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‘ATTORNEY OR PARTY WITHOUT ATTORNEY. (Name, State Bar and agares: ' =
‘Shite Werner Beg, BARY St0 moon a serene POR SOUT OSE OM |
1111 Garfierld Avenue
Albany, California 94706-1212
E-MAIL ADDRESS (Optional:
ATTORNEY FOR (Name):
reispnoneno: (310) 527-8616 rane. ontenads (510) 527-8619 5 i
SUPERIOR COURT OF CALIFORNIA, COUNTY OF CONTRA COSTA co
UAT,
THE
streerappress: 725 Court Street surcrid GoUNT OF ie Grae OF GAUIFOR
MAILING ADDRESS: ® vuNT
errvanpzipcone: Martinez, California 94553 8y___ Deputy Ciel
BRANCH NAME:
=
74 ro
PLAINTIFF/PETITIONER: Federated Mutual Insurance Company,.a corp.
DEFENDANT/RESPONDENT: Francis Rolando Machado, et al.
CASE NUMBER:
REQUEST FOR Entry of Default [71] clerk's Judgment
(Application) C14-01919
EJ court Judgment
4. TO'THE CLERK: On the complaint or cross-complaint filed
a. on (date): October 17, 2014
b. by (name): Federated Mutual Insurance Company, a corporation
c. [7] Enter default of defendant (names): FRANCIS ROLANDO MACHADO, GUELSI AGUIAR
afdi 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 jor a hearing date, unless the court will entera judgment on an affidavit under Code
Civ. Proc., § 585(d).)
e. [_] Enter clerk’s judgment
(4) ci for restitution of the premises only and issue a writ of execution on the judgment. Code of Civil Precedurs 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) C4 under Code of Civil Procedure section 585(a). (Complete the declaration under Code Civ. Proc., § 585.5 an the
reverse (item 5).)
(3) [] for default previously entered on (date): 3
2, Judgment to be entered. Amount . Credits acknowledged Balance
a. Demand of complaint .. $ $ $
b, Statement of damages *
(4) Special... $ § $
(2) General . $ $ $
c. Interest . $ $ $
d. Costs (see reverse) . $ $ $
e. Atiomey fees. . $ $ $
f. TOTALS $ $ 8
g. Daily damages were demanded in. cena at the rate of: $ per day beginning (date):
{(* Personal injury or wrongful death actions; Code Civ. Proc., § 425.11.)
3, [] (Check ififtled in an unlawtul detainer case) Legal document assistant or untawiut assistant Information is on
the reverse (complete iter 4).
Date: December 2, 2014 >
Philip Wemer, Esq. ste gy
(TYPE OR PRINT NAME) “ia ez oF i "de ATTORNEY FOR PLAINTIFF)
(i) / Default entered as requested on (date): |a~ aI
FOR COURT (2)[] Default NOT entered as requested (siate.reason):
USE ONLY . Clerk, by. » Deputy |
Page 1 of2
Teoeiel Ghuned rection REQUEST FOR ENTRY OF DEFAULT, code oS Proce,
CIV-100 [Rev, January 1, 2007} {Application to Enter Defaulg) . wwrn.courtinfo.ca.govolv.i08
'
|
J
PLAINTIFF/PETITIONER: Federated Mutual Insurance Company, a corp. CASE NUMBER:
DEFENDANT/RESPONDENT; Francis Rolando Machado, et al, ci4.01919
4, Legal document assistant or unlawful detainer assistant (Bus. & Prof, Code, § 6400 et seq,}. A legal document assistant
or unlawful deteiner assistant [_] did did net for compensation give,advice or assistance with this form.
(if declarant has received any help or advice for pay from a legal docurnent assistant or unlawful detainer assistant, sate):
a. Assistant's name: *¢. Telephone no.:
b. Street address, city, and zip code: d, County of registration:
¢. Registration no.:
7. Expires on (date):
5. Declaration under Code of Civil Procedure Section 585.5 (required for entry of default under Code Civ. Pros., § 585(a)).
