On September 22, 2015 a
Request,Application
was filed
involving a dispute between
Roe, John,
and
Redlands Unified School District,
for PI personal injury not MV
in the District Court of San Bernardino County.
Preview
M
CIV 110
cnsE r uMseR
Plaintiff Petitioner
Defendant Respondent
COURT S RECOVERY OF WAIVED COURT FEES AND COSTS
If a party whose court fees andcosts were initially
waived has recovered or will recover 10 000 or more in
value by way of settlement compromise arbitration awardmediation 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 item1 is check one below
a 0 not recovering anything of value by this action
b recovering less than 10 000 in value by this action
10 000 or more invalue thisaction f item 2c is checked item 3 must be completed
recovering by
3 Allcourtfees and court costs thatwere waived in this
action have been paidto the court check one Yes No
Ideclare under penalty of perjury under thelaws of the Stateof California
that the information above is true and
correct
Date
TYPE OR PRINT NAME OF DECLARATION SIGNATURE
ATTORNEY PARTY MAKING
CIV110Rev 1 2013 Page 2 of 2
January REQUEST FOR DISMISSAL
For your protection and privacyplease press the Clear
This Fnrm hntfnh aftar
vnn havq 4ha fnrm
nrintwrl Dr r 4 1 F r Co n hio F rm l lnh h c riviat
Document Filed Date
October 21, 2019
Case Filing Date
September 22, 2015
Category
PI personal injury not MV
For full print and download access, please subscribe at https://www.trellis.law/.
Preview
M CIV 110 cnsE r uMseR Plaintiff Petitioner Defendant Respondent COURT S RECOVERY OF WAIVED COURT FEES AND COSTS If a party whose court fees andcosts were initially waived has recovered or will recover 10 000 or more in value by way of settlement compromise arbitration awardmediation 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 item1 is check one below a 0 not recovering anything of value by this action b recovering less than 10 000 in value by this action 10 000 or more invalue thisaction f item 2c is checked item 3 must be completed recovering by 3 Allcourtfees and court costs thatwere waived in this action have been paidto the court check one Yes No Ideclare under penalty of perjury under thelaws of the Stateof California that the information above is true and correct Date TYPE OR PRINT NAME OF DECLARATION SIGNATURE ATTORNEY PARTY MAKING CIV110Rev 1 2013 Page 2 of 2 January REQUEST FOR DISMISSAL For your protection and privacyplease press the Clear This Fnrm hntfnh aftar vnn havq 4ha fnrm nrintwrl Dr r 4 1 F r Co n hio F rm l lnh h c riviat