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UREA
SUPERIOR COURT OF CALIFORNIA
COUNTY OF SAN FRANCISCO
Document Scanning Lead Sheet
. Aug-20-2015 9:44 am
Case Number: CPF-15-514443
Filing Date: Aug-20-2015 7:49
Filed by: MELANIA DE LUNA
Juke Box: 001 Image: 05041354
APPLICATION FOR ENTRY OF SISTER-STATE JUDGMENT
NATIONWIDE REGISTRY & SECURITY, LTD. VS. LAM DINH PHAM
001005041354
Instructions:
Please place this sheet on top of the document to be scanned.os ~
[Promey OR PARTY WITHOUT ATTORNEY (Name and Address): TELEPHONENO: | FOR GOURT USE ONLY 7
|_ALEXANDER V. HETTENA, ESQSBN: 270269 818-735-9570
THE HETTENA LAW FIRM fax: 818-322-4709
31348 VIA COLINAS #106
ATTORNEY FOR (Name NATIONWIDE REGISTRY & SECURITY, LTD
NAME OF COURT: Superior Court of California, County of San Francisco
sTncet appress; 400 McAllister Street
wauine aopress: 400 McAllister Street
CITY AND zip GoDE: San Francisco, 94102
BRaNcH Name: Civic Center Courthouse
PLAINTIFF: Nationwide Registry & Security, LTD. Assignee of Las Vegas Hilton
WESTLAKE VILLAGE, CA 91362 eed
DEFENDANT: Lam Dinh Pham aka Andrew Pham
CASE NUMBER:
[_] AND ISSUANCE OF WRIT OF EXECUTION OR OTHER ENFORCEMENT
[1 AND ORDER FOR ISSUANCE OF WRIT OR OTHER ENFORCEMENT
| SRUGATION FOR ENTRY OF JUDGMENT ON SISTER-STATE JUDGMENT CPF 1 5 5 1 4 4 4 3
}
Judgment creditor applies for entry of a judgment based upon a sister-state judgment as follows:
1, Judgment creditor (name and address): Nationwide Registry & Security, Ltd. Assignee of Las Vegas Hilton Hotel &
Casino
502 Park Ave. 4th Floor, New York, NY 10022
2. a. Judgment debtor (name): Lam Dinh Pham aka Andrew Pham
b. [Z] An individual (last known residence address): 555 Eddy St, Apt. 36, San Francisco, CA 94109
c. [-] A corporation of (specify place of incorporation):
(1)[] Foreign corporation
[__] qualified to do business in California
[J not qualified to do business in California
d. [_] Apartnership (specify principal place of business):
(1) [__]Foreign partnership which
(J has filed a statement under Corp C 15700
has not filed a statement under Corp C 15700
3. a. Sister state (name): Nevada
b. Sister-state court (name and location): District Court, Clark County, Nevada
200 Lewis Ave., Las Vegas, NV 89155
c. Judgment entered in sister state on (date): March 14, 2012
4. An authenticated copy of the sister-state Judgment Is attached to this application. Include accrued interest on the
sister-state judgment in the California judgment (item 5c).
a. Annual interest rate allowed by sister state (specify): 5.25%
b. Law of sister state establishing interest rate (specify): NRS 17.130
5. a. Amount remaining unpaid on sister-state judgment: a § 79,950.00
b. Amount of filing fee for the application: ~$ 450.00
c. Accrued interest on sister-state judgment 8 14190.58
d. Amount of judgment to be entered (total of Sa, b, and c):
{Continued on reverse)
are eet alte APPLICATION FOR ENTRY OF JUDGMENT ON GOP 1719.16,
“ESS Reda 1180 SISTER-STATE JUDGMENT {71020
‘econ Der Fem BALESHOAT TITLE: Nationwide Registry & Security, LTD. Assignee of Las Vegas GASE NUMBER:
Hilton v. Lam Dinh Pham aka Andrew Pham
6. Judgment creditor also applies for issuance of a writ of execution or enforcement by other means before service of notice
of entry of judgment as follows:
a. [_] Under CCP 1710.45(b).
». [_] A court order is requested under CCP 1710.45(c). Facts showing that great or irreparable injury will result to
judgment creditor if issuance of the writ or enforcement by other means is delayed are set forth as follows:
[1 continued in attachment 6b.
