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Forry Law Group 24AM u‘t.
15501 San Fernando Mission Blvd., Suite 309 a
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Mission Hills, CA 91345 93h 1
TELEPHONE No:
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18) 361— 1 321 FAX No.: (8 1 8) 365—6522
ArroRNEY Foreman»); lalntlff Sallyanne Payton ,«V
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SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F SAN BERNARDINO bi: :{Chk‘w a 3
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STREET ADDRESS: 247 West 3rd Street
MAILINGADDRESS: 247 West 3rd Street
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CITY AND ZIP CODE: San.Bemar_dino, CA 92415-0210
BRANCH NAME; C1v11 DiviSIOn of San Bemardino District
CASE NAME:
SALLYANNE PAYTON v. LUMIER, LLC, et a1.
CIVIL CASE COVER SHEET CASE NU
Unlimited
(Amount
E Limited
(Amount E
Complex Case Designation
Counter D .
Jomder
NEIV SB 2 2 U 8 9 17
JUDGE.
demanded
'
demanded is Filed with first appearance by defendant
exceeds $25,000) $25,000 or less) (Cal. Rules of Court, rule 3.402) DEPT:
Items 1—6 below must be completed (see instructions on page 2).
1. Check one box below for the case type that best describes this case:
Auto Tort Contract Provislonally Complex Civil thlgatlon
Auto (22) Breach of contracywarranty (05) (Cal.Rules of Court, rules 3.400—3.403)
Uninsured motorist (46) Rule 3.740 collections (09) Antitrust/Trade regulation (03)
Other PIIPDIWD (Personal lnjurylProperty DDDDD Other collections (09) Construction defect (10)
DamageNVrongful Death) Tort Insurance coverage Mass tort (40)
(1 8)
ASDeStOS (04) DDDDDD
Other contract (37) Securities litigation (28)
Product Inability (24) Real property Environmental/Toxic tort (30)
Medical malpractice (45) Eminent domain/lnverse Insurance coverage claims arising from the
wndemnafio"
D
Other pl/pDNVD (23)
Non-PIIPDIWD (Other) Tort E Wrongful eviction (33)
Other real
(14)
pmpe'ty (26)
above
types (41)
enforcement 0f
listed provisionally
Juagmem
complex case
m
E
Business
Civil rights (03)
tort/unfair business practice (07)
Unlawful Detainer
Commemia'
C] Enforcement ofjudgment (20)
E
E
Defamation (13)
Fraud (16) E
E Residential (32)
(31) Miscellaneous CivIICompIaint
D Rlco (27)
E
E
Intellectual property (19)
Pr°f955i°na' ”egligence(25)
E
JUdicia'
Drugs (38)
ReView
Other complaint (notspecified above) (42)
Miscellaneous Clvil Petition
Employment
Other "on'PVPD’WD t0“ (35)
Wrongful termination (36)
E
E
Asset forfeiture (05)
Petition re: arbitration award (11)
E Partnership and corporate governance (21)
Other pemion (not specified above) (43)
2.
D E m
This case
Other employment (15)
is is not complex under
E
Writ of
rule
mandate
Otherjudicial review (39)
(02)
3.400 of the California Rules of Court. If the case is complex, mark the
factors requiring exceptional judicial management:
E
a.
E
b.
Large number of separately represented parties
Extensive motion practice raising difficult or novel
d.
e.
E
E Large number of witnesses
Coordination with related actions pending in one or more courts
be time-consuming to resolve
E
c.
issues that
Substantial
will
amount ofdocumentary evidence f. E in other counties, states, or countries. or
Substantial postjudgmentjudicial supervision
in a federal court
@PP"
Remedies sought (check all that apply): am monetary b. nonmonetary; declaratory or injunctive relief c. punitive
Number of causes of action (specify):
6
This case
If there are any
E is
known
is not
related cases,
5
a class action suit.
and serve a notice of related case. (You m se form
file
CM?
Date:
Craig B. Forry
March 22, 2022
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o Plaintiff must
(TYPE OR PRINT NAME)
file this cover sheet with the first
NOTICE
paper filed in the action or proceeding (except small claims cases or cases filed
U
(SIGNMUR 0F PARTY OR ATTOR:Y FpR PARTY)
under the Probate Code, Family Code, or Welfare and Institutions Code). (Cal. Rules of Court, rule 3.220.) Failure to file may result
in sanctions.
' File this cover sheet in addition to
any cover sheet required by local court rule.
t If this case is complex under rule 3.400 et seq. of the California Rules of
Court, you must serve a copy of this cover sheet on all
other parties to the action or proceeding.
0 Unless this is a collections case under rule 3.740 or a complex case. this cover sheet be used
will for statistical purposes only.
510 1 0 f2
Form Adopted Mandatory Use
for
Judicial Council of California
CIVI L CAS E COVER s H E ET Cal. Rules of Court, rules 2.30, 3.220,
Calv Standards of Judicial Administration, std. 3.1 0
3400—3403, 3.740;
CM-O10 (Rev. July 1, 2007] www,courtinfo.ca.gov
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CM 01 D
INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET
To Plaintiffs and Others Filing First Papers. lf you are filing a first paper (for example, a complaint) in a civil case, you must
complete and file, along with your! first paper, the Civil Case Cover Sheet contained on page 1. This information will be used to compile
statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the shee_t. In item 1, you must check
one box for the case type that best describes the case. If the case fits both a general and a more specific type of case listed in item 1,
check the more specific one. lf the case has multiple causes of action, check the box that best indicates the primary cause of action.
