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CIV-110
ATTORNEY OR PARTY INITHOUT ATTORNEY /Name, Slate Sar number and address)
Evangeline F. Grossman (SBN176014), Tonna K. Faxon (SBN 237605) FOR COURT USE ONLY
EVANGELINE FISHER GROSSMAN LAW
330 North Indian Hill Blvd.
Claremont, CA 91711
TELEPHoNE No (909) 626-1934 FAX No (909) 626-1900
(Opironai)
EMAIL ADDREss (DPI u"ai)
carossman@efalawvcr corn, tfaxoniSefa(awver corn
ATTORNEY FOR fName) PlaintiffS JerOme and Naami Ryan
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SONOMA
sTREETADDREss 600 Administration Drive
MAILING ADDRESS
cITYANDzIP coDE Santa Rosa, CA 95403
sRANOH NAME Hall of Justice
PLAINTIFF/PETITIQNER. Jerome and Naomi Ryan
DEFENDANT/RESPONDENT. State Farm General Insurance Company, et al.
REQUEST FOR DISMISSAL CASE NUMBER
SCV-268035
A conformed copy will not be returned by the clerk unless a method of return is provided with the document.
This form may not be used for dismissal of a derivative action or a class 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. (I) H With prejudice (2) Without prejudice
b. (1) H Complaint (2) Petition
(3) Cross-complaint filed by (name): on (date):
(4) Cross-complaint filed by (neme) on (date):
(5) H Entire action of all parties and all causes of action
(6) Other (speci/y):
2. (Comp/ete in a// cases except fern/(y /aw cases.)
The court did H did not wawe court fees and costs for a party in this case(This information may be obtained from
the clerk. /f court fees and costs were waived, the declaration on the bacof this form must be co ted).
Date September 26, 2022
Evangeline F. Grossman
H
(TYPE OR PRINT NAME OF ATTORNEY PARTY WITVIOUTATTORNEY) (saj(IATURE)
Attorney or party without attornegfoc
*lf dismissal requested is of specified parties only of speafied causes of action
only,or of speafied
cross-complaints so state
and identify the
parties,
only,
causes of action, or cross-complaints to be dismissed H Plaintiff/Petitioner Defendant/Respondent
Cross — Complainant
TO THE CLERK: Consent to the above dismissal is hereby given.**
Date:
(TYPE OR PRINT NAME OF ATTORNEY PARTY WITHOUT ATTORNEY) (SIGNATURE)
cross-complamt
If a —or Response (Family Law) seeking affirmative Attorney or party without attorney for
rehef — ia on file, the attorney for cross-complainant (respondent) must
Plaintiff/Petitioner
sign this consent if required by Code of Civil Procedure section 551 (i) Defendant/Respondent
or (I)
Cross-Complainant
(To be completed by clerk)
4. Dismissal entered as requested on (date).
5 Dismissal entered on (date): as to only (name):
6. Dismissal not entered as requested for the following reasons (specify):
7. a. Attorney or party without attorney notified on (date):
b. Attorney or party without attorney not notified. Filing party failed to provide
a copy to be conformed means to return conformed copy
Date: Clerk, by ,Deputy
Paqe I of 2
Form Adopted for Mandatory Use Procedure 5 531 et seq,
Code of Cn
I
Judhaal Counai of Caldorn a REQUEST FOR DISMISSAL Gov Code 553537(c)
CalRules ofco ri, r le31330
Jan I, 2013)
CIV-I 10(Re courts ca gov
CIV-110
PLAINTIFF/PETITIONER: Ryan CASE NUMBER SCV-268035
DEFENDANT/RESPONDENT: State Farm Insurance Company, ct al.
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, g 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 $ 10000 or more in value by this action. ()/item 2cis checked, item 3 must be completed)
3. Allcourt fees and court costs that were waved in this action have been paid to the court (check one) Yes No
Ideclare under penalty of perjury under the laws of the State of Cahfornia that the information above is true and correct.
Date
ITYPE OR PRINT NAME OF ATTORNEY PARTY MAKING OECLARA7ION) (SIGNATURE)
70443741221508v
1
CIV-110 IRev January
I2013) REQUEST FOR DISMISSAL Page 2 of 2
«rot ni'.F!o,oo
PROOF OF SERVICE
1
,Jerome Ryan and Naomi Ryan v,State Farm General Insurance Company, et al.
2
STATE OF CALIFORNIA, COUNTY OF SONOMA
3
I am employed in the county of Los Angeles, State of California. I am over the age of 18
4 and not a party to the within action; my business address is: 330 North Indian Hill Boulevard,
Claremont, California 91711.
5
6 On September 26, 2022,
PLAINTIFFS'EQUEST I served the foregoing document described as:
FOR DISMISSAL on all interested parties in this action by placing [ ] the original [X
7 ]a true copy thereof enclosed in sealed envelopes addressed as follows:
Sandra E. Stone Attorneys for STA TE FARM GENERAL
PACIFIC LAW PARTNERS, LLP INSURANCE COMPANY
2000 Powell Street, Suite 950
10 Emeryville, CA 94608
Tel; (510) 841-7777, Fax: (510) 841-7776
11 Email: sstonelRnlawn.corn
12
13
[ X] ONLY BY ELECTRONIC TRANSMISSION. Only by e-mailing the document(s) to the
14 persons at the e-mail address(es) listed No electronic message or other indication that the
transmission was unsuccessful was received within a reasonable time after the transmission.
15
16
I7 [X] (STATE) I declare under penalty of perjury under the laws of California that the above is
true and correct.
18
Executed on September 26, 2022 at Claremont, California.
