Request DismissalCal. Super. - 6th Dist.May 3, 2021Electronically Filed by Superior Court of CA, County of Santa Clara, on 7/30/2021 10:10 AM Reviewed By: A. Nakamoto Case #21CV381355 Envelope: 6960790 21CV381355 Santa Clara - Civil A. Nakamoto 7/30/2021 10:10 AM 7/30/2021 10:10 AM X 7/30/2021 10:10 AM A. Nakamoto X ClV-110 PLAINTIFF/PETITIONER: TD BANK USA, NA. CASE NUMBER: 210v331355 DEFENDANTIRESPONDENT: JESSICA N RENTERIA, COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS If a party whose court fees and costs were initialiy 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'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 courtwaived 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 $10,000 0r more in value by this action. (if item 2c 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 0f the State of California that the information above is true and correct. Date: July 26, 2021 [ JSTEPHANIEJBOONE [ MNGIE HONG HOAR [ ] KADEN D. BYRON [ ] CAROLYN S‘ ELLIOTT (TYPE OR PRINT NAMEOFg ATTORNEYD PARTY MAKING DECLARATION) (SIGNATURE) Page 2 of 2 Form Adopted for Mandatory Use Code of Civil Procedure. § 531 et seq.; Judlclal Council of California REQUEST FOR DISMISSAL Gov. Code. § 68537(c);CaI, Rules of Court, rule 3,1390 CIV-11O [RemJan 1. 2013] W.couns.ca,gov CA-43 Dismissal P&F File No‘ 20-56752
