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" Plaintiff's Claim and ORDER '
Clerk stamps date here when form is
filed.
_.
-SC'1OO
.
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Small Claims
‘
to Go to Court "*
Notice to the person sued:
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JK
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being SUPEBerYgfiwmffiaAhEORN'A
You are the defendant if your name is listedin Q.) on page 2 of this form or
on form SC- 100A. The person suing you is the
plaintiff, listedin G)
’
on page 2.
.
.JUL 26 2022
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,
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You and the plaintiff must go to court on the trial date listed below. If you
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barrel E Pam” Exéwtive olllcer
do not go to court, you may lose the case. If you lose, the court can order
ay..~_j5.,
that your wages, money, or property be taken‘to pay this claim. Deputy Clerk
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Bring witnesses, receipts, and any evidence you need to prove your case.
' Fill in court name and street address:
Read this form and all pages attached to understand the claim against you ,
to protect your rights. Superior Court of California, County of _
and COUNTY of SANTA
A
BARBARA
Aviso
'
al Demandado:
' $3200" grggON
Usted es el Demandado si su nombre figura en ® de la pagma 2 de este
SANTA MARlgogg EJ4§ET
formulario, 0 en el formulario SC- 100A. La persona que lo demanda es el
Demandante, la que figura en CD de la pégina 2.
' Usted y el Demandante tienen'que presentarse en la corte en la fecha del
'
Court fills in case number when {mm is filed.‘
juicio indicada a continuacion. Si nose presenta, puede perder el caso. Si Case Number- 45
pierde el caso, la corte podria ordenar que le quiten de su sueldo, dinero u
otros bienes para pagar este reclamo. 22 a?"El 2 8 :73
- Lleve testigos, recibos y cualquier otra prueba que necesite para probar su caso Case Name:
3129‘” '
9W '
. Lea este formulario y todas las paginas adjuntas
en su contra y para proteger sus
para entender
1a demanda ‘6 SM‘W ”REVS/’6’
5..
derechos.
.Order to
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Go to Court‘
The people'm @ and :2) must attend court. (Cler kflls out sectionbelow)
Trial —>
Date
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address of court, if different from above
Time, .,,,,
Date
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Department
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2.
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3.
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Date: ml 26 2m 2 Clerk, by
J QWV Deputy
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Instructions for the person
Do not use this form to recover
suing: V J_ Killian
COVID-19 rental debt, which is unpaid rent 'or other financial obligations under a
tenancy due between March 1, 2020, and September 30, 2021 (See Code of Civil Procedure, §1179. 02.) To recover .
COVID- 19 rental debt, use form SC— 500 Plaintiff's Claim and ORDER to G0 to Small Claims Cour-.13
. You are the plaintiff. The person you me suing is the defendant.
. Before you fill out this form, read form SC— 100-1NFO Information for the Plaintiff to know your rights. You can get
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fonn SC 100—
INFO —
at any courthouse 01 county law library, or go to www. courts. ca. go v/torms.
Fill out pages 2,3, and 4 of this form. Make copies of all the pages of this form and any attachments—one for each
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party namedin this case and an extra copy for yourself. Take or mail the original and the copies to the court clerk’s
office and pay the filing fee. The clerk will write the date of your trial in the box above. Your court may allow
electronic filing. Check your local court website for information: www. courts. ca.gov/fi11d-Inv-cour't.htm.
- You must have someone at least 18—not you Or anyone else listed in this case—give each defendant a court-stamped
copy of all pagesof this form and any pages this form tells you to attach. There are special rules for“ serving,”
del1ve11ng, this form to public entities, associations, and some businesses See forms S_C-104, and SCo-1_04'C
- Go to court on your trial date listed above. Bring witnesses, receipts, and any evidence you need to prove your case.
Plaintiff's Claim and
Judicial Council of California.WWW.Courts.ca.gov ORDER SC-‘lOO, Page 1of 6
Rev. November 1. 2021, Mandatory Form
Code olClvilProcedure.§§116.110etseq..
“6.220(0). “6.340(9) ,
to GO to Small Claims court a
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Plaintiff (list names): Case Number:
221 (bx/o @316
Q) The plaintiff (the person, business, or public entity thatIs suing)‘Is:
Name:
Bad/#40» Bar-(3(1): , . Phone:
,
/Ofl/€>
[-[1/
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Street address: 9215 OXFO
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,DP MARE. QA 539215
Street City State Zip
Mailing address (ifdifferent): I
Street City State .Zip
Email address (ifavailable):
If more than one list next plaintiff here:
Name:
plaintiff,
V
Phone;
Street address:
Street City State Zip
Mailing address (ifdiflerent): .
