Request,Application: PAUL VAN DEGRIFT VS. ASBESTOS DEFENDANTS (BP) AS REFLECTED ON EXHIBITS et al

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                                Civ-100

ATTGRNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY

David R. Donadio (State Bar # 154436)

Brayton <> Purcell LLP

222 Rush Landing Road

Novato, California 94948 ELECTRONICALLY
Tevertione No: 415-898-1555 FAXNO, (Optional: 415-898-1247 FILED

E-MAIL ADDRESS (Optional: mail(@braytonlaw.com E D
ink Superior Court of California,

ATTORNEY FOR tame: PEL ATNT) ¢
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO County of San Francisco
: FEB 18 2010
street aporess: 400 McAllister Street
wooo Gage ce
ory as cove: San Francisco, 94102 . Deputy Clerk

PLAINTIFF/PETITIONER; PAUL VAN DEGRIFT
DEFENDANT/RESPONDENT: ASBESTOS DEFENDANTS (BHC)

REQUEST FOR Xj Entry of Default Clerk’s Judgment
(Application) CGC-09-275076

Court Judgment

41. TOTHE GLERK: On the complaint or cross-complaint filed
a, on (date): 02-18-2009
b. by (name): PAUL VAN DEGRIFT

c. LX] Enter default of defendant (names): GARLOCK. SEALING TECHNOLOGIES, LLC

CASE NUMBER:

d. | request a court judgment under Code of Civil Procedure sections 585(b), 585(c), 989, etc., against defendant (names):

{Testimony required. Apply to the clerk for 4 hearing date, unless the court will enter a judgment on an affidavit under Code
Giv. Proc., § 585(d).)

e. Enter clerk's judgment .

(1) [__] for restitution of the premises only and issue a writ of execution on the judgment. Code of Civil Procedure section
1174{(c) does not apply. (Code Civ. Proc., § 1169.)

Include in the judgment all tenants, subtenants, named claimants, and other occupants of the premises. The
Prejudgment Claim of Right to Possession was served in compliance with Code of Civil Procedure section

418.46.
(2) under Code of Civil Procedure section 585(a). (Compiéte the declaration under Cade Civ. Proc., § 585.5 on the
reverse (item 5).)
(3) for default previously entered on (date):
2. Judgment to be entered. Amount Credits acknowledged Balance
a, Demand of complaint . a $ $ $
b. Statement of damages *
{1} Special .. $ $ $
(2) General .. $ $ $
c. Interest $ $ $
d. Costs (see reverse) . $ $ $
e. Attorney fees... $ “ $ $
f. TOTALS .... . §$ $ $
g. Daily damages were demanded in complaint at the rate of: $ per day beginning (date):
(* Personal injury or wrongful death actions; Code Civ. Prot., § 425.71.)
3. {Check if filed in an uniawful detainer case) Legal document assistant or unlawful datainer assistant information is on
the reverse (complete item 4).
Date: (tba > GO
David R, Donadig &
(TYPE OR PRINT NAME} Oy {SIGNATURE OF PLAINTIFF OR ATTORNEY FOR PLAINTIFF)
| a Default entered as requested on (date):
(2) Fy Default NOT entered as requested (stale reason):
FOR COURT
USE ONLY Clerk, by. , Deputy
Page 1 af 2
Sialeal Courelof Galtorne REQUEST FOR ENTRY OF DEFAULT cove Ge ase ser 168
CIV-100 (Rev. January 1, 2007) (Application to Enter Default) wwnw.courtinfo.ca. tov

LexisNexis® Automated California Judicial Council FornsCiV-100

PLAINTIFFIPETITIONER’ PAUL VAN DEGRIFT CASE NUMBER:
[_DEFENDANTIRESPONDENT: ASBESTOS DEFENDANTS (BHC) CGC-09-275076

4. Legal document assistant or unlawful detainer assistant (Bus. & Prof. Code, § 6400 et seq.). A legal document assistant
or unlawful detainer assistant ] aia didnot for compensation give advice or assistance with this form.
(if declarant has received any help or advice for pay from a legal document assistant or unlawful detainer assistant, state):

a. Assistants name: c. Telephone no.

b. Street address, city, and zip code: d. County of registration:
@. Registration no.:
f. Expires on (date):

5. LX_} Declaration under Code of Civil Procedure Section 585.5 (required for entry of default under Code Civ. Proc., § 585(a)).

This action
a. is LX Jig not on a contract or installment sale for goods or services subject to Civ. Code, § 1801 ef seq. (Unruh Act).
b. is LX] is not on a conditional sales contract subject to Civ. Code, § 2981 et seg. (Rees-Levering Motor Vehicle Sales
and Finance Act).
e. is XJ isnot on an obligation for goods, services, loans, or extensions of credit subject to Code Civ. Proc., § 39.5(b).

6, Declaration of mailing (Code Civ. Proc., § $87). A copy of this Request for Eniry of Default was
a C4 not mailed to the following defendants, whose addresses are unknown to plaintiff or plaintiff's attomey (names):

b. LX_J mailed first-class, postage prepaid, in a sealed envelope addressed to each defendant's attorney of record or, if none, to
each defendant's last known address as follows:

(1) Mailed on (date); (2) To (specify names and addresses shown on the envelopes):
‘ MARGARET WILSON , AUTHORIZED AGENT FOR SERVICE
FEBI1¢ 200 818 W. 7TH STREET, 2ND FLOOR
LOS ANGELES, CA 90017

1 declare under penalty of perjury under the laws of the State of California that the foregoing items 4, 5, and 6 are true and correct.

Date;
FEB 1 6 2010 Nicole Hugh

(TYPE OR PRINT NAME)

7, Memorandum of costs (required if money judgment requested). Costs and disbursements are as follows (Code Civ. Proc.,

§ 1033.5): :
a. Clerk's filing fees ......... beeen ees $

b. Process server's fees 0... .... cess eee $

¢. Other (specify):

d.

e

f Costs and disbursements afe waived.

g- {am the attomey, agent, or party who claims these costs. To the best of my knowledge and belief this memorandum of costs is
correct and these costs were necessarily incurred in this case.
\ declare under-penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date:
»

{TYPE OR PRINT NAME} (SIGNATURE OF DECLARANT)

f
8, Declaration of nonmilitary status (required for a judgment). No defendant named in item 1c of the application is in the
military service so as to be entitled to the benefits of the Servicemembers Civil Relief Act (50 U.S.C. App. § 501 et seq.)

4 declare under penalty of perjury under the laws of the State of Califomia that the foregoing is true and correct.
Date: >
(TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT}

‘Cive1G0 [Rev. January 1, 2007] REQUEST FOR ENTRY OF DEFAULT Page2ofz
(Application to Enter Default)

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