request for dismissalCal. Super. - 1st Dist.May 20, 2021A conformed copy will not be returned by the clerk unless a method of return is provided with the document. 3. TO THE CLERK: Consent to the above dismissal is hereby given.** Date: ATTORNEY(TYPE OR PRINT NAME OF REQUEST FOR DISMISSALForm Adopted for Mandatory Use Judicial Council of California CIV-110 [Rev. Jan. 1, 2013] FOR COURT USE ONLY CASE NUMBER: 1. TO THE CLERK: Please dismiss this action as follows: on (date): on (date): a. (1) With prejudice (2) Without prejudice PetitionComplaint (2)b. (1) Cross-complaint filed by (name):(3) Cross-complaint filed by (name):(4) Entire action of all parties and all causes of action(5) (6) Other (specify):* Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ATTORNEY(TYPE OR PRINT NAME OF PARTY WITHOUT ATTORNEY) (SIGNATURE) Attorney or party without attorney for: Plaintiff/Petitioner Defendant/Respondent Cross Complainant (SIGNATURE) Attorney or party without attorney for: Plaintiff/Petitioner Defendant/Respondent Cross Complainant ** If a cross-complaint - or Response (Family Law) seeking affirmative relief - is on file, the attorney for cross-complainant (respondent) must sign this consent if required by Code of Civil Procedure section 581 (i) or (j). PARTY WITHOUT ATTORNEY) *If dismissal requested is of specified parties only of specified causes of action only, or of specified cross-complaints only, so state and identify the parties, causes of action, or cross-complaints to be dismissed. (To be completed by clerk) Dismissal entered as requested on (date):4. Dismissal entered on (date): as to only (name):5 Dismissal not entered as requested for the following reasons (specify):6. 7. Attorney or party without attorney notified on (date): means to return conformed copya copy to be conformed Date: Clerk, by b. Attorney or party without attorney not notified. Filing party failed to provide , Deputy Code of Civil Procedure, § 581 et seq.; Gov. Code, § 68637(c); Cal. Rules of Court, rule 3.1390 www.courts.ca.gov CIV-110 Page 1 of 2 2. The court did did not waive court fees and costs for a party in this case. (This information may be obtained from the clerk. If court fees and costs were waived, the declaration on the back of this form must be completed). a. (Complete in all cases except family law cases.) ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF PLAINTIFF/PETITIONER: TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: DEFENDANT/RESPONDENT: REQUEST FOR DISMISSAL 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.) Daniel D. Geoulla, Esq. SBN: 255800, B & D LAW GROUP, APLC. 10700 Santa Monica Blvd., Suite 200, Los Angeles, CA 90025 (310)424-5252 (310)492-5855 daniel@bdinjurylawgroup.com Kenneth Denney San Francisco 400 McAllister Street Room 007 400 McAllister Street Room 007 San Francisco, 94102 Civic Center Court House Kenneth Denney Tyler Gonzalez CGC-18-572325 2/22/2021 Daniel D. Geoulla, Esq ELECTRONICALLY F I L E D Superior Court of California, County of San Francisco 03/26/2021 Clerk of the Court BY: WILLIAM TRUPEK Deputy Clerk Declaration Concerning Waived Court Fees PLAINTIFF/PETITIONER: CASE NUMBER: DEFENDANT/RESPONDENT: CIV-110 The court waived court fees and costs in this action for (name):1. All court fees and court costs that were waived in this action have been paid to the court (check one):3. 2. The person named in item 1 is (check one below): not recovering anything of value by this action.a. recovering less than $10,000 in value by this action.b. recovering $10,000 or more in value by this action. (If item 2c is checked, item 3 must be completed.) c. REQUEST FOR DISMISSALCIV-110 [Rev. January 1, 2013] Page 2 of 2 I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: ATTORNEY(TYPE OR PRINT NAME OF (SIGNATURE)PARTY MAKING DECLARATION) Yes No 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 $10,000 or more in value by way of settlement, 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, § 68637.) Kenneth Denney Tyler Gonzalez CGC-18-572325