"
Street City
--'-
State Zip
Email address (f avazlable)
1:] Check heIe IfmOIe than tWO plaintiffs and attach form S___C—100A
[:1 Check here If eIther plazntzflr listed aboveIs doing business under a fictitious name and attach form SC—103.
E] Check here if any plaintifl is a“licensee”or "deferred deposit originator” (payday lender) under Financial
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23 000 et seq
Codesectzons
@ The defendant (the person, business, public
or entity being sued)‘Is:
Name: [fig
, IOU! My Phone.
Street address:
WMDWQA?
Street
4AM Trig”
City
QZi
State
$5M
9‘,
Zip
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Mailing address (f different) 2/ 0 SJL/W 527% All/9 57390 {96/ 7396 %22§gfl23
Street City State Zip
If the defendant is a corporation, limited liability company, or public entity, list the person
or agent authorized for service of process here:
Name: will!M P 37141—771
Job title If known Aern/T/
Address 57W :mSe AI/c {7220 $4?“ 37796 5% 9s/QS #03}
91m
Stree City State Zip
[:1 Check heIe Ifyour case is against more than one defendant and attach form
SC-100A V
[:| Check here If any defendant is on active military duty and write defendants namevhere
The plaintiff claims the defendant owes $ 0 (Explam below andon next page )
(Note A claim for COVID-19 Iental debt cannot be made It thIs form Use form
SC- 500 Plaintiff’s Claim and ORDER to Go to Small Claims Court (COVID- 19 Rental Debtj)
a Why does the defendant owe the plaintiff money?
7%” Tam-1L 1975 ArmasT/tfla Pie». £54473 Tile Ai’i/Mv mafia/’4
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Revf November
1. 2021
Plaintiff’s Claim and ORDER to Go to Small Claims Court \ 50-100 Page20f6
W T6“ ”7’ wild}: L/WIFI’Z/Izé» "(fey Refit! ll fl/lnu Me To 55/ m7! SIC/{tie
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Plaintiff (list names): Case Number:
211W 0 Sim?
@ b. When did this happen? (Date): Z“! 3321
If no specific date, give the time period: Date started: Through:
0- How did you calculate the money owed toyou?r (Do not include court costs or fees for service.)
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Check here tfyou need more space Attach one sheet ofpaper orform M_C_— 031 and write ”SC-100, Item 3
the top
You must ask the defendant (in person, in writing, or by phone) to pay you before you
sue. If your claim is for possession of property, you must ask the defendant to give you
th Have you done this? ‘
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property.
Yes I:] No . If no explain why not:
7157 .5fo
.t MmfT/ 92%; Tie» nor/Clo
flu Why! Le‘t’ Me/ aeT' M7
STuaé’f
® This
you filing your claim at this courthouse?
ourthouse covers the area (check the one that applies):
Whéfre
a. (1) Where the defendant lives or does business. (4) Where a contract (written or spoken) was made,
‘
(2) Where the plaintiff‘s property was 'signed, performed, or broken by the defendant or
damaged.
“(3) Where the plaintiff was injUred where the defendant lived or did when the
business
defendant made the contract.
b. D Wheie the buyer or lessee signed the Contract, lives now, or lived when the conhact was made, if this
claim,
i
.
is about an offer or contract for personal, family, or household services, or loans (Code Civ. Proc.,
i
goods, .
§ 395(1)) )
.
c. El Where the buyer signed the contract, lives now, or lived when the contract was made, if this claimIS about a
retail installment contract (like a credit card) (Civ. Code, § 1812.10.)
* -
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.d. [I Where the buyer signed the contract, lives now, or livedwhen the contract was made, or where the vehicle is .
permanently garaged, if this claim18 about § 2984.4 )
a vehicle finance sale. (Civ.
Code,
6 El Other (Speafy)
1: 14¢ flat to File ’n’ 1.4 5m . _.
(List the zip code of the place checked in © above (ifyou/mow): 9"} V36
Q) Is your claim about an attorney-client fee dispute? El Yes [2(No
Ifyes and ifyou have had arbitration, fill out f0]m S01 01 attach it to thisfwm, and check
her
e E]
-.@Are Ifyes
you suing
you must f
a public entity? [I Yes
f
MNo
le a written claim with the entity rst I] A claim was filed on (date)
If the public entity denies your claim or does not answer within the time allowed by law, you can f le form
”115‘
RéV-Nwembm-m Plaintiff’s Claim and ORDER to Go to Small Claims Court SC-100. Pagesofb‘
"9
Plaintiff (list names): Case Number:
_
2301/0222???)
@ Have
Yes yowed
more than 12 other small claims within
the filingfee for this case will be higher.
the last 12 months in California?
E] No Ifyes,
10 Is your claim for more than $2,500? MYes E] No ~
Ifyou answer yes, you also confirm that you have not filed, and you understand that you may not file, more than two
small claims cases for more than $2,500 in California during this calendar year.
11 I understand that by filing a claimin small claims court, Ihave no right to appeal this
claim.
I declare Under penalty of perjury under the laws of the State of California that the information above and on any
attachments to this form is true and correct.
Date:
Z 2PM '
(DU/Bib»! firmet I} ‘ \ Plaintiffsigns here
Plamtzfl types or prints name here
Date:
l}
.Second plaintiff types or prints name here Second plaintiff signs here
Requests for Accommodations
Assistive listening systems, computer-assisted real- time captioning, or sign language interpreter
services are available if you ask at least five days before the trial. For these and other accommodations,
contact the clerk’s office for form MC-410. Disability Accommodation Request. (Civ. Code, § 54.8.)
R°V~N°Vembe”-2°21 Plaintiff’s Claim and ORDER to Go to Small Claims Court 50-1001Pase40f6
.9
SC-100 'lnformation .for the defendant (the person being sued)
"Small claims court" is a special court where claims for '
Prove this ls the wrong court: Send a letter to the court
$10,000 or less are decided. individuals, including "natural before your trial explaining why you think this is the wrong court.
persons" and sole proprietors, may claim up to $10,000. Ask the court to dismiss the claim. You must serve (give) a copy
Corporations, partnerships, public entities, and other businesses of your letter (by mail or in person) to all parties. (Your letter to
are limited to claims of $5,000. (See below for exceptionsf) The the court must say you have done so.)
pro'cess is quick and cheap. The rules are simple and informal. - Go to the trial and try to win your case. Bring
You are the defendant—the person being sued. The person who is
witnesses, receipts, and any evidence you need to prove your
suing you is the plaintiff. case. To have the court order a witness to go to the trial, fill out
DO l need a lawyer? You may talk to a lawyer before or after form SC-107, Small Claims Subpoena and Declamtioa,
the case. But you may not have a lawyer represent you in court and have it served on the witness.
(unless this is an appeal from a small claims case). Sue the
How do I get ready for court? You don’t have to file any
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person who is suing you. lf you have a claim
against the plaintiff, and the claim is appropriate for small claims
papers before your trial, unless you think this is the wrong court for
court as described on this form, you mayfile Defendant's Claim i
your case. But bring to your trial any witnesses, receipts, and
(form 80-120) and bring the claim in this action. lfyour claim is
evidence that support your case. And read “Be Prepared for Your
I
for more than allowed in small claims court, you may still file it in:
Trial" at www. courts. ca.aov/sma/lclaims/prepare. small claims court if you give up the amount over the small I
What if I need an accommodation? lf you have a claims value amount, or you may file a claim forthe full value of!
disability or are hearing impaired, fill out form
MC—4‘lO, Disability the claim in the appropriate court. lf your claim is for more than
5
'
Give the form to your court clerk or the allowed in small claims court and relates to the same contract,
ADA/Access Coordinator. transaction, matter, or event that is the subject of the plaintiff's
What if l don’t speak English well? Ask the court clerk claim, you may file your claim in the appropriate court and file a
as soon'as possible for a court-provided interpreter. You may use motion to transfer the plaintiff‘s claim to that court to resolve
form INT-300, Reggest foc/atergreter(C/vill or a local court form both matters together. You can see a description of the amounts
to request an interpreter. lf a court interpreter is unavailable for allowed in the paragraph above, titled “Small Claims Court."
your trial, it may be necessary to reschedule your trial. You cannot
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Agree with the plaintiff's claim and pay the
bring your own interpreter for the trial unless the interpreter has
money. Or, if you can't pay the money now, go to your trial
been approved by the court as a certified, registered, or
and say you want to make payments.
provisionally qualified interpreter. (See Cal. Rules of Court, rule
2.893, and form INT-140.) ' Let the case "default." If you don't settle and do not go to
Where can lget the court forms l need? Go to any the trial (default), the judge may give the plaintiff what he or she
courthouse or your county law library, or print forms at is asking for plus court costs. lf this happens, the plaintiff can
legally take your and property to pay the
www. courts. ca. go v1form s, money, wages,
judgment.
What happens at the trial? The judge will listen to both
sides The judge may make a decision trial or mail the
What ifl need more time?
at You can change the trial date if:
decision to you later your i
You cannot go-to court on the scheduled date (you will have to
'
'
o
What if l lose the case? lf you lose, you mayappeal You' ll pay a fee to postpone the trial), or -
have to pay a fee. (Plaintiffs cannot appeal their own claims.)
I
- You did not get served (receive this order to go to court) at least
. lf you were at the trial, file form SC-140, Notice of Appeal,
You 15 days before the trial (or 20 days if you live outside the
must file within 30 days after the clerk hands or mails you the county).
judge‘s decision (judgment) on form80-200 or form SC- 130 Ask the Small Claims Clerk about the rules and fees for
Notice of Entfl of Judgment.
postponing a trial. Or fill out form (or write a letter) and
. If you were not at the trial, fill out and_file form SC-135
Notice oi '
mail it to the court and to all other people listed on your court
Motion t9 Vacate Judgment and Declaration, to ask the judge to
papers before the deadline. Enclose a check for your court fees,
l
cancel the judgment (decision). lf the judge does not give you a unless a fee waiver was granted.
new trial, you have 10 days to appeal the decision. File form
SC-140. Need help?
j
For more information on appeals, see www.courts.‘ca.gow Your county's Small Claims Advisor can help for free.
smallc/aims/aggea/s.
Do
'
l have options? Yes. lf you are being sued you can:
Settle your case before the trial. lf you and the
r
plaintiff agree on how to settle the case before the trial, the
plaintiff must file form ClV-110Re uest for Dismissal or a l_
Or go to www. courts, ca,gov/smal/glaims/advisor.
written and—signed settlement agreement with the clerk. Ask the
Small Claims Advisor for help.
‘ Exceptions: Different limits apply in an action against a defendant who is a guarantor. (See Code Civ. Proc., § 116.220(c).) Limits do not apply
inan action to
recover COVlD-19 rental debt. (See Code Civ. Proc., §§ 116.223 & 1179.02; form 80-500.)
I
Rev. November
1, 2021
Plaintiff’s Claim'and ORDER to Go to Small Claims Court SC-100, Page 5 of 6
/ 9
SC-100 lnformacién para el demandado (la persona demandada)
La “Corte de reclamos menores" es una corte especial donde sé - Probar que es la corte equivocada. Envie una carta a la corte
deciden casos por $10,000 o menos. Los individuos, o sea Ias antes del juicio explicando por qué cree que es la corte
“personas fisicas“ y los propietarios por cuenta propia, pueden equivocada. Pidale a la corte que despida el reclamo.Tiene que
reClamar hasta $10,000. Las corporaciones. asociaciones, entidades entregar (dar) una copia de su carta (por correo o en persona) a
publicas y otras empresas solo pueden reclamar hasta $5.000. (Vea todas las partes. (Su carta a la corte tiene que decir que hizo la
abajo para las excepcionesf) El proceso es ra’pido y econémico. Las entrega.)
reglas son sencillas e informales. Usted es el Demandado—la ° lr al juicio y tratar de ganar el caso.
Lleve testigos, recibos y
persona que se esté demandando. La persona que Io esta’ cualquier prueba que necesite para probar su caso. Si desea que
demandando es el Demandante. la corte emita una orden de comparecencia para que los testigos
aNecesito un'abogado? Puede hablar con un abogado antes o vayan al juicio. Ilene el formulario 80-107, Citatorio de reclamos
después del caso. Pero no puede tener a un abogado que Io menores (Small Claims Subpoena) y entrégueselo legalmente al
represeme ante la corte (a menos que se trate de una apelacién de un testigo
caso de reclamos menores). - Demandar a la persona que lo demandé. Si tiene un reclamo
contra el Demandante, y el reclamo se puede presentar en la
(,Co’mo me preparo para ir a la corte? No tiene que presentar
corte de reclamos menores. tal como se describe en este
ningL’Jn documento antes del juicio, a menos que piense que ésta es la
formulario, puede presentar el formulario SC-120, Reclamo del
cone equivocada para su, caso. Pero lleve al juicio cualquier testigos,
recibos y pruebas que apoyan su caso. Y lea "Esté preparado para su demandado (Defendant’s Claim) y presentarlo en este mismo
caso. Si su reclamo excede el limite permitido en la corte de
juicio" en www.courts.ca.gov/reclamosmenores/preparese.
reclamos menores, puede igualmente presentarlo en la corte de
aQué hago si necesito una modificacién? Si tiene una
reclamos menores si esta dispuesto a limitar su reclamo al
discapacidad o tiene impedimentos de audicion, Ilene el formulario
ma’ximo permitido, o puede presentar un reclamo por el monto
MC-410, Solicitud de modificaciones para discapacidad. Entregue el
total en la corte apropiada. Si su reclamo excede el limite
formulario al secretario de la corte o al Coordinador de Acceso/ADA
de su corte. permitido en la corte de reclamos menores y esta’ relacionado con
el mismo contrato, transaccién, asunto o acontecimiento que el
aQué pasa si no hablo bien inglés? Solicite un intérprete al reclamo del Demandante, puede presentar su reclamo en la corte
secretario de la corte lo mas pronto posible. Puede usar el formulario
INT-300 o un formulario de su corte local. Si no esta' disponible un apropiada y presentar una mocién para transferir el reclamo del
Demandante a dicha corte, para poder resolver los dos reclamos
intérprete de la corte para su juicio, es posible que se tenga que
cambiar la fecha de su juicio. No puede llevar su propio intérprete juntos. Puede ver una descripcion de los montos permitidos en el
pa'rrafo anterior titulado "Corte de reclamos menores".
para el juicio a menos que el intérprete haya sido aprobado por la
corte como un intérprete certificado. registrado, o provisionalmente
-
Aceptar el reclamo del Demandante y pagar el dinero. O, si no
puede pagar en ese momento, vaya al juicio y diga que quiere
calificado. (Vea la regla 2.893 de las Reglas de la Corte de California.
y el formulario lNT—140.) hacer los pagos a plazos.
- No ir al juicio y aceptar el fallo por falta de comparecencia. Si
(,Dénde puedo obtener los formularios de la corte que necesito?
no llega a un acuerdo con el Demandante y no va al juicio (fallo
Vaya a cualquier edificio de la corte, la biblioteca legal de su condado,
o imprima los formularios en www.courls.ca.gov/smallclaims/forms por falta de comparecencia), el juez Ie puede otorgar al
Demandante lo que esté reclamando ma's los costos de la corte.
(pégina esta' en ingle’s).
En ese caso, el Demandante legalmente puede tomar su dinero.
éQué pasa en eljulclo? El juez escuchara a ambas partes. El juez su sueldo o sus bienes para cobrar el fallo.
puede tomar su decision durante la audiencia o enviarsela por correo
¢Qué hago si necesito ma’s tiempo? Puede cambiar la fecha del
después.
juicio si:
aQué pasa si pierdo el caso? Si pierde, puede apelar. Tendra’ que - No puede ir a la corte en la fecha programada (tendra’ que pagar
pagar una cuota. (El Demandante no puede apelar su propio reclamo.) una cuota para aplazar el juicio), o
. Si estuvo presente en el juicio, Ilene el formulario 80-140, Aviso de
- No le entregaron los documentos legalmente (no recibié la orden
ape/acién (Notice of Appeal). Tiene que presentarlo dentro de 30 para _ir a la corte) por lo menos 15 dias antes del juicio (o 20 dlas
dias después de que el secretario le entregue o envie la decision si vive fuera del condado).
(fallo) del juez en el formulario 80-200 o 80-130, Aviso de
Pregflntele al secretariode reclamos menores sobre las reglas y
las
publicacio'n del fallo (Notice of Entry of Judgment). cuotas para aplazar un juicio. O llene el formulario SC-150 (o escriba
. Si no estuvo en el juicio, llene y presente'el formulario 80-135,una carta) y envielo antes del plazo a la corte y a todas las otras
Aviso de peticién para anu/ar e/ fal/o y Dec/aracién para pedirle al
personas que figuran en sus papeles de la corte. Adjunte un cheque
juez que anule el fallo (decision). Si la corte no le otorga un nuevo
para pagar los costos de la corte, a menos que le hayan dado una
juicio, tiene 10 dias para apelar la decisién. Presente el formulario
exencién.
80-140.
(,Necesita ayuda? El Asesor de Reclamos Menores de su
Para obtener ma’s informacién sobre las apelaciones, vea condado le puede ayudar sin cargo.
www.courts. ca. gov/reclamosmenores/ape/aciones.
(,Tengo otras opciones? Sl. Si lo estan demandando, puede:
. Resolver su caso antes del juicio. Si usted y el Demandante se
ponen de acuerdo en cémo resolver el caso antes del juicio, el
Demandante tiene que presentar el formulario ClV-‘l10 Solicitud de
O visite www.courts.ca.gov/reclamosmenores/asesores.
desestimacidn (Request for Dismissal) o u’n acuerdo de resolucion
escrito y firmado al secretario de la corte. Pidale al Asesor de ‘ Excepclones: Exisren diferentes llmites en un reclamo contra un garante. (Vea el