19
20
/s/Rvan L.Gales
21 Ryan L. Gales
22
23
24
25
27
78
4
PLAINTIFFS'EQUEST FOR DISMISSAL
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CIV-110 ATTORNEY OR PARTY INITHOUT ATTORNEY /Name, Slate Sar number and address) Evangeline F. Grossman (SBN176014), Tonna K. Faxon (SBN 237605) FOR COURT USE ONLY EVANGELINE FISHER GROSSMAN LAW 330 North Indian Hill Blvd. Claremont, CA 91711 TELEPHoNE No (909) 626-1934 FAX No (909) 626-1900 (Opironai) EMAIL ADDREss (DPI u"ai) carossman@efalawvcr corn, tfaxoniSefa(awver corn ATTORNEY FOR fName) PlaintiffS JerOme and Naami Ryan SUPERIOR COURT OF CALIFORNIA, COUNTY OF SONOMA sTREETADDREss 600 Administration Drive MAILING ADDRESS cITYANDzIP coDE Santa Rosa, CA 95403 sRANOH NAME Hall of Justice PLAINTIFF/PETITIQNER. Jerome and Naomi Ryan DEFENDANT/RESPONDENT. State Farm General Insurance Company, et al. REQUEST FOR DISMISSAL CASE NUMBER SCV-268035 A conformed copy will not be returned by the clerk unless a method of return is provided with the document. This form may not be used for dismissal of a derivative action or a class 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. (I) H With prejudice (2) Without prejudice b. (1) H Complaint (2) Petition (3) Cross-complaint filed by (name): on (date): (4) Cross-complaint filed by (neme) on (date): (5) H Entire action of all parties and all causes of action (6) Other (speci/y): 2. (Comp/ete in a// cases except fern/(y /aw cases.) The court did H did not wawe court fees and costs for a party in this case(This information may be obtained from the clerk. /f court fees and costs were waived, the declaration on the bacof this form must be co ted). Date September 26, 2022 Evangeline F. Grossman H (TYPE OR PRINT NAME OF ATTORNEY PARTY WITVIOUTATTORNEY) (saj(IATURE) Attorney or party without attornegfoc *lf dismissal requested is of specified parties only of speafied causes of action only,or of speafied cross-complaints so state and identify the parties, only, causes of action, or cross-complaints to be dismissed H Plaintiff/Petitioner Defendant/Respondent Cross — Complainant TO THE CLERK: Consent to the above dismissal is hereby given.** Date: (TYPE OR PRINT NAME OF ATTORNEY PARTY WITHOUT ATTORNEY) (SIGNATURE) cross-complamt If a —or Response (Family Law) seeking affirmative Attorney or party without attorney for rehef — ia on file, the attorney for cross-complainant (respondent) must Plaintiff/Petitioner sign this consent if required by Code of Civil Procedure section 551 (i) Defendant/Respondent or (I) Cross-Complainant (To be completed by clerk) 4. Dismissal entered as requested on (date). 5 Dismissal entered on (date): as to only (name): 6. Dismissal not entered as requested for the following reasons (specify): 7. a. Attorney or party without attorney notified on (date): b. Attorney or party without attorney not notified. Filing party failed to provide a copy to be conformed means to return conformed copy Date: Clerk, by ,Deputy Paqe I of 2 Form Adopted for Mandatory Use Procedure 5 531 et seq, Code of Cn I Judhaal Counai of Caldorn a REQUEST FOR DISMISSAL Gov Code 553537(c) CalRules ofco ri, r le31330 Jan I, 2013) CIV-I 10(Re courts ca gov CIV-110 PLAINTIFF/PETITIONER: Ryan CASE NUMBER SCV-268035 DEFENDANT/RESPONDENT: State Farm Insurance Company, ct al. 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, g 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 $ 10000 or more in value by this action. ()/item 2cis checked, item 3 must be completed) 3. Allcourt fees and court costs that were waved in this action have been paid to the court (check one) Yes No Ideclare under penalty of perjury under the laws of the State of Cahfornia that the information above is true and correct. Date ITYPE OR PRINT NAME OF ATTORNEY PARTY MAKING OECLARA7ION) (SIGNATURE) 70443741221508v 1 CIV-110 IRev January I2013) REQUEST FOR DISMISSAL Page 2 of 2 «rot ni'.F!o,oo PROOF OF SERVICE 1 ,Jerome Ryan and Naomi Ryan v,State Farm General Insurance Company, et al. 2 STATE OF CALIFORNIA, COUNTY OF SONOMA 3 I am employed in the county of Los Angeles, State of California. I am over the age of 18 4 and not a party to the within action; my business address is: 330 North Indian Hill Boulevard, Claremont, California 91711. 5 6 On September 26, 2022, PLAINTIFFS'EQUEST I served the foregoing document described as: FOR DISMISSAL on all interested parties in this action by placing [ ] the original [X 7 ]a true copy thereof enclosed in sealed envelopes addressed as follows: Sandra E. Stone Attorneys for STA TE FARM GENERAL PACIFIC LAW PARTNERS, LLP INSURANCE COMPANY 2000 Powell Street, Suite 950 10 Emeryville, CA 94608 Tel; (510) 841-7777, Fax: (510) 841-7776 11 Email: sstonelRnlawn.corn 12 13 [ X] ONLY BY ELECTRONIC TRANSMISSION. Only by e-mailing the document(s) to the 14 persons at the e-mail address(es) listed No electronic message or other indication that the transmission was unsuccessful was received within a reasonable time after the transmission. 15 16 I7 [X] (STATE) I declare under penalty of perjury under the laws of California that the above is true and correct. 18 Executed on September 26, 2022 at Claremont, California. 19 20 /s/Rvan L.Gales 21 Ryan L. Gales 22 23 24 25 27 78 4 PLAINTIFFS'EQUEST FOR DISMISSAL