On October 23, 2015 a
Miscellaneous
was filed
involving a dispute between
Beltran, Brenda,
and
for Petition re Change of Name
in the District Court of San Bernardino County.
Preview
I
CM 010
ATTORNEYORPARTYWITHOUTATTORNEY Name StateBarnum6er andaddress FORCOURTUSEONLY
Silvia Aguine Esq SBN 2541 0
The Aguirre Law Firm
3807 Wilshire Blvd Suite 910 p
Los Angeles Ca 90010 R ARBEt ie
n
i S ICT
TELEPHONENO 213 386 4649 FAXN0 213 386 3526 BERNAR
nrroRNev FOR nrame etltlOner BRENDA BELTR A
SUPERIOR COURT OF CAUFORNIA COUNTY OF SAN BERNARDINO 0 C T 2 3 2015
STREETADDRESS 247 Y IeSt 3r 1 Stj eet
MAILING ADDRESS
c ANoz Pcooe San Bernardino 92415 0210
By
eRANCH Nnnne SAN BERNARDINO JUSTICE CENTER CIVIL DIVI Deputy
CASE NAME
BRENDA BELTRAN
CASE NUMBER
CIVIL CASE COVER SHEET Complex Case Designation
Unlimited Limited
Amount Amount 0 Counter 0 Joinder o t
UDGE
demanded demanded is Filed with first appearance by defendant
exceeds 25 000 25 000 or less Cal Rules of CouR rule 3 402 DEPT
tems 1 6 below must be comp eted see instructions on page 2
1 Check one box below for the case type that best describes this case
Auto Tort Contract
Provisionally Complex Civil Litigation
0 Auto 22 0 Breach of contracUwarranty 06 Cal Rules of Court rules 3 400 3 403
0 Uninsured motorist 46 Rule 3 740 collections 09 0 Antitrust Trade regulation 03
Other PI PDIWD Personal Injury Property 0 Other collections 09 0 Construction defect 10
Damage Wrongful Death Tort Insurance coverage 18 0 Mass tort 40
Asbestos 04
Q Other contract 37 Securities litigation 28
Product liability 24
Real Pro pe rty Q Environmental Toxic tort 30
0 Medical malpractice 45
Q Eminent domain Inverse
Q Insurance coverage claims arising from the
0 Other PI PD WD 23 condemnation 14
above listed provisionally complex case
types 41
Non PI PDIWD Other Tort 0 Wrongful eviction 33
0 Business tort unfair business practice 07 0 Other real property 26 Enforcement of Judgment
0 Civil rights 08 Unlawful Detainer Enforcement of judgment 20
0 Defamation 13 Commercial 31 Miscellaneous Civil Complaint
Fraud 16 0 Residential 32
Q RICO 27
0 Intellectual property 19 Drugs 38
Q Other complaint not specified above 42
0 Professional negligence 25 Judicial Review
Miscellaneous Civil Petition
0 Other non PI PD WD tort 35 Asset forteiture 05
Employment Petition re arbitration award 11
Q partnership and corporate govemance 21
Other petition not specified above 43
Q Wrongful termination 36 Writ of mandate 02
Q Other employment 15 Other judicial review 39
2 This case is is not complex under rule 3 400 of the California Rules of Court If the case is complex mark the
factors requiring exceptional judicial management
a Large number of separately represented parties d 0 Large number of witnesses
b 0 Extensive motion practice raising difficult or novel e 0 Coordination with related actions pending in one or more courts
issues that will be time consuming to resolve in other counties states or countries or in a federal court
c 0 Substantial amount of documentary evidence f Substantial postjudgment judicial supervision
3 Remedies sought check all that app y a 0 monetary b Q nonmonetary declaratory or injunctive relief c 0 punitive
4 Number of causes of action specify
5 This case is 0 is not a class action suit
6 If there are any known related cases file and serve a notice of related case You may use form 015
Date 10 12 2015
Silvia Aguirre Esq
TYPE OR PRINT NAME SIGNATURE OR ATTORNEY FOR PARTY
NOTICE
Plaintiff must file this cover sheet with the first paper filed in the action or proceeding except small claims cases or cases filed
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
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
Unless this is a collections case under rule 3 740 or a complex case this cover sheet will be used for statistical purposes on
a e7of2
Form Adopted for Mandatory Use Cal Rules of Court rvles 2 30 3 220 3 400 3 403 3 740
CIVI L CASE COVER SHEET
Judicial Coundl of Califomia Cal Standards of Judicial Administration std 3 10
CM 010 Rev July 1 2007 www couRiNo ca gov
r
CM 010
INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET
