Request DismissalCal. Super. - 6th Dist.May 5, 2021Electronically Filed by Superior Court of CA, County of Santa Clara, on 6/16/2021 2:17 PM Reviewed By: S. Vera Case #21CV381489 Envelope: 6663062 21CV381489 Santa Clara - Civil S. Vera 6/16/2021 2:17 PM 6/16/2021 2:17 PM X 6/16/2021 2:17 PM S. Vera X PLNNTIFF’PETmONER: JPMor-ganéhase Ban1;,N.A. n ' > CASE NUMBER; DEFENDANQ'T‘IRESPONDENT: MONTY HOLZWORTH 21CV381489 ClV-1.10 COURTS RECOVERY OF WAIVED COURT FEES AND COSTS If a party whose cou'rt fees and costs were initially waived has récovered or wfll recover- $10,000 or more in value by way of settiement. compromise. arbitration award; mediationsettlement or other means. the court has a statutory lien on that recovery The court may refuse to.dismiss the wse until the lienis satisfied; (Gov Code § 68637.)- Deciaration;Concerning Waived Court Fees Thecourt waived court- fees andgcosts imthis'action for (name): The pérson named-“in item 1 is (check one below): a. E not recoven'ng anything of value by this:action. b.E recovering;less than $10 000'“In value by this action. c-E recovering $10,000 or more in value by this a_cfion. (Ifitem 20 is‘ chewed, item 3 must be completed ) 3. E] All court fees and court costs that were waived'm this:_action have been paidt'o the court (check one): E Yes- : N0 l‘dedare under penaltyxofpeq‘my under the laws:of the State of California that the information abovevis true and correct Date: V b HYPE 0R PRINT NAME 0FE ATro'RNEYE PARTY MAKms DECLARAnON) (S‘GNATURE) c‘w‘no (Rm4mm 2M3! N REQUEST'FOR‘DI‘sMi'ss'AL sznfz
