Civil Case Cover SheetCal. Super. - 6th Dist.April 19, 2021DocuSign Envelope ID: CDDD2797-AFCA-4AE4-9F83-AD81B6D963FF CM-010 ATTORNEY OR PARTY wrrl IOUT ATTORNEY (Name, State Barnumber. and address): FLINT C ZIDE, SBN 160369/SARKIS S KARAYAN, SBN 316926 LAW OFFICE OF HARRIS & ZIDE 1445 HUNTINGTON DRIVE, SUITE 300 SOUTH PASADENA CA 91030 TELEPHONE "0-1 525-799-8444 FAX N0(W3 626-799-8419 M'ronNEv FOR (Name): PLAINTIFF FOR COURT USE ONLY Electronically Filed by Superior Court of CA, SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREET ADDRESS 191 NORTH 15T STREET MAILING ADDRESS crrv AND 3p CODE; San Jose CA 95113 BRANCH NAME SAN JOSE COURTHOUSE County of Santa Clara, on 4/19/2021 2:04 PM Reviewed By: Ashley Mackenz Case #21CV381314 CASE NAME: JEFFERSON CAPITAL SYSTEMS, LLC Vs. JANET L CORNELL Envelope: 6268551 CW"- CASE COVER SHEET Complex Case Designation CASE "UMBER:E UnlimitEd E LimitEd E Counter E Joinder 21 CV381 31 4 g:::::;d ggmgflted is Filed with first appearance by defendant JUDGE; exceeds $25300) $25900) (Cal. Rules of Court. rule 3.402) DEPTH: Items 1-6 below must be completed (see instructions on page 2). 1. Check one box below for the ease type that best describes this case: Auto Tort ContractE Auto (22) E Breach of contradlwarranty (06)E Uninsured motorist (46) Rule 3.740 collections (09) Other PIIPDIWD (Personal lnjurylProperty E Other conecfions (09) DamagaIWrongful Death) Tort E Insurance coverage (1 8)E Asbestos(04) _ u E Othercontract(37)E Productllablllty (24) Realpropeny |:| Med 'cal malprawce (45) E Eminent domainllnverseE Other PIIPDIWD(23) oondemnation(14) Non-PIIPDNVD(Other)Tort E Wrongfuleviction (33)E Business tortiunfairbusiness practioe(07) E Otherrealproperty(26)E Civilrigmsma) UnlawfulnetainerE Defamation (13) E CommemialfifiE Fraud(16) E Residential(32)E lntellectualproperty(19) E DTUQS(38)E Professional negligenoe(25) JudiCia'ReVieW El Othernon-PIIPDIWD tones) E Assetforfeiiurems) Employment E Petitionrezarbitration award(11)E Wrongfultermination (36) E writ“ marldatemz)E OtheremploymentUS) E Otherjudicialreview(39) Provisionally Complex Civil Litigation (Cal. Rules of Court, rules 3.4004403)E Antitrusthrade regulation (03)E Construction defect(10)E Masstort(40)E Securities litigation (28)E Environmental/Toxic tort (30)E Insurance coverage claims arising from the above listed provisionally complex case types (41) Enforcement of JudgmentE Enforcement ofjudgment (20) Miscellaneous Civil ComplaintE RICO (27)E Other complaint (not specified above) (42) Miscellaneous Civil PetitionE Partnership and corporate governance (21)D Other petition (not specified above) (43) 2. This caseE is is not complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the factors requiring exceptional judicial management: a. E Large number of separately represented parties d. E Large number of witnesses b. E Extensive motion practice raising difficufl or novel e. E Coordination with related actions pending in one or more issues that will be time-consuming to resolve courts in other counties, states, or countries, or in a federal c. E Substantial amount of documentary evidence court f. E Substantial postjudgmentjudicial supervision Remedies sought (check allthatapply):a.E monetary b.E nonmonetary; declaraiory orinjunctive relief c. E punitive3 4. Number of causes of action (specify): 1 5. This caseE is is not a class action suit. 6 If there are any known related cases, file and serve a notice of related case. (You may use farm CM-015.) 05m; 04/16/2021 D FLINT c. ZIDE >0 SARKIS s. KARAYAN {TYPE on PRINI NAME; NOTICE in sandions. - File this cover sheet in addition to any cover sheet required by local court rule. other parties to the action or proceeding. o If this case is complex under rule 3.400 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on all - Unless this is a collections case under rule 3.740 or a complex mse, this cover sheet will be used for statistical purposes only. DocuSigned by: Iwg QE PAR 0R ATTORNEY FOR PARTY) - Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claims uses or cases filed under the Probate Code, Family Code, or Welfare and Institutions Code). (Cal. Rules of Court. rule 3.220.) Failure to file may result Page1 M2 jmafidggmjl'2m? use TA048070 CW". CASE COVER SHEET cm-om [Rem Jury 1. 2007] Cal. Rules of Court. Mes 2.30. 3.20. 3.400-a403, 3.740: Cal. Standards of Judicial Administration. 5M. 3.10 www.wuns.ca.yov e DocuSign Envelope ID: CDDD2797-AFCA-4AE4-9F83-AD81B6D963FF INSTRUCTIONS 0N How To COMPLETE THE COVER SHEET CM-010 To Plaintiffs and Others Filing First Papers. If you are filing a first paper (for example. a complaint) in a civil case, you must complete and file, along with your first paper, the Civil Case Cover Sheet contained on page 1. This information will be used to compile statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item 1, you must check one box for the case type that best describes the case. If the case fits both a general and a more specific type of case listed in item 1, check the more specific one. If the case has multiple causes of action, check the box that best indicates the prlmary cause of action. To assist you in