7. An action in this state on the sister-state judgment is not barred by the statute of limitations.
8. | am informed and believe that no stay of enforcement of the sister-state judgment is now in effect in the sister state.
9. No action is pending and no judgment has previously been entered in any proceeding in California based upon the sister-state
judgment.
| declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct except as to those
matters which are stated to be upon information and belief, and as to those matters { belli
Date: July 31, 2015
fe them to be true.
ENA, ESQ . »
{TYPE OF PRINT NAME)
E106 (Rev. Juy 1.1889 APPLICATION FOR ENTRY OF JUDGMENT ON SISTER-STATE JUDGMENT Page twoElectronically Filed
03/14/2012 02:29:38 PM
.
CONE
502 Park Avenue, 4" Floor Mion bbb
New Yorks, N¥ 10022 CLERK OF THE COURT
(212) 759-6181
DISTRICT COURT
CLARK COUNTY, NEVADA
NATIONWIDE REGISTRY & SECURITY, LTD. )
ASSIGNEE OF LAS VEGAS HILTON )
. } CASENO:A-12-658202-C
Plaintiff, ) DEPTNO: X
)
~VS- )
) CIVIL CONFESSION OF JUDGMENT
LAM DINH PHAM aka ANDREW PHAM )
)
)
Deft
CONFESSION OF JUDGMENT
Pursuant to NRS 17.090, 17.100, 17.110, and 205.130, the above-named Defendant,
LAM DINH PHAM aka ANDREW PHAM, hereby authorizes the entry of civil Confession of
Judgment against him as follows: the amount of Seventy-nine Thousand, Nine Hundred Fifty
($79,950.00) dollars plus the legal rate of interest in favor of NATIONWIDE REGISTRY &
SECURITY, LTD Assignee of LAS VEGAS HILTON HOTEL & CASINO. The amounts are
justly due and owing from Defendant to the name judgment creditors because the Defendant
received money, delivery of other value property or credit in these amounts which remain
unpaid,
The amounts specified herein are restitution for the Defendant’s violation of Nevada
Criminal Law NRS 205.130. It is the intent of this court that the amounts specified herein are
and be nondischargable under 11 U.S.C Sec. 523(a)(7) and the United States Supreme Court’s
holding in Kelly v, Robinson, 107 S, Ct 353 (1986).
/LAM DINH PHAM aka ANDREW PHAM CONFESSION OF JUDGMENT
DATED this_/ dayof_ Agus) 2011.
“
i 2
eta
— eer ben cle .
i
‘LAM DINH PHAM aka
ANDREW PHAM
Defendant
ACKNOWLEDGMENT
STATE OF NEVADA
COUNTY OF CLARK
ibe A , .
On the/ 7? day of Ldeagots, 2011, personally appeared before me, a Notary Public
“
in and for the said County and State, Defendant LAM DINH PHAM aka ANDREW PHAM,
who acknowledged to me that the.foregoing Confession of Judgment was executed freely and
vohuntatily and for the uses and purposes therein staled.
beheadt Lenonelé:
Notary PablicDISTRICT COURT
CLARK COUNTY, NEVADA
EXEMPLIFICATION CERTIFICATE
STATE OF NEVADA )
) ss.
COUNTY OF CLARK )
I, Steven D, Grierson, the appointed Clerk of the District Court of the Eighth Judicial
District of the State of Nevada, in and for the County of Clark, do hereby certify and attest the
document(s) attached hereto, "CONFESSION OF JUDMENT dated MARCH 12, 2012", IN THE
ENTITLED ACTION:
NATIONWIDE REGISTRY & SECURITY, LTD )
ASSIGNEE OF LAS VEGAS HILTON )
Plaintiff ) A658202
vs. )
LAM DINH PHAM aka ANDREW PHAM )
Defendant )
to be a full and correct copy of the official document(s) now on file in my office.
IN WITNESS WHEREOF, I have hereunto set my hand and annexed the Seal of the District
Court of the Eighth Judicial District of the State of Nevada, in and for the
County of Clark this 2nd day of May, 2012.
CLERK OF THE DISTRICT COURT-OF THE EIGHTH
JUDICIAL DISTRICT OF “FHE STATE OF NEVADA, IN
AND FOR THE COUNTY OF CEARK:
STATE OF NEVADA )
) ss.