To assist you in completing the sheet. examples of the cases that belong under each case type in item 1 are provided below. A cover
sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed'In a civil case may subject a party,
its counsel, or both to sanctions under rules 2. 30 and 3. 220 of the California Rules of Court.
To Parties in Rule 3. 740 Collections Cases. A "collections case" under rule 3. 740 Is defined as an action for recovery oh money
owed'm a sum stated to be certain that‘ls not more than $25, 000 exclusive of interest and attOrney‘s fees, arising from a transaction m
v
which propedy, services or money was acquired on credit. A collections case does not include an action seeking the following. (1) tort
damages, (2) punitive damages, (3) recovery of real property, (4) recovery of personal property, or (5) a prejudgment writ of
attachment. The identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the general
time-for—service requirements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 collections
case will be subjectwto the requirements for service
and obtaining a judgment in rule 3.740.
To Parties in Complex Cases. In complex cases only, parties must also use the Civil Case Cover Sheet to designate whether the
case is complex. If a plaintiff believes the case is complex under rule 3. 400 of the California Rules of Court, this must be indicated by
completing the appropriate boxes'In items 1 and 2. lf a plaintiff designates a case as complex the cover sheet must be sewed with the
complaint on all parties to the action. A defendant may: file and serve no later than the time of its first appearance a joinder In the
plaintiff‘s designation, a counter—designation that the case is not complex, or, if the plaintiff has made no designation a designation that
the case '8 complex
CASE TYPES AND EXAMPLES
Auto Tort Contract Provisionally Complex Civil Litigation (Cal.
Auto (22)—Personal Injury/Properly Breach of ContracUWarranty (06) Rules of Court Rules 3.400—3.403)
DamageNVrongful Death Breach of RentalILease Antilrustfrrade Regulalion (03)
Uninsured Motorist (46) (iflhe Contract (not unlawful detainer Construction Defect (1 0)
case involves an uninsured or wrongful eviction) Claims Involving Mass Tort (40)
motorist claim subject to ContracI/Warranty Breach—Seller Securities Litigation (28)
arbitration, check this item fraud or negligence)
Plaintiff (not Environmental/Toxic Tort (30)
instead ofAulo) Negligent Breach of Contract/ Insurance Coverage Claims
Other PllPD/WD (Personal Injury! Warranty (arising from provisionally complex
Property DamageIWrongful Death) . Other Breach of Contract/Warranty case type listed above) (41)
Tort Collections (e.g., money owed, open Enforcement of Judgment
Asbestos (04) book accounts) (09) Enforcement of Judgment (20)
Asbeslos Property Damage Collection Case—Seller Plaintiff Abstract of Judgment (Out of
Asbestos Personal lnjury/ Other Promissory Nole/Collecfions County)
Wrongfui Death Case . _
Confession of Judgment (non-
Insurance Coverage (not prowsmnally domeslic relalions)
Product Liability (not asbestos or
complex) (1 8) Sister State Judgment
toxic/environmenlal) (24)
Medical Malpractice (45) Auto Subrogation Administrative Agency Award
Medical Malpractice— Other Coverage (not unpaid (axes)
Petition/Cenification of Entry of
. Physicians & Surgeons Olher Contract (37)
Other Professional Health Care Contractual Fraud Judgment on Unpaid Taxes
Malpractice Other Contract Dispute Other Enforcement of Judgment
Real Property Case
Olher Pl/PD/WD (23)
Eminent Domain/Inverse Miscellaneous Civil Complaint
Premises Liability (e.g., slip
and fall) Condemnation (14)
RICO (27)
Wrongful Eviction (33) Other Complaint (not specified
Intentional Bodily lnjury/PD/WD
above) (42)
(e. g. assault, vandalism) Other Real Property (e. 9., quiet title) (26)
Declaratory Relief Only
Intentional lnfliction of .
.Writ of. Possession O_f Real Property
'
_
-
Injunctive Relief Only (no‘n.- .._
Emotional Distress
_
‘
‘ ,
-
Moflgage- Foreclosure '
'
harassment) .
Negligent Infliction of- Quiet Title
Mechanics Lien
'
Emotional Distress Other Real Property (not eminent
Olher Commercial Complaint
Other PIIPD/WD domain, landlord/(enant, or
Case (non-tort/non--complex)
Non-PllPDlWD (Other) Tort foreclosure)
Other Civil Complaint
Business Tort/Unfair Business Unlawful Detainer
(non-tort/non complex)
Practice (07) Commercial (31)
Miscellaneous Civil Petition
Civil Rights (e.g., discrimination. Residenfial (32) Partnership and Corporate
false arrest) (not civil Drugs (38) (if (he a_ase involves illegal
Governance (21)
harassment) (08) drugs, check this item; otherwise, Other Petition (not specified
Defamation (e.g., slander. libel) report as Commercial or Residential) above) (43)
(13) Judicial Review Civil Harassment
Fraud (16) Asset Forfeiture (05) Workplace Violence
Imellectual Property (19) Petition Re: Arbitration Award (1 1) Elder/Dependent Adult
Professional Negligence (25) Writ of Mandate (02) Abuse
Legal Malpractice Writ—Adminislrative Mandamus Election Contest
Other Professional Malpractice Writ—Mandamus on Limited Court
Petilion for Name Change
(not medical orlegal) Case Matter Petition for Relief From Late
Olher Non-Pl/PDNVD Tort (35) Writ—Other Limited Court Case Claim
Employment Review Other Civil Petition
Wrongful Termination (36) Olher Judicial Review (39)
Other Employment (1 5) Review of Health Officer Order
Notice of Appeal—Labor
Commissioner Appeals
CM-O1O (Rev. July 1. 2007] Page 20f2
CIVIL CASE COVER SHEET