On September 14, 2017 a
Judgment
was filed
involving a dispute between
Crazy Best Cost,
Super Center Concepts Inc,
Hill, Tonya,
and
Crazy Best Cost,
Super Center Concepts, Inc.,
for PI personal injury not MV
in the District Court of San Bernardino County.
Preview
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CIV 110
ATTORNEY OR PARTY WITHOUT ATTORNEY Name State Bar number and address
Keith L Sho i ESC SBN Z O7 FORCOURTUSEONLY
Bonnie R Moss Associates
1600 lowa Avenue Suite 200
Riverside CA 92507
TELEPHONE NO gj 3Z8 ZOOO Fnx No opsooa 855 811 3889 F E a
e nnni nooRess oarro aq gMossAssoc@statefarm com
SUPER OR COURT oF CAUFORN A
COUNTY OF SkN BERNARDINO
ATTORNEY FOR Name C 2Z Best Cost dba 99 WOW 62f 21f1 SAN BERNARDINO CIViI DIWSION
SUPERIOR COURT OF CALIFORNIA couNnr oF San Bernardino
JAN 2 2018
srHeern oRess 247 West 3rd Street
MAILING ADDRESS Z4 WeSt 3 CI Stf@e t
c rv Ar o z P co e San Bernardino CA 92415
BY l
ew c E
ASHLEY MULCAHY D UlY
PIAINTIFF PETITIONER TOftyB HIII
DEFENDANT RESPONDENT C 82 BBSt COSt db8 99 WOW B2f921t1
REQUEST FOR DISMISSAL CASENUMBER CIVDS 7 775
A conformed copy will not be returned by the clerk unless a method of return is provided with the document
This fortn may not be used for dismissal of a derivative action or a c ass 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 Please dismiss this action as follows
a 1 With prejudice 2 Without prejudice
b 1 Complaint 2 Petition
3 Cross complaint filed by name Crazy est Cost on date 10 20 2017
4 Cross complaint filed by name on date
5 Entire action of a11 parties and all causes of action
6 Other specify
2 Complete in all cases except fami y law cases
The court did did not waive court fees and costs for a party in this case This information may be obtained from
the c er1c If court fees and costs were waived the declaration on the back of this form must be com ed
Date 2018
January
Johnathan D Cloud
SIGNATURE
TYPE OR PRINT NAME OF ATTORNEY PARTY WITHOUT ATTORNEY
If dismissal requested is of specified parties only of specified causes of action Attorney party without attomey for
on1y or of specified cross complaints only so state and identiry the parties
aintiff Petitioner DefendanURespondent
causes of action or cross complaints to be dismissed
Cross Complainant
TO THE CLERK Consent to the above dismissal is hereby given
Date
TYPE OR PRINT NAME OF ATTORNEY PARTY WITHOUT ATTORNEY SIGNATUREj
If a cross comptaint or Response
Family Law seeking affirmative Attomey or paRy without attomey for
relief is on file the attomey for Cross omplainant respondent must
sign this consent if repuired by Code oi Civil Procedure section 581 i Plaintiff Petitioner Defendant Respondent
or Q Cross Compfainant
To be c pleted
by clerk
4
AN s c 201
Dismissat entered as requested on date
5 Dismissal entered on date as to only name
6 Dismiss f not entered as requested for the folfowing reasons specify
7 a Attomey or party without attomey notified on date A 2 Z
b Attorney or party without attomey not notified Filing party failed to provide
a copy to be confonned
means to retum conformed copy
Date Cterk by
AN Zo Deputy
y u ca y
Page 1 ot 2
Form Adoptedfar Mandatory Use Code of Civil Procedure 581 et seq
Judidal Coundl ofCalifarria
REQUEST FOR DISMISSAL Gov Code ses37 c Caf Rules ot Court rule 3 1390
CIV 110 Rev Jan 1 2013 www courts ca gov
ti
CIV 1 t0
PLAINTIFF PETITIONER Tonya Hill CASE NUMBER
DEFENDANT RESPONDENT Crary Best Cost dba 99 Wow Bargain CIVDS 1717781
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
Declaration Concerning Waived Court Fees
1 The court waived court fees and costs in this action for name
2 The person named in item 1 is check one below
a not recovering anything of value by this action
b recovering less than 10 000 in value by this action
c recovering 10 000 or more in value by this action If item 2c is checked item 3 must be completed
3 All court fees and court costs that were waived in this action have been paid to the court check one Yes No
I declare under penalty of perjury under the laws of the State of Cafifornia that the information above is true and correct
Date
SIGNATURE
NPE OR PR NT NAME OF ATTORNEY PARTY MAKiNG DECLARATION
CIV 110 Rev January 1 2D13 REQUEST FOR DISMISSAL Peye s ot s
AmerieanLegafNet lnc q
www FormsWorkFlow com
Document Filed Date
January 02, 2018
Case Filing Date
September 14, 2017
Category
PI personal injury not MV
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