Page 1 ®
s
'ERIOR
ATTACHMENT
F
COW OW
COURT 0F CALIFORNIA, COUNTY 0F SANTA CLARA
DOWNTOWN COURTHOUSE'
191 NORTH FIRST STREET
SAN JOSE. CA
D
PALO ALTO COURTHOUSE
270 GRANT AVENUE
PALO ALTO. CA
D
SOUTH COUNTY COURTHOUSE
301 DIANA AVENUE
MORGAN HILL, CA
..
E
OCT
PLAINTIFF/PETITIONER:
DEFENDANTIRESPONDENT;
L/Q/w C§
f“
\J—f
KK
80-
1 4
Ieréf the Court
a
ta
MoloK S
Clara
DEPUTY
-.
..
Klzfrguav r13 ’Llififfif‘"
"’
'Hwfl—h‘;
CASE NUMBER:
REQUEST FOR DISMISSAL (SMALL CLAIMS)
If
you
case before trial, you must
days prior to hearing date.
settle the
(three) court
TO THE CLERK:
1.
D
Please
file a dismissal with the clerk.
Please dismiss the Claim
With prejudice (may not file again)
;\5Q_ Ojbfli‘j?
of PlaintiffIPetitioner
3.
D
file
your dismissal
at least
as follows: (check applicable box)
Partial dismissal (for multiple
Defendants/Respondents)
Dismiss only as to
Ithout prejudice
2.
(may
file again)
a)
b)
D
D
With prejudice (may not file again)
Without prejudice (may file again)
Date:
)0”
IV‘QOoN
\Zkv;
>
(TYPE OR PRINT NAME)
If
a claim of Defendant/Respondent has been filed, the Defendant/Respondent
TO THE CLERK:
1.
(SIGNATURE OF PLAINTIFFIWTITIONER)
D
may
dismiss their action as follows:
PIease dismiss the Claim of Defendanthespondent as follows: (check applicable box)
\Nith prejudice
(may not
file again)
3.
D
Partial dismissal (for multiple PIaIntiffs/Petitioners)
f
Dismiss only as to
2.
D
\Mthout prejudice (may file again)
a)
b)
D
D
VVIth prejudice
(maW)
Without prejudic‘
y file again)
J
I"
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF PLAINTIFF/PETITIONER)
NOTE: In some facilities. Ifthere Es a Claim of PI.- ‘fPetifloner
the hearing. the party who wants to file the di '1' sal should file
i.‘ d for clarification.
clerk at the Courthouse where your claim
AND
it
in
a Cfaim of Defendant. and only one party wants to file a dismissal prior to
when appearing on the other claim in the case. Check with the
lhe Court
f.
$03007 REV7/a1me
REQUEST FOR DISMISSAL (SMALL CLAIMS)
Page
on
PDF Page 1
PlainSite Cover Page
PDF Page 2
®
s
'ERIOR
ATTACHMENT
F
COW OW
COURT 0F CALIFORNIA, COUNTY 0F SANTA CLARA
DOWNTOWN COURTHOUSE'
191 NORTH FIRST STREET
SAN JOSE. CA 95113
D
PALO ALTO COURTHOUSE
270 GRANT AVENUE
PALO ALTO. CA 94306
D
SOUTH COUNTY COURTHOUSE
301 DIANA AVENUE
MORGAN HILL, CA 95037
..
E
OCT
PLAINTIFF/PETITIONER:
DEFENDANTIRESPONDENT;
L/Q/w C§
f“
\J—f
KK
80-8007
1 4 2021
Ieréf the Court
a
ta
MoloK S
Clara
DEPUTY
-.
..
Klzfrguav r13 ’Llififfif‘"
"’
'Hwfl—h‘;
CASE NUMBER:
REQUEST FOR DISMISSAL (SMALL CLAIMS)
If
you
case before trial, you must
days prior to hearing date.
settle the
(three) court
TO THE CLERK:
1.
D
Please
file a dismissal with the clerk.
Please dismiss the Claim
With prejudice (may not file again)
;\5Q_ Ojbfli‘j?
of PlaintiffIPetitioner
3.
D
file
your dismissal
at least 3
as follows: (check applicable box)
Partial dismissal (for multiple
Defendants/Respondents)
Dismiss only as to
Ithout prejudice
2.
(may
file again)
a)
b)
D
D
With prejudice (may not file again)
Without prejudice (may file again)
Date:
)0”
IV‘QOoN
\Zkv;
>
(TYPE OR PRINT NAME)
If
a claim of Defendant/Respondent has been filed, the Defendant/Respondent
TO THE CLERK:
1.
(SIGNATURE OF PLAINTIFFIWTITIONER)
D
may
dismiss their action as follows:
PIease dismiss the Claim of Defendanthespondent as follows: (check applicable box)
\Nith prejudice
(may not
file again)
3.
D
Partial dismissal (for multiple PIaIntiffs/Petitioners)
f
Dismiss only as to
2.
D
\Mthout prejudice (may file again)
a)
b)
D
D
VVIth prejudice
(maW)
Without prejudic‘
y file again)
J
I"
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF PLAINTIFF/PETITIONER)
NOTE: In some facilities. Ifthere Es a Claim of PI.- ‘fPetifloner
the hearing. the party who wants to file the di '1' sal should file
i.‘ d for clarification.
clerk at the Courthouse where your claim
AND
it
in
a Cfaim of Defendant. and only one party wants to file a dismissal prior to
when appearing on the other claim in the case. Check with the
lhe Court
f.
$03007 REV7/a1me
REQUEST FOR DISMISSAL (SMALL CLAIMS)
Page
1
on