Tina Lewis v. TESLA, INC. WHICH WILL DO BUSINESS IN CALIFORNIA A Document 2: Fee Waiver Application

Superior Court of California, County of Santa Clara
Case No. 21SC085578
Filed July 19, 2021

Guide & File FW-001 Request for Fee Waiver

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Page 1 SC-FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA
STREET ADDRESS:
MAILING ADDRESS:
CITY
191 N. First St,
San Jose,
CA
Electronically Filed
by Superior Court of CA,
191 N. First Street
AND ZIP CODE:
San Jose, CA Downtown Superior Courthouse, Small Claims
DIVISION:
County of Santa
Unit
PLAINTIFF: Tina Lewis
on 7/19/2021 3:Reviewed By:
DEFENDANT:
Clara,
TESLA, INC.
PM
D. Pinheiro
Case #21
WHICH WILL DO BUSINESS IN CALIFORNIA A
Envelope:
SMALL CLAIMS AB

AND SB
CASE NUMBER:

DECLARATION

SCO
Please check only one of the following boxes.
This case does not involve past—due rent.
D
|
am

D
D
|
|
|
a landlord, and am seeking past-due rent owed starting March
for a residential lease.
|
am
a landlord, and
am
a landlord, and
|
|
am
seeking past—due rent for a commercial lease.
am
seeking past—due rent
owed
before March
declare under the laws of the state of California that the above
Dated:
7/
Signed:
9/
Print
To be completed by
your name:
the Clerks’ Office:
DATE: 7/22/
1,
/s/
true
is
1,
and
2020, and before August
2020.
correct.
Tina Lewis
Tina Lewis
Judicial
Order required:
D
Yes

No
D- Plnhelro
Clerk of the Court
ORDER
D
D
Plaintiff
Plaintiff
can file the claim for past—due rent now.
cannot file the claim for past-due rent until August
1,
2021.
DATE:
JUDICIAL OFFICER
SMALL CLAIMS ORDER
SC-8022 Rev
3/1 1/
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