Plaintiff's Claim and Order to Go to Small Claims Court - Plaintiff's Claim and Order to Go to Small Claims Court

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                          Plaintiff's Claim and ORDER
to Go to Small Claims Court

Clerk stamps date here when form is filed.

Notice to the person being sued: FILED
¢ eas : : Superior Court of California
* You are the defendant if your name is listed in @on page 2 of this form or County of Los Angeles
on form SC-100A. The person suing you is the plaintiff, listed in @ 04/11/2022
on page 2.

Pheri R Carter, Executive Office / Geck of Court

* You and the plaintiff must go to court on the trial date listed below. If you
P 8 2 By: G. Chavez Deputy

do not go to court, you may lose the case. If you lose, the court can order
that your wages, money, or property be taken to pay this claim.
* Bring witnesses, receipts, and any evidence you need to prove your case. Po
Fill in court name and street address:

* Read this form and all pages attached to understand the claim against you PO
. Superior Court of California, County of
and to protect your rights.

Aviso al Demandado: Los Angeles
* Usted es el Demandado si su no…