To Plaintiffs and Others Filing First Papers If 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 sheet 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 If 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 of money
owed in a sum stated to be certain that is not more than 25 000 exclusive of interest and attorney s fees arising from a transaction in
which property 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 subject to 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 If a plaintiff designates a case as complex the cover sheet must be served 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 is complex
CASE TYPES AND EXAMPLES
Auto Tort Contract Provisionally Complex Civil Litigation Cal
Breach Contract 06 Rules of Court Rules 3 400 3 403
Auto 22 Personal Injury Property of Warranty
Damage Wrongful Death Breach of Rental Lease AntitrusUTrade Regulation 03
Contract not unlawful detainer Construction Defect 10
Uninsured Motorist 46 if the
case involves an uninsured or wrongful eviction Claims Involving Mass ToR 40
Contract Warranty Breach Seller Securities Litigation 28
motorist claim subject to
Plaintiff not fraud or negligence Environmental Toxic Tort 30
arbitration check this item
Negligent Breach of ContracU Insurance Coverage Claims
instead ofAuto
Other PI PD WD Personal Injuryl Warcanty arising from provisionally complex
Other Breach of ContracUWarranty case rype listed above 41
Property Damage Wrongful Death
Collections e g money owed open Enforcement of Judgment
Tort
Asbestos 04 book accounts 09 Enforcement of Judgment 20
Asbestos Collection Case Seller Plaintiff Abstract of Judgment Out of
Property Damage
Other County
Asbestos Personal Injury Promissory Note Collections
Case Confession of Judgment non
Wrongful Death
Insurance Coverage not provisionally domestic relations
Product Liability not asbestos or
complex 18 Sister State Judgment
toxic nvironmental 24
Auto Subrogation Administrative Agency Award
Medical Malpractice 45
Medical Malpractice Other Coverage not unpaid taxes
Physicians Surgeons Other Contract 37 Petition Certification of Entry of
Judgment on Unpaid Taxes
Other Professional Heaith Care Contractual Fraud
Other Enforcement of Judgment
Malpractice Other Contract Dispute
Case
Other PI PD WD 23 Real Property
Eminent Domain Inverse Miscellaneous Civil Complaint
Premises Liability e g slip
Condemnation RICO 27
and fall 14
Other Complaint not specified
Intentional Bodily Injury PD WD Wrongful Eviction 33
above 42
e g assault vandalism Other Real Property e g quiet title 26
Declaratory Relief Oniy
Intentional Infliction of Writ of Possession of Real Property
Emotional Distress Mortgage Foreclosure
Injunctive Relief Only non
harassment
Negligent Infliction of
QuietTiUe
Mechanics Lien
Emotional Distress Other Real Property not eminent
Other Commercial Complaint
Other PI PD WD domain landlord tenant or
Case non tort non complex
Non PI PD WD Other Tort foreclosure
Other Civil Complaint
Business Tort Unfair Business Unlawful Detainer
non torf non complex
Practice 07 Commercial 31
Miscellaneous Civil Petition
Civil Rights e g discrimination Residential 32
Partnership and Corporate
false arrest not civil Drugs 38 if the case involves illegal Govemance 21
harassment 08 drugs check this item otherwise Other Petition not specified
Defamation e g slander libel report as Commercial or Residential
above 43
3 Judicial Review Civil Harassment
Fraud 16 Asset Forfeiture 05
Workplace Violence
Intellectual Property 19 Petition Re Arbitration Award 11 Elder Dependent Adult
Professional Negligence 25 Writ of Mandate 02
Abuse
Legal Malpractice Writ Administrative Mandamus
Election Contest
Other Professional Malpractice Writ Mandamus on Limited Court
Petition for Name Change
not medical or legal Case Matter
Petition for Relief From Late
Other Non PI PD WD Tort 35 Writ Other Limited Court Case Claim
Employment
Review Other Civil Petition
Wrongful Termination 36 Other Judicial Review 39
Other Employment 15 Review of Health Officer Order
Notice of Appeal Labor
CommissionerAppeals
Page 2 of 2
CM 010 Rev July 1 2oo I
CIVIL CASE COVER SHEET
