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Electronically FILED by Superior Court of California, County of Los Angeles on 10/16/2019 01:59 PM Sherri R. Carter, Executive Officer/Clerk of Court, by L. Castillejo,Deputy Clerk
19STLC09587
SUMMONS FOR COURT USEONLY
(soLo PARAUAO OELA CORTq
(ctTAc,oN JUDTC|AL)
NOTICE TO DEFENDANT: YESSEMA CHAI{EME. an individual: and Does
(AWSO AL DEMANDADO): through l0
YOU ARE BEING SUED BY PLAINTIFF: AMICA MUTUAL INSURANCE
LO ESTA DEMANDANDO EL DEMANDANTE):COMPANY, a corporation,
NOTICE! You have been sued. The court may decide against you without your being heard unless you respond within 30 days. Read the
below.
You have 30 CALENDAR DAYS after this summons and legal papers are served on you to file a written response at this court and have a copy
served on the plaintiff. A letter or phone call will not protect you. Your written response must be in proper legal form if you want the court to hear your
case. There may be a court form that you can use for your response. You can find these court torms and more information at the California Courts
Onfine Self-Help Center (www. couftinfo.ca.gov/se!fite/p), your county law library, or the courthouse nearest you. lf you cannot pay the filing fee, ask
the court clerk for a fee waiver form. lf you do not file your response on time, you may lose the case by dehult, and your wages, money, and property
may be taken without further warning from the court.
There are other legal requirements. You may want to call an attorney right away. lf you do not know an attorney, you may want to call an attorney
referral service. lf you cannot afford an attorney, you may be eligible for free legal services from a nonprofit legal services program. You can locate
these nonprofit groups at the California Legal Services VVeb site (www./awh elpcalifomia.org), the California Courts Online Self-Help Center
(www.courtinfo.ca.gou/selffiotp), or by contