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  • LAURANCE HAGEN VS. ASSOCIATED INSULATION OF CALIFORNIA ASBESTOS document preview
  • LAURANCE HAGEN VS. ASSOCIATED INSULATION OF CALIFORNIA ASBESTOS document preview
  • LAURANCE HAGEN VS. ASSOCIATED INSULATION OF CALIFORNIA ASBESTOS document preview
  • LAURANCE HAGEN VS. ASSOCIATED INSULATION OF CALIFORNIA ASBESTOS document preview 
						
                                
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                                Clv-100

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

Brayton <> Purcell LLP
222 Rush Landing Road
Novato, California 94948
TELEPHONE NO. 415-898-1555 FAX NO. (Optional: 415-898-1247 ELECTRONICALLY
E-MAIL ADDRESS (Optional): mail @braytonlaw.com F I L E D

ATTORNEY FOR (Aame}:
PLA! Superior Court of California,

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO. County of San Francisco
street appress: 400 McAllister Street JAN 07 2011
MAILING ADDRESS:

ciTranp zie cove: San Francisco, 94102 oy enn of the pout
BRANCH NAME: Deputy Clerk}

PLAINTIFF/PETITIONER: LAURANCE HAGEN
DEFENDANT/RESPONDENT: ASBESTOS DEFENDANTS (BHC)

REQUEST FOR X] Entry of Default Clerk's Judgment
(Application) CGC-10-275582
Court Judgment

4. TO THE CLERK: On the complaint or cross-complaint filed
a. on (date): JUN-02-2010
b. by (name); LAURANCE HAGEN
c. LX] Enter default of defendant (names): HAAS & HAYNIE CORPORATION

CASE NUMBER:

d. L__] I 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 a hearing date, unless the court will enter a judgment on an affidavit under Code
Civ. 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

415.46.
(2) under Code of Civil Procedure section 585{a). (Complete the declaration under Code Civ. Proc., § 585.5 on the
reverse (itern 5).)
(3) for default previously entered on (date):

2, Judgment to be entered. Amount Credits acknowledged Balance

a. Demand of complaint . $ $ $

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, Proc,, § 425.17.)
3. (Check if filed in an unlawful detainer case) Legal document assistant or uy detainer assistant information is on

the reverse (complete item 4).

Data, 0

SAN 05 2011 Davin DONADIO » )

(TYPE OR PRINT NAME) (SIGNATURE OF PLAINTIFF OR ATTORNEY FOR PLAINTIFF)

a Default entered as requested on (date):
(2' Default NOT entered as requested (sfate reason):
FOR COURT
USE ONLY Clerk, by, Deputy
Page 1 of 2
Form Adopted ior Mandatory Use REQUEST FOR ENTRY OF DEFAULT Code of hel roves,
Civ-100 [Rev. January 1, 2007] {Application to Enter Default} www. couninto.ca.gov

LexisNexis® Automated California Judtcral Councu FormsClv-100

PLAINTIFF/PETITIONER: LAURANCE HAGEN CASE NUMBER
["_DEFENDANTRESPONDENT: ASBESTOS DEFENDANTS (BHC) CGC-10-275582

4, Legal document assistant or unlawful detainer assistant (Bus. & Prof. Code, § 6400 et seq.}. A legal document assistant

of untawful detainer assistant did did not 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 assistarit, state}:

a, Assistant's name: c. Telephone no.:

b. Street address, city, and zip code: d, County of registration:
e. Registration no.:
*, Expires on (date}:

5. (X] Declaration under Code of Civil Procedure Section 585.5 (required for entry of default under Code Giv. Proc., § 585(a)).
‘This action
a. [ is LX] isnot ona contract or installment sale for goods or services subject to Civ. Cade, § 1801 et seq. (Unruh Act),
b. LJ is isnot on a conditional sales contract subject to Civ. Code, § 2981 et seq. (Rees-Levering Motor Vehicle Sales
and Finance Act).
c. is LX J isnot on an obligation for goods, services, loans, or extensions of credit subject to Code Civ. Proc., § 398(b).

6. Declaration of mailing (Code Civ. Proc., § 587). A copy of this Request for Entry of Defaulf was
a. C4 not mailed to the following defendants, whose addresses are unknown to plaintiff or plaintiffs attorney (names):
b. [CX] mated 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):
PAUL B FAY II], AUTHORIZED AGENT FOR SERVICE

. (05 2011 1 PRESIDIO TER

JAN O82 SAN FRANCISCO CA 94118
| declare under penalty of perjury under the laws of the State of Califomia that the foregoing items 4, 5, ang 6 are true and correct.
Date:

AN-0-5-201 Nicole Hugh

(TYPE OR PRINT NAME}

7
7. Memorandum of costs (required if money judgment requested). Costs and disbursements are as follows (Code Civ, Proc.,
§ 1033.8}:
a. Clerk’s filing fees
Process server's fees
Other {specify}:

Reon e

[7] Costs and disbursements are waived.

| am the attorney, 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.
i declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date:
»

CPYPE OR PRINT NAME) {SIGNATURE OF DECLARANT)

8. Dectaration 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 ef seq,).

| declare under penalty of perjury under the laws of the State of California that the foregoing !s true and correct.
Date: >
(TYPE OR PRINT NAME) {SIGNATURE OF DECLARANT)

CWE FRET Tanwary 1 R807 REQUEST FOR ENTRY OF DEFAULT Pape 2of 8
{Application to Enter Default)

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