Document Filed Date
October 23, 2015
Case Filing Date
October 23, 2015
Category
Petition re Change of Name
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Preview
I CM 010 ATTORNEYORPARTYWITHOUTATTORNEY Name StateBarnum6er andaddress FORCOURTUSEONLY Silvia Aguine Esq SBN 2541 0 The Aguirre Law Firm 3807 Wilshire Blvd Suite 910 p Los Angeles Ca 90010 R ARBEt ie n i S ICT TELEPHONENO 213 386 4649 FAXN0 213 386 3526 BERNAR nrroRNev FOR nrame etltlOner BRENDA BELTR A SUPERIOR COURT OF CAUFORNIA COUNTY OF SAN BERNARDINO 0 C T 2 3 2015 STREETADDRESS 247 Y IeSt 3r 1 Stj eet MAILING ADDRESS c ANoz Pcooe San Bernardino 92415 0210 By eRANCH Nnnne SAN BERNARDINO JUSTICE CENTER CIVIL DIVI Deputy CASE NAME BRENDA BELTRAN CASE NUMBER CIVIL CASE COVER SHEET Complex Case Designation Unlimited Limited Amount Amount 0 Counter 0 Joinder o t UDGE demanded demanded is Filed with first appearance by defendant exceeds 25 000 25 000 or less Cal Rules of CouR rule 3 402 DEPT tems 1 6 below must be comp eted see instructions on page 2 1 Check one box below for the case type that best describes this case Auto Tort Contract Provisionally Complex Civil Litigation 0 Auto 22 0 Breach of contracUwarranty 06 Cal Rules of Court rules 3 400 3 403 0 Uninsured motorist 46 Rule 3 740 collections 09 0 Antitrust Trade regulation 03 Other PI PDIWD Personal Injury Property 0 Other collections 09 0 Construction defect 10 Damage Wrongful Death Tort Insurance coverage 18 0 Mass tort 40 Asbestos 04 Q Other contract 37 Securities litigation 28 Product liability 24 Real Pro pe rty Q Environmental Toxic tort 30 0 Medical malpractice 45 Q Eminent domain Inverse Q Insurance coverage claims arising from the 0 Other PI PD WD 23 condemnation 14 above listed provisionally complex case types 41 Non PI PDIWD Other Tort 0 Wrongful eviction 33 0 Business tort unfair business practice 07 0 Other real property 26 Enforcement of Judgment 0 Civil rights 08 Unlawful Detainer Enforcement of judgment 20 0 Defamation 13 Commercial 31 Miscellaneous Civil Complaint Fraud 16 0 Residential 32 Q RICO 27 0 Intellectual property 19 Drugs 38 Q Other complaint not specified above 42 0 Professional negligence 25 Judicial Review Miscellaneous Civil Petition 0 Other non PI PD WD tort 35 Asset forteiture 05 Employment Petition re arbitration award 11 Q partnership and corporate govemance 21 Other petition not specified above 43 Q Wrongful termination 36 Writ of mandate 02 Q Other employment 15 Other judicial review 39 2 This case is is not complex under rule 3 400 of the California Rules of Court If the case is complex mark the factors requiring exceptional judicial management a Large number of separately represented parties d 0 Large number of witnesses b 0 Extensive motion practice raising difficult or novel e 0 Coordination with related actions pending in one or more courts issues that will be time consuming to resolve in other counties states or countries or in a federal court c 0 Substantial amount of documentary evidence f Substantial postjudgment judicial supervision 3 Remedies sought check all that app y a 0 monetary b Q nonmonetary declaratory or injunctive relief c 0 punitive 4 Number of causes of action specify 5 This case is 0 is not a class action suit 6 If there are any known related cases file and serve a notice of related case You may use form 015 Date 10 12 2015 Silvia Aguirre Esq TYPE OR PRINT NAME SIGNATURE OR ATTORNEY FOR PARTY NOTICE Plaintiff must file this cover sheet with the first paper filed in the action or proceeding except small claims cases or cases filed 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 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 Unless this is a collections case under rule 3 740 or a complex case this cover sheet will be used for statistical purposes on a e7of2 Form Adopted for Mandatory Use Cal Rules of Court rvles 2 30 3 220 3 400 3 403 3 740 CIVI L CASE COVER SHEET Judicial Coundl of Califomia Cal Standards of Judicial Administration std 3 10 CM 010 Rev July 1 2007 www couRiNo ca gov r CM 010 INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET To Plaintiffs and Others Filing First Papers If 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 sheet 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 If 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 of money owed in a sum stated to be certain that is not more than 25 000 exclusive of interest and attorney s fees arising from a transaction in which property 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 subject to 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 If a plaintiff designates a case as complex the cover sheet must be served 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 is complex CASE TYPES AND EXAMPLES Auto Tort Contract Provisionally Complex Civil Litigation Cal Breach Contract 06 Rules of Court Rules 3 400 3 403 Auto 22 Personal Injury Property of Warranty Damage Wrongful Death Breach of Rental Lease AntitrusUTrade Regulation 03 Contract not unlawful detainer Construction Defect 10 Uninsured Motorist 46 if the case involves an uninsured or wrongful eviction Claims Involving Mass ToR 40 Contract Warranty Breach Seller Securities Litigation 28 motorist claim subject to Plaintiff not fraud or negligence Environmental Toxic Tort 30 arbitration check this item Negligent Breach of ContracU Insurance Coverage Claims instead ofAuto Other PI PD WD Personal Injuryl Warcanty arising from provisionally complex Other Breach of ContracUWarranty case rype listed above 41 Property Damage Wrongful Death Collections e g money owed open Enforcement of Judgment Tort Asbestos 04 book accounts 09 Enforcement of Judgment 20 Asbestos Collection Case Seller Plaintiff Abstract of Judgment Out of Property Damage Other County Asbestos Personal Injury Promissory Note Collections Case Confession of Judgment non Wrongful Death Insurance Coverage not provisionally domestic relations Product Liability not asbestos or complex 18 Sister State Judgment toxic nvironmental 24 Auto Subrogation Administrative Agency Award Medical Malpractice 45 Medical Malpractice Other Coverage not unpaid taxes Physicians Surgeons Other Contract 37 Petition Certification of Entry of Judgment on Unpaid Taxes Other Professional Heaith Care Contractual Fraud Other Enforcement of Judgment Malpractice Other Contract Dispute Case Other PI PD WD 23 Real Property Eminent Domain Inverse Miscellaneous Civil Complaint Premises Liability e g slip Condemnation RICO 27 and fall 14 Other Complaint not specified Intentional Bodily Injury PD WD Wrongful Eviction 33 above 42 e g assault vandalism Other Real Property e g quiet title 26 Declaratory Relief Oniy Intentional Infliction of Writ of Possession of Real Property Emotional Distress Mortgage Foreclosure Injunctive Relief Only non harassment Negligent Infliction of QuietTiUe Mechanics Lien Emotional Distress Other Real Property not eminent Other Commercial Complaint Other PI PD WD domain landlord tenant or Case non tort non complex Non PI PD WD Other Tort foreclosure Other Civil Complaint Business Tort Unfair Business Unlawful Detainer non torf non complex Practice 07 Commercial 31 Miscellaneous Civil Petition Civil Rights e g discrimination Residential 32 Partnership and Corporate false arrest not civil Drugs 38 if the case involves illegal Govemance 21 harassment 08 drugs check this item otherwise Other Petition not specified Defamation e g slander libel report as Commercial or Residential above 43 3 Judicial Review Civil Harassment Fraud 16 Asset Forfeiture 05 Workplace Violence Intellectual Property 19 Petition Re Arbitration Award 11 Elder Dependent Adult Professional Negligence 25 Writ of Mandate 02 Abuse Legal Malpractice Writ Administrative Mandamus Election Contest Other Professional Malpractice Writ Mandamus on Limited Court Petition for Name Change not medical or legal Case Matter Petition for Relief From Late Other Non PI PD WD Tort 35 Writ Other Limited Court Case Claim Employment Review Other Civil Petition Wrongful Termination 36 Other Judicial Review 39 Other Employment 15 Review of Health Officer Order Notice of Appeal Labor CommissionerAppeals Page 2 of 2 CM 010 Rev July 1 2oo I CIVIL CASE COVER SHEET