request for dismissalCal. Super. - 1st Dist.February 5, 2020CIV-110 ATIORNEY OR PARlY WllHOUT ATIORNEY (Name,State Bar Number, Address): JORDAN D. COOK (BAR NO. 179720)/LORI N. WILLIAMS (BAR NO. 242985) "TELEPHONE NO FOR COURT USE ONLY EMILY PIERCE (BAR NO. 240084)/KRISlEN BRINKERHOFF (BAR NO. 263579) 866/428~ 102 ATIORNEYS FOR PLAINllFF 10680 lREENA ST. , SlE 500 SAN DIEGO, CA 92131 ATIORNEY FOR (Name):PORlFOLIO RECOVERY ASSOCIAlES, LLC SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO STREET ADDRESS: 400 MCALLISTER ST. ROOM 109 MAILING ADDRESS: CITY AND ZIP CODE: SAN FRANCISCO CA 94102 BRANCH NAME: LIMITED JURISDICTION PLAINTIFF/PETITIONER:PORTFOLIO RECOVERY ASSOCIATES, LLC DEFENDANT/RESPONDENT: SANTIA OLIVA REQUEST FOR DISMISSAL CASE NUMBER: 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 3.760 and 3.770.) 1. TO THE CLERK: Plea~ dismiss this action as follows: (1 D With prejudice (2 [}[]Without prejudice (2 D Complaint (2 D Petition (3 D Cross-Complaint filed by (na~): (4 D Cross-Complaint filed by (na~): (5 W Entire action of all partiesand all cau~sofaction (6 D Other (specify): * 2. (Corrplete in all cases except farrily law cases.) on (date): on (date): The 0 did KJ did not waive court fees and costs for a party in thisca~ . (This infonration 17BY be obtained from the clerk. If court fees and costs we!B waived, the declaration on the back of this formrrust be corrpleted. Date:January 17, 2020 (SIGNATURE) CGC-19-572502 PARTY WITHOUT ATIORNEY) *If dismissal requested is of specified parties only of specif ied 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. [K] Plaintiff/Petitioner D Cross-Complainant 0 DefendanURespondent 3. 10 lHE CLERK: COn~n t to the above disrussal 1s hereby g1ven. ** Date: (TYPE OR PRINT NAME OF D ATTORNEY D PARTYWITHOUT ATTORNEY) **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 Civi l Procedure section 581 (i) or U). (To be corrpleted by clelk) 4. D Dismissal entered as requested on (date): (SIGNATURE) 0 Plaintiff/Petitioner D DefendanURespondent 0 Cross-Complainant 5. D Dismissal entered on (date): as to only (na~): 6. D Dismissal not entered as requested for the following reaoons (specify): 7. a. 0 Attorney or party without attorney notified on (date): b. D Attorney or party without attorney not notified . Filing party failed to provide D a copy D means to return conformed copy Date: ClerK, by _______ _________ , Deputy Form Adopted for Mandatory Use Judicial Council of California CIV-110 [Rev . Jan. 1, 2013] 23132200 REQUEST FOR DISMISSAL Page 1 of2 Code of Civil Procedure § 581 et seq, ; Gov . Code, § 68637(c); Cal. Rules of Court, rule 3.1390 www. courts. ca.gov ELECTRONICALLY F I L E D Superior Court of California, County of San Francisco 01/27/2020 Clerk of the Court BY: DAVID YUEN Deputy Clerk DISMISSAL ENTERED 01/27/2020 By: DAVID YUEN Deputy Clerk PLAINTIFF/PETITIONER:PORTFOLIO RECOVERY ASSOCIATES, LLC CASE NUMBER: DEFENDANT/RESPONDENT: SANTIA OLIVA CGC-19-572502 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 byway 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.) Declaration Concerning Waived Court Fees 1. The court waived fees and costs in this action for (name): 2. The~rson in item 1 (check one): a. U 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 or more in value by this action (lfitem 2c is checked, item 3 must be completed.) CIV-110 3. D All court fees and costs that were waived in this action have been paid to the court (check one): DYes 0No Date : (TYPE OR PRINT NAME (K] ATTORNEY 0 PARTY MAKI NG DECLARATI ON) (SI GNAn.JRE) CIV-110 [Rev. January 1. 2013] REQUEST FOR DISMISSAL Page 2 of2 23132200