Procedure section 581 (i) D Plaintiff/Petitioner D Defendant/Respondent0r (J)- (To be completed by clerk) 4. m Dismissal entered as requested on (date): 1109/2021 12:00 AM . D Dismissal entered on (date): as to only (name):5 6. D Dismissal not entered as requested for the following reasons (specify): 7 Q a. Attorney or party without attorney notified on (date): 1109/2021 12:00 AM b. Attorney or party without attorney not notified. Filing party failed to provide D a copy to conform D means to return conformed copy D Cross-complainant Date: 11,29,2021 12.00 AM Clerk: by A \Iillnnllnvn . Deputy Page 1 of 2 Form Adopted for Mandatory Use Code of Civil Procedure, § 581 et seq.; Judicial Council of California REQUEST FOR DISMISSAL Gov. Code, § 68637(c) Cal. Rules of Court, rule 3.1390 CIV-1 1o [Rev. Jan. 1, 2013] CA-43 Dismissal WWW. COUftS. Ga.gOV P&F File No. 21-1638 CIV-1 10 CASE NUMBER:PLAINTIFF/PETITIONER: VEROS CREDIT, LLC 21CV381254 DEFENDANT/RESPONDENT: MICHELLE NEVAREZ, 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 $1 0,000 or more in value by way of settlement, compromise, arbitration award, mediation settlement, or other means, the court's has a statutory lien on that recovery. The court may refuse to dismiss the case until the lien is satisfied. (Gov. Code, § 68637.) Declaration Concerning Waived Court Fees 1. The court waived fees and cost in this action for (name): 2. The person in item 1 (check one below): 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 $1 0,000 or more in value by this action. (if item 20 is checked, item 3 must be completed.) 3. D All court fees and costs that were waived in this action have been paid to the court (check one): D Yes D No | declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: (TYPE OR PRINT NAME OFD ATTORNEYD PARTY MAKING DECLARATION) (SIGNATURE) Page 2 of 2 Form Adopted for Mandatory Use Code of Civil Procedure, § 581 et seq.; Judicial Council of California REQUEST FOR DISMISSAL Gov. Code, § 68637(c) Cal. Rules of Court, rule 3.1390 CIV-1 10 [Rev. Jan. 1, 201 3] www.courts.ca.gov CA-43 Dismissal P&F File No. 21-1638