Request Dismissal Entire Action With PrejudiceCal. Super. - 6th Dist.March 26, 2021ATTORNEY DR PARTY WITHOUT ATTORNEY (Name, Slala Bar number, and address) MIRIAM P, MAXWELL (SBN 99924) DARREL IC. YASUTAIZE (SBN 142927) YASUTAI&E & ASSOCIATES, a Professinal Corporation 6200 Center Street, Suite 280 Clayton, CA 94517 TELEPHONE Np.. (925) 680-4266 FAX NO. (Opliaaagc (925) 680 4259 E-MAIL ADDREss (opscnagc nlnlaxweil hy-litigators.corn ATTORNEY FOR (Name): Plaintiff STATE FARM GENERAL INSURANCE COMPANY SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA sTREETADDREss 191 North First Street MAILING ADDRESS'ITYANDzlpcoDE. San Jose, CA 95113 BRANCH NAME: PLAINTIFF/PETITIONER: STATE FARM GENERAL INSURANCE COMPANY DEFENDANT/REsPQNDENT; I-IOSE ASSEMBLIES, INC., et al, FOR COURT USE ONLY CIV-110 REQUEST FOR DISMISSAL CASE NUMBER: 2ICV381413 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 3.750 and 3.770.) 1. TO THE CLERK: Please dismiss this action as follows: a. (1) Mx With prejudice (2) H Without prejudice b. (1) ~ Complaint (2) ~ Petition (3) ~ Cross-complaint filed by (name): on (date): (4) ~ Cross-complaint filed by (name): on (daie): (5) ~x Entire action of ail parties and all causes of action (5) ~ Other (spec//y):* 2. (Complete in a// cases except family /aw cases.) The court H did Mx did not waive court fees and costs for a party in this case. (T)I/3 information may be obtained from the c/crit. i/court fees and costs were waived; the declaration on the bac/r of ib/s foim must be pieted). Date: May 24, 2021 MIRIAM 9 MAXWELL (3BN 99924) p C(JP)I crsce+~ V)FJ)f LA)dp+ g SIGNATURE) (TY 0 w NAME oF ~x Am ~ Nwvnm U Au NEYI p tip(nay pr party wilhpui aiiprney fpr: STATE FARM *If dismissal requested is of specified parges only of speciTIed causes of action GENERAL INSURANCE COMPANY only, or ofspecffied cross-complaints only, so state and identify lhe padies, ~x Plaintiff/Petitioner ~ Defendant/Respondent causes of action, or cross-complaints to be dismissed. ~ Cross-Complainant 3, TO THE CLERK: Consent to the above dismissal is hereby given.** Date: (TYPE OR PRINT NAME OF ~ ATTORNEY ~ PARTY WITHOUT ATTORNEY) If a cross-complaint-or Response (FamffyLaw) seeking affirmative relief- is on file, the agorney for cross complainant (respondent) must sign this consent if required by Code of Civil Procedure section 531 (I) or 0). (SIGNATURE) Attorney or party without attorney for: M Plaintiff/Petitioner El Defendant/Respondent~ Cross-Complainant (To be comp/e/ed by clerk) 4. ~ Dismissal entered as requested on (dafe): 5. M Dismissal entered on (date): as to only (name): 6. ~ Dismissal not entered as requested for the following reasons (spec//y): 7. a. M Attorney or party without attorney notified on (date): b. ~ Attorney orpartywithoutattorney not notified. Filing party failed to provideH a copy to be conformed M means to return conformed copy Date: Clerk, by , Deputy Form Adopted for Mandatory Uaa Judicial Council of California CIV-1 10 [Rav. Jan. I, 201 3) REQUEST FOR DISINISSAL Legal SotuLIons f8'lus Page I af 2 Cods of Civil Procedure, N 531 ai aaq; Gov. Code, 3 SSB37(e; Cal. Ruiaa of Court, mla 3.1330 Electronically Filed by Superior Court of CA, County of Santa Clara, on 5/25/2021 1:36 PM Reviewed By: R. Aragon Case #21CV381413 Envelope: 6516306 21CV381413 Santa Clara - Civil R. Aragon 5/25/2021 1:36 PM 5/25/2021 1:36 PM X 5/25/2021 1:36 PM R. Aragon X PLAINTIFF/PETITIONER: STATE FARM GENERAL INSURANCE COMPANY DEFENDANTIRESPONDENT: IIOSE ASSEMBLIES, INC., et al. CASE NUMBER: 21CV381413 CIV-110 COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS If a party whose courl fees and costs were initially waived has recovered or will recover $10,000 or more in value by way of seitlement, compromise, arbitration award, mediation settlement, or other means, the court has a statutory lien on that recovery. The court may refuse to dismiss the case until the lien is satisfied. (Gov. Code, g 68637.1 Declaration Concerning Waived Court Fees 1. The court waived court fees and costs in this action for (name): 2. The person named in item 1 is (checlr one below): a. M not recovering anything of value by this action. b. Cl recovering less than $ 10,000 in value by this action. c. ~ recovering $10,000 or more in value by this action. ((litem 2c is checked, item 3 must he completed.) 3. C] Allcourtfeesandcourtcoststhatwerewaivedinthisactionhavebeenpaidtothecourt(checl&one): HYes H No I 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 OF ~ ATTORNEY ~ PARTY MAKING DECLARATION) ISIGNATURE) CIV-110 [Rey. January I, 2DI3] REQUEST FOR DISMISSAL Page 2 of 2