This action
a is on a contract or installment sale for goods or services subject to Civ. Code, § 1801 et seq, (Unruh Act).
b. is on a conditional sales contract subject to Civ. Code, § 2981 et seq. (Rees-Levering Motor Vehicle Sales
and Finance Act).
c Fo is on an obligation for goods, services, loans, or extensions of credit sublect to Code Civ. Proc., § 395(b).
6, Declaration of mailing (Cede Civ. Proc., § 587). A copy of this Request for Entry of Default was
a. [_] not maited to the following defendants, whose addresses are unknown to plaintiff or piaintiff's.attorney (names):
b. mailed first-class, postage prepaid, in a sealed envelope addressed to each defendant's attomey of record or, if none, to
each defendant's last known address as follows: .
(4) Mailed on (gate): December 7 rae (2) To (specify names and addresses shown on the envelopes):
FRANCIS ROLANDO MACHADO
6545 We 26th Drive,#13 7785 W 29th Way, #102
Hialeah, Florida 33016 Hialeah, Flo 33018
1c 6 are true and correct.
1 declare under penalty of perjury under the laws of the State of California that the forego}
Date: December 2, 2014
Philip Werner, Esq. d
(TYPE OR PRINT NAME) Aa “(aIGNATURE OF DECLARANT)
te Memorandum of costs (required if money judgment requested). Cosis and disbursemenis are as follows (Code Civ. Proc.,
§ 1033.5):
a. Clerk's filing fees
Process server's fees
Other (specify):
b.
c
d.
e
& (21 costs and disbursements are waived.
+ lam the attomey, agent, or party who claims these costs. To the best of my knowledge and bellef 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: .
d.
(TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT)
a:
Declaration of nonmilitary status (required for a judgment). No defendant named in item 1c ofthe 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.).
| declare under penaliy of perjury under the laws of the State of California that the foregeing is t ‘correct.
Date: December 2, 2014
Philip Werner, Esq, >
(TYPE OR PRINT NAME) ” {SIGNATURE OF DECLARANT)
heA00 FRev. danwary 3, 2007) REQUEST FOR ENTRY OF DEFAULT Page Zoro
(Application to Enter Default}
eo -+ @
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‘ATTORNEY OR PARTY WITHOUT ATTORNEY. (Name, State Bar and agares: ' = ‘Shite Werner Beg, BARY St0 moon a serene POR SOUT OSE OM | 1111 Garfierld Avenue Albany, California 94706-1212 E-MAIL ADDRESS (Optional: ATTORNEY FOR (Name): reispnoneno: (310) 527-8616 rane. ontenads (510) 527-8619 5 i SUPERIOR COURT OF CALIFORNIA, COUNTY OF CONTRA COSTA co UAT, THE streerappress: 725 Court Street surcrid GoUNT OF ie Grae OF GAUIFOR MAILING ADDRESS: ® vuNT errvanpzipcone: Martinez, California 94553 8y___ Deputy Ciel BRANCH NAME: = 74 ro PLAINTIFF/PETITIONER: Federated Mutual Insurance Company,.a corp. DEFENDANT/RESPONDENT: Francis Rolando Machado, et al. CASE NUMBER: REQUEST FOR Entry of Default [71] clerk's Judgment (Application) C14-01919 EJ court Judgment 4. TO'THE CLERK: On the complaint or cross-complaint filed a. on (date): October 17, 2014 b. by (name): Federated Mutual Insurance Company, a corporation c. [7] Enter default of defendant (names): FRANCIS ROLANDO MACHADO, GUELSI AGUIAR afdi 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 jor a hearing date, unless the court will entera judgment on an affidavit under Code Civ. Proc., § 585(d).) e. [_] Enter clerk’s judgment (4) ci for restitution of the premises only and issue a writ of execution on the judgment. Code of Civil Precedurs 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) C4 under Code of Civil Procedure section 585(a). (Complete the declaration under Code Civ. Proc., § 585.5 an the reverse (item 5).) (3) [] for default previously entered on (date): 3 2, Judgment to be entered. Amount . Credits acknowledged Balance a. Demand of complaint .. $ $ $ b, Statement of damages * (4) Special... $ § $ (2) General . $ $ $ c. Interest . $ $ $ d. Costs (see reverse) . $ $ $ e. Atiomey fees. . $ $ $ f. TOTALS $ $ 8 g. Daily damages were demanded in. cena at the rate of: $ per day beginning (date): {(* Personal injury or wrongful death actions; Code Civ. Proc., § 425.11.) 