COUNTY OF CLARK )
I, Jennifer Togliatti, Judge of the District Court of the ighth Judicial District of the State
of Nevada, in and for the County of Clark, do hereby certify that Steven D, Grierson is the Clerk
of the District Court of the Eighth Judicial District of the State of Nevada, in and for the County
of Clark (which court is a Court of Record having a seal) and that the signature to the foregoing
certificate and attestation is the genuine of the said Steven D. Grierson, as such officer, and that
such attention is in due form according to the laws of the State of Nevada.
IN WITNESS WHEREOF, I have hereunto set my hand at LasVegas, Clark County, Nevada,
this 2nd day of May, 2012. é Tey .
ITH (AL DiS tRICT-OF THE STATE OF
ADA, IN'AND FOR THE COUNTY OF CLARK.
Page 1 of 1_~ ~
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): TELEPHONE NO.: FOR COURT USE ONLY
LEXANDER V. HETTENA, ESQSBN: 270269 818-735-9570
THE HETTENA LAW FIRM fax: 818-322-4709
31348 VIA COLINAS #106
WESTLAKE VILLAGE, CA 91362
ATTORNEY FOR (Namek NATIONWIDE REGISTRY & SECURITY, LTD
NAME OF COURT: Superior Court of California, County of San Francisco
STREET ADDRESS: 400 McAllister Street .
maine aopress: 400 McAllister Street
city AND zip cope: San Francisco, 94102
ranch ame: Civic Center Courthouse
PLAINTIFF: Nationwide Registry & Security, LTD. Assignee of Las Vegas Hilton
DEFENDANT: Lam Dinh Pham aka Andrew Pham
[ CAS BER:
NOTICE OF ENTRY OF JUDGMENT ON SISTER-STATE JUDGMENT Tt ‘PF 15-514443
1. TO JUDGMENT DEBTOR (name):Lam Dinh Pham aka Andrew Pham
2. YOU ARE NOTIFIED
a. Upon application of the judgment creditor, a judgment against you has been entered in this court as follows:
(1) Judgment creditor (name):Nationwide Registry & Security, Ltd. Assignee of Las Vegas Hilton Hotel & Casino
(2) Amount of judgment entered in this court: $94,590.58
b. This judgment was entered based upon a sister-state judgment previously entered against you as follows:
(1) Sister state (name):Nevada
(2) Sister-state court (name and location): District Court, Clark County, Nevada
200 Lewis Ave., Las Vegas, NV 89155
(3) Judgment entered in sister state on (date): March 14, 2012
(4) Title of case and case number (specify): Nationwide Registry & Security, LTD. Assignee of Las Vegas Hilton v. Lam
Dinh Pham aka Andrew Pham, A-12-658202-C
Asister-state judgment has been entered against you ina California court. Unless you file a motion to vacate
the Judgment In this court within 30 DAYS after service of this notice, this judgment will be final.
This court may order that a writ of execution or other enforcement may Issue. Your wages, money, and property
could be taken without further warning from the court.
If enforcement procedures have already been issued, the property levied on will not be distributed until 30 days
after you are served with this notice.
Date: AUG 2 0 2015 Clerk, by MELANIA DE LUNA , Deputy
4. (_] NOTICE TO THE PERSON SERVED: You are served
a. CI as an individual judgment debtor.
b. [__] under the fictitious name of (specify):
c. 1] on behalf of (specify):
Under:
[-] cop 416.10 (comoration) CGP 416.60 (minor)
C4 CGP 416.20 (defunct corporation) CL] CGP 416.70 (conservatee)
[1 cep 416.40 (association or partnership) CJ cep 416.90 (individual)
CE] other:
(Proof of service on reverse)
Form Approved by the _ NOTICE OF ENTRY OF JUDGMENT ON CGP 1710.30, 1710.40
wegeh few dy. 1805) SISTER-STATE JUDGMENT neePROOF OF SERVICE
(Use separate proof of service for each person served)
1, | served the Notice of Entry of Judgment on Sister-State Judgment as follows:
a. on judgment debtor (name): Lam Dinh Pham aka Andrew Pham
b. by serving [1 judgment debtor {(} other (name and title or relationship to person served):
c. 1 by delivery at home CI at business
(1) date:
(2) time:
(8) address:
d. [_] by mailing
(1) date:
(2) place:
2. Manner of service (check proper box):
a. Personal service. By personally delivering copies. (CCP 415.1 0)
b. CI Substituted service on corporation, unincorporated association (including parinership), or public entity. By
leaving, during usual office hours, copies in the office of the person served with the person who apparently was in
charge and thereafter mailing (by first-class mail, postage prepaid) copies to the person served at the place where the
copies were faft. (CCP 415.20(a))
G Substituted service on natural person, minor, conservatee, or candidate. By leaving copies at the dwelling
house, usual place of abode, or usual place of business of the person served in the presence of a competent member
of the household or a person apparently in charge of the office or place of business, at least 18 years of age, who was
informed of the general nature of the papers, and thereafter mailing (by first-class mail, postage prepaid) copies to the
person served at the place where the copies were left. (CCP 415.20(b)) (Attach separate declaration or affidavit
stating acts relled on to establish reasonable diligence in first attempting personal service.)