completing the sheet. examples of the cases that belong under each case type in item 1 are provided below. A cover sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party. its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court. To Parties In Rule 3.740 Collections Cases. A "collections case" under rule 3.740 is defined as an action for recovery of money owed in a sum stated to be certain that is not more than $25,000, exclusive of interest and attorney's fees, arising from a transaction in which property, services. or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort damages, (2) punitive damages, (3) recovery of real property, (4) recovery of personal property, or (5) a prejudgment writ of attachment. The identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the general time-for-service requirements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 collections case will be subject to the requirements for service and obtaining a judgment in rule 3.740. To Parties in Complex Cases. In complex cases only, parties must also use the Civil Case Cover Sheet to designate whether the case is complex. If a plaintiff believes the case is complex under rule 3.400 of lhe California Rules of Coud, this must be indicated by completing the appropriate boxes in items 1 and 2. If a plaintiff designates a case as complex, the cover sheet must be served with the complaint on all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the plaintiffs designation. a counter-designation that the case is not complex. or, if the plaintiff has made no designation, a designation that the case is complex. Auto Tort Auto (22)-Personal Injury/Property DamageNVrongful Death Uninsured Motorist (46) (ifthe case involves an uninsured motorist claim subject to arbitration, check this item instead ofAuto) Other PIIPDIWD (Personal Injury] Property DamageIWrongful Death) Tort Asbestos (04) Asbestos Property Damage Asbestos Personal Injury] Wrongful Death Product Liability (not asbestos or loxic/environmenral) (24) Medical Malpractice (45) Medical Malpractice- Physicians & Surgeons Other Professional Health Care Malpractice Other PIIPD/WD (23) Premises Liability (e.g., slip and fall) Intentional Bodily lnjury/PD/WD (e.g., assault, vandalism) Intentional lnfliction of Emotional Distress Negligent lnfliction of Emotional Distress Other Pl/PDNVD Non-PIIPDMID (Other) Torl Business Tort/Unfair Business Practice (07) Civil Rights (3.9.. discrimination, false arrest) (not civil harassment) (08) Defamation (e.g., slander, libel) (13) Fraud (1 6) Intellectual Property (19) Professional Negligence (25) Legal Malpractice Other Professional Malpractice CASE TYPES AND EXAMPLES contract Breach of Contract/Warranty (06) Breach of Rental/Lease Contract (nor unlawful detainer or wrongful eviction) Contractharranty Breach-Seller Plaintiff (not fraud or negligence) Negligent Breach of Contract/ Warranty Other Breach of Contract/Warranty Collections (e.g.. money owed, open book accounts) (09) Collection Case-Seller Plaintiff Other Promissory Note/Collections Case Insurance Coverage {notpmvisionaliy complex) (1 8) Auto Subrogation Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Property Eminent Domainllnverse Condemnation (14) Wrongful Eviction (33) Other Real Prepedy (e.g., quiet title) (26) Writ of Possession of Real Properly Mortgage Foreclosure Quiet Title Oiher Real Property (not eminent domain, Iandlord/tenant, or foreclosure) Unlawful Detainer Commercial (31) Residential (32) Drugs (38) (if the case involves illegal drugs, oheck this item; othemise, report as Commercial or Residentiao Judicial Review Asset Forfeiture (05) Petition Re: Arbitration Award (1 1) Wri‘ of Mandate (02) Writ-Administrative Mandamus Writ-Mandamus on Limited Court Provisionally Complex Civil Litigation (Cal. Rules of Court Rules 1400-3403) Antitrust/Trade Regulation (03) Construction Defect (10) Claims Involving Mass Tort (40) Securities Litigation (28) EnvironmentallToxic Tort (30) Insurance Coverage Claims (arising from provisionally complex case type Iisted above) (41) Enforceme nt of Judgment Enforcement of Judgment (20) Abstract of Judgment (Out of County) Confession of Judgment (non- domestic relations) Sister State Judgment Administrative Agency Award (not unpaid taxes) PetitionlCertification of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Miscellaneous Civil Complaint RICO (27) Other Comp|aint (not specified above) (42) Declaratory Relief Only Injunctive Relief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-ton/non-oompiex) Other Civil Complaint (non-tort/non-complex) Miscellaneous Civil Petition Partnership and Corporate Governance (21) Other Petition (not specified above) (43) Civil Harassment Workplace Violence EIder/Dependent Adult Abuse Elec1ion Contest » Case Matter - - (not medical orlegal) . . , Petition for Name Change Other Non-Pl/PD/WD Tort (35) Wr'gggzr L'mfled CW” Case Petition for Relief From Late Employment _ _ _ Claim Wrongful Termination (36) O‘hge-ili‘gx'oaf' fizzfiwo‘ffigger Order Other Civil Petition Other Employment (1 5) Notice Of AppeaH-abor Commissioner Appeals CM-O10 [Rev. July 1, 2007] CIVIL CASE COVER SHEET PagoZufz