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  • ANNETTE BUNTING VS FELIZARDO AYALA ROJO, ET AL. Personal Injury/Property Damage/Wrongful Death - Uninsured Motorist (General Jurisdiction) document preview
  • ANNETTE BUNTING VS FELIZARDO AYALA ROJO, ET AL. Personal Injury/Property Damage/Wrongful Death - Uninsured Motorist (General Jurisdiction) document preview
						
                                

Preview

CIV-050 - DO NOT FILE WITH THE COURT- -UNLESS YOU ARE APPLYING FOR A DEFAULT JUDGMENT UNDER CODE OF CIVIL PROCEDURE § 585 - ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): TELEPHONE NO.: FOR COURT USE ONLY Arg Markaryan, Esq, (818) 900-9167 Markaryan Law, PC 450 N. Brand Blvd., Suite 600 Glendale, CA 91203 ATTORNEY FOR (name): Plaintiff, Annette Bunting SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES STREET ADDRESS: 312 N. Spring Street MAILING ADDRESS: 312 N. Spring Street CITY AND ZIP CODE: Los Angeles, CA 90012 BRANCH NAME: Spring Street Courthouse PLAINTIFF: Annette Bunting DEFENDANT: Felizardo Ayala Rojo CASE NUMBER: STATEMENT OF DAMAGES (Personal Injury or Wrongful Death) 21STCV29602 To (name of one defendant only): Felizardo Ayala Rojo Plaintiff (name of one plaintiff only): Annette Bunting seeks damages in the above-entitled action, as follows: AMOUNT 1. General damages a. ✔ Pain, suffering, and inconvenience .................................................................................................... $ 1,000,000 b. ✔ Emotional distress. ............................................................................................................................. $ 1,000,000 c. Loss of consortium ............................................................................................................................. $ d. Loss of sociey and companionship (wrongful death actions only) ..................................................... $ e. Other (specify) .................................................................................................................................. $ f. Other (specify) .................................................................................................................................. $ g. Continued on Attachment 1.g. 2. Special damages a. ✔ Medical expenses (to date) ................................................................................................................ $ 1,000,000 b. ✔ Future medical expenses (present value) .......................................................................................... $ 1,000,000 c. ✔ Loss of earnings (to date) ................................................................................................................... $ 300,000 d. ✔ Loss of future earning capacity (present value) .................................................................................. $ 1,000,000 e. Property damage ................................................................................................................................ $ f. Funeral expenses (wrongful death actions only) ................................................................................ $ g. Future contributions (present value) (wrongful death actions only) .................................................... $ h. Value of personal service, advice, or training (wrongful death actions only) ...................................... $ i. Other (specify) .................................................................................................................................. $ j. Other (specify) .................................................................................................................................. $ k. Continued on Attachment 2.k. 3. Punitive damages: Plaintiff reserves the right to seek punitive damages in the amount of (specify).. $ when pursuing a judgment in the suit filed against you. Date:June 3, 2022 Arg Markaryan, Esq. (TYPE OR PRINT NAME) (SIGNATURE OF PLAINTIFF OR ATTORNEY FOR PLAINTIFF) (Proof of service on reverse) Page 1 of 2 Form Adopted for Mandatory Use STATEMENT OF DAMAGES Code of Civil Procedure, §§ 425.11, 425.115 Judicial Council of California www.courtinfo.ca.gov CIV-050 [Rev. January 1, 2007] (Personal Injury or Wrongful Death)