3, [] (Check ififtled in an unlawtul detainer case) Legal document assistant or untawiut assistant Information is on the reverse (complete iter 4). Date: December 2, 2014 > Philip Wemer, Esq. ste gy (TYPE OR PRINT NAME) “ia ez oF i "de ATTORNEY FOR PLAINTIFF) (i) / Default entered as requested on (date): |a~ aI FOR COURT (2)[] Default NOT entered as requested (siate.reason): USE ONLY . Clerk, by. » Deputy | Page 1 of2 Teoeiel Ghuned rection REQUEST FOR ENTRY OF DEFAULT, code oS Proce, CIV-100 [Rev, January 1, 2007} {Application to Enter Defaulg) . wwrn.courtinfo.ca.govolv.i08 ' | J PLAINTIFF/PETITIONER: Federated Mutual Insurance Company, a corp. CASE NUMBER: DEFENDANT/RESPONDENT; Francis Rolando Machado, et al, ci4.01919 4, Legal document assistant or unlawful detainer assistant (Bus. & Prof, Code, § 6400 et seq,}. A legal document assistant or unlawful deteiner assistant [_] did did net for compensation give,advice or assistance with this form. (if declarant has received any help or advice for pay from a legal docurnent assistant or unlawful detainer assistant, sate): a. Assistant's name: *¢. Telephone no.: b. Street address, city, and zip code: d, County of registration: ¢. Registration no.: 7. Expires on (date): 5. Declaration under Code of Civil Procedure Section 585.5 (required for entry of default under Code Civ. Pros., § 585(a)). This action a is on a contract or installment sale for goods or services subject to Civ. Code, § 1801 et seq, (Unruh Act). b. is on a conditional sales contract subject to Civ. Code, § 2981 et seq. (Rees-Levering Motor Vehicle Sales and Finance Act). c Fo is on an obligation for goods, services, loans, or extensions of credit sublect to Code Civ. Proc., § 395(b). 6, Declaration of mailing (Cede Civ. Proc., § 587). A copy of this Request for Entry of Default was a. [_] not maited to the following defendants, whose addresses are unknown to plaintiff or piaintiff's.attorney (names): b. mailed first-class, postage prepaid, in a sealed envelope addressed to each defendant's attomey of record or, if none, to each defendant's last known address as follows: . (4) Mailed on (gate): December 7 rae (2) To (specify names and addresses shown on the envelopes): FRANCIS ROLANDO MACHADO 6545 We 26th Drive,#13 7785 W 29th Way, #102 Hialeah, Florida 33016 Hialeah, Flo 33018 1c 6 are true and correct. 1 declare under penalty of perjury under the laws of the State of California that the forego} Date: December 2, 2014 Philip Werner, Esq. d (TYPE OR PRINT NAME) Aa “(aIGNATURE OF DECLARANT) te Memorandum of costs (required if money judgment requested). Cosis and disbursemenis are as follows (Code Civ. Proc., § 1033.5): a. Clerk's filing fees Process server's fees Other (specify): b. c d. e & (21 costs and disbursements are waived. + lam the attomey, agent, or party who claims these costs. To the best of my knowledge and bellef 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: . d. (TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT) a: Declaration of nonmilitary status (required for a judgment). No defendant named in item 1c ofthe 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.). | declare under penaliy of perjury under the laws of the State of California that the foregeing is t ‘correct. Date: December 2, 2014 Philip Werner, Esq, > (TYPE OR PRINT NAME) ” {SIGNATURE OF DECLARANT) heA00 FRev. danwary 3, 2007) REQUEST FOR ENTRY OF DEFAULT Page Zoro (Application to Enter Default} eo -+ @