d. Mail and acknowledgment service. By mailing (by first-class mail or airmail, postage prepaid) copies to the person
served, together with two copies of the form of notice and acknowledgment and a return envelope, postage prepaid,
addressed to the sender. (CCP 415.30) (Aftach completed acknowledgment of receipt.)
e. [__] Certified or registered mail service. By mailing to an address outside California (by first-class mail, postage prepaid,
requiring a return receipt) copies to the person served. (CCP 415.40) (Attach signed return receipt or other
evidence of actual delivery to the person served.)
#. (] Other (specify code section):
1 Additional page is attached.
3. The "Notice to the Person Served” was completed as follows:
a Cc] as an individual judgment debtor.
b. [_] asthe person sued under the fictitious name of (specify):
c. [_] on behalf of (specify):
under: CCP 416.10 (corporation) (J cop 416.60 (minor) [_] other:
CCP 416.20 (defunct corporation) GCP 416.70 (conservatee)
CCP 416.40 (association or partnership) [—] cop 416.90 (individual)
4. At the time of service | was at least 18 years of age and not a party to this action.
5. Fee for service: $
6. Person serving:
a. California sheriff, marshal, or constable. f. Name, address and telephone number and, if applicable,
b.L_] Registered California process server. county of registration and number:
G Empl ee or independent contractor of a registered
alifornia process server.
d Not a registered California process server.
aL] Exempt from registration under Bus. & Prof. Code
22350(b).
i declare under penalty of perjury under the laws of the (For California sheriff, marshal, or constable use only)
State of California that the foregoing is true and correct. | certify that the foregoing is true and correct.
Date: Date:
> »
(SIGNATURE) (SIGNATURE)
(Es110]CM-010
“ CA"TORNEY OR PARTY WITHOUT ATTORNEY (Name, Sia. number, and address):
[ALEXANDER V. |A, ESQ. SBN: 270269
HE HETTENA LAW FIRM
31348 VIA COLINAS #106, WESTLAKE VILLAGE, CA 91362
TELEPHONE No.:818-735-9570 FAX NO: 818-322-4709
ATTORNEY FOR (Nama: NATIONWIDE REGISTRY & SECURITY, LTD
FOR COURT USE ONLY
ISUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO
sTAEET aporess:400 McAllister Street
Maina abpress:400 McAllister Street
cary ann zip cove: San Francisco, 94102
BRANCH NAME: Civic Center Courthouse.
CASE NAME: Nationwide Registry & Sccurity, LTD. Assignee of Las Vegas Hilton v.
Lam Dinh Pham aka Andrew Pham
Cx} ont CASE cover SHEET Complex Case Designation
x i imi
ane tamoent (J counter [_] Joinder
demanded demanded is Filed with first appearance by defendant *UOGE:
exceeds $25,000) $25,000 or less) (Cal. Rules of Coun, rule 3.402) DEPT:
GPF 15-514443 |
Tiems 1-6 below must be completed (see instructions on page 2).
YT, Gheck one box below for the case type that best describes this case:
Wrongful eviction (33)
Non-PUPD/WD (Other) Tort
Auto Tort Contract Provislonally Complex Civil Litigation
LE] Auto (22) Breach of contractwarranty (06) (Cal. Rules of Court, rules 3.400-3.403)
[1 uninsured motorist (48) [1] Rule 3.740 collections (09) [1 antirusiTrade regulation (03)
Other PI/PD/WD (Personal Injury/Property Oiher collections (09) Cc Construction defect (10)
Damage/Wrongtul Death) Tort LJ Insurance coverage (18) CL] Mass tort (40)
Asbestos (04) [1 other contract (37) Securities litigation (28)
LJ Product trabitity (24) Real Property [_] Environmental/Toxic tort (30)
LL] Mesical malpractice (45) [J Eminent domain/inverse [1 insurance coverage claims arising from the
[J other pyppawn (23) condemnation (14) above listed provisionally complex case
types (41)
Professional negligence (25) Judicial Review
Business torv/untair business practice (07) [] Other rea! property (26) Enforcement of Judgment
LJ Civil rights (08) Unlawful Detainer FX] Enforcement of judgment (20)
LJ vetamation (13) Commercial (31) Miscellaneous Civil Complaint
LL] Fraud 18) [1 Residential (32) LJ rico 7)
7] intelectual property (19) Drugs (38)
Miscellaneous Civil Petition
Other complaint (not specitied above) (42)
Other non-PI/PD/WD tort (35)
[| Asset forfeiture (05)
Partnership and corporate governance (21)
Employment Petition re: arbitration award (11)
[__] other petition (not specified above} (43)
Wrongtul termination (36) [1 writ of mandate (02)
[1 other employment (15) [) other judicial review (89)
2. This case is [xTis not complex under rule 3.400 of the California Rules of Court. {f the case Is complex, mark the
factors requiring exceptional judicial management:
a Large number of separately represented parties d. [_] Large number of witnesses
b. Extensive motion practice raising difficult or novel e. [_] 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. L_] Substantial amount of documentary evidence f. Substantial postiudgment judicial supervision
3. Remedies sought (check ali that apply): a.LX] monetary b. nonmonetary; declaratory or injunctive relief ©. [_Ipunitive
4. Number of causes of action (specify):N/A
5. Thiscase [lis XJisnot actass action suit.
6
Date: fuly 31, 2015
ALEXANDER V. HETTENA, ESQ.
rL
. If there are any known related cases, file and serve a notice of related case. (You t use form CM-015,)
(TYPE OR PRINT NAME}
(IGNATURE OF PARTY 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 Gode, Family Code, or Welfare and Institutions Code). (Cal. Rules
in sanctions.
* File this cover sheet In addition to any cover sheet required by local court rule.
© {f this case is complex under rule 3.400 et seq. of the California Rules of Court,
other parties to the action or proceeding.
© Unless this is a collections case under rule 3.740 ora complex case,
this cover sheet will be used for statistical purposes on!
of Gourt, rule 3.220.) Failure to file may result
you must serve a copy of this cover'sheet on all
Mae ot
Form Avopted for Mandatory Use
Judicial Council of California
‘CM-010 [Rev. July 1, 2007]
CIVIL CASE COVER SHEET
Cal. Rules of Court, culas 2.30, 9.220, 9.400-3.403, 8.740;
Cal, Standards of Judicial Administration, std. 3.10
www.courtinto.ca.gov
Westlaw Doc & Form Builder=~,
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
To Parties in Rule 3.740 Collections Cases.
owed in a sum stated to be certain that is not more than
which property, services, or money was acquired on cre
damages, (2) punitive damages, (3) recovery of real
attachment. The Identification of a case as a rule 3.740 colle
time-for-service requirements and case management rules, un
case will be subject to the requirements for service and obt
To Parties in Complex Cases. In complex cases only,
case is complex. If a plaintiff believes the case is complex under rul
completing the appropriate boxes in items 1 and 2. If a pl
complaint on all parties to the action. A defendant may
plaintiff's designation, a counter-designation that the case is not complex, or, if the plaintiff he
the case is complex.
Auto Tort
Auto (22)—Personal Injury/Propenly
Damage/Wrongful Death
Uninsured Motorist (46) (if the
case involves an uninsured
motorist claim subject to
arbitration, check this item
instead of Auto)
Other PI/PD/WD (Personal Injury/
Property Damage/Wrongfu! Death)
Tort
Asbestos (04)
Asbestos Property Damage
Asbestos Personal Injury/
Wrangiul Death
Product Liability (not asbestos or
toxic/environmental) (24)
Medical Malpractice (45}
Medical Malpractice—
Physicians & Surgeons
Other Professional Health Care
Malpractice
Other PI/PD/WD (23)
Premises Liability (e.g., slip
and fall)
Intentional Bodily Injury/PD/WD
(e.g., assault, vandalism)
Intentional Infliction of
Emational Distress
Negligent infliction of
Emotional Distress
Other P/PD/WD
Non-PI/PD/WD (Other) Tort
Business Tort/Unfair Business
Practice {07)
Civil Rights (e.g., discrimination,
false arrest) (not civil
2.30 and 3.220 of the California Rules of Court.
A "collections case" under rule 3.740 is defined as an action for recovery of money
$25,000, exclusive of interest and attorney's fees, arising from a transaction in
dit. A collections case does not include an action seeking the following: (1) tort
| property, (4) recovery of personal property, or (5) a prejudgment writ of
.ctions case on this form means that it will be exempt from the general
less a defendant files a responsive pleading. A tule 3.740 collections
aining a judgment in rule 3.740.
parties must also use the Civil Case Cover Sheet to designate whether the
le 3.400 of the California Rules of Court, this must be indicated by
laintiff designates a case as complex, the cover sheet must be served with the
file and serve no fater than the time of its first appearance a joinder in the
as made no designation, a designation that
CASE TYPES AND EXAMPLES
Contract
Breach of Contract/Warranty (06)
Breach of Rental/Lease
Contract (not untawful detainer
or wrongiul eviction)
Contract/Warranty Breach-Seller
Plaintiff (not fraud or negligence)
Negligent Breach of Contract/
Warranty
Other Breach of Conirac/Warranty
Collections (e.g., money owed, open
baok accounts) (09)
Collection Case~Seller Plaintiff
Other Promissory Note/Collections
ase
Insurance Coverage (not provisionally
complex) (18)
Auto Subrogation
Other Coverage
Other Contract (37)
Contractual Fraud
Other Contract Dispute
Real Property
Eminent Domain/inverse
Condemnation (14)
Wrongful Eviction (33)
Other Real Property (e.g., quiet tille) (26)
Writ of Possession of Real Property
Morigage Foreclosure
Quiet Title
Other Real Property (not eminent
domain, landiord/tenant, or
foreclosure}
Untawiul Detainer
Commercial (31)
Residential (82)
Drugs (38) (if the case involves illegal
Provisionally Complex Civil Litigation (Cal.
Rules of Court Rules 3.400-3.403)
AntitrusiTrade Regulation (03)
Construction Defect (10)
Claims Involving Mass Tort (40)
Securities Litigation (28)
Environmental/Toxic Tort (30)
Insurance Coverage Claims
(arising from provisionally complex
case type listed above) (41)
Enforcement of Judgment
Enforcement of Judgment (20)
Abstract of Judgment (Out of
County)
Confession af Judgment (non-
domestic relations)
Sister Stato Judgment
Administrative Agency Award
{not unpaid taxes)
Petition/Cerlification of Entry of
Judgment on Unpaid Taxes
Othet Enforcement of Judgment
e
Miscellaneous Civil Complaint
RICO (27)
Other Complaint (not specified
above) (42)
Declaratory Relief Only
injunctive Relief Only (non-
harassment)
Mechanics Lien
Other Commercial Complaint
Case (non-tort/non-complex)
Other Civil Complaint
(non-tori/fnon-complex)
Miscellaneous Civil Petition
Partnership and Corporate
me (21
harassment) (08) . ‘drugs, check this item; otherwise, other pan ee ecient
Defamation (2.g., slander, libel) report as Commercial or Residential) above) (43)
(13) Judicial Review Civil Harassment
Fraud (18) Asset Forfeiture (05) Workplace Violence
Intellectual Property (19) Petition Re: Arbitration Award (11) Elder/Dependent Adult
Professional Negligence (25) Writ of Mandate (02) Abuse
Lega Malpractice Writ-Administralive Mandamus Election Contest
Other Professional Malpractice Writ-Mandamus on Limited Court Petition for Name Change
(not medical or legal) Case Matter Petition far Relief From Late
E ployee Non-PPDAVD Tort (35) Writ-Cther Limited Court Gase Claim
‘mployme! . Review Other Givil Petition
Wrongful Termination (36) Other Judicial Review (39)
Other Employment (15) Review of Health Officer Order
Notice of Appeal—Labor
Commissioner Appeals
‘M010 [Rev. July 1, 20071
CIVIL CASE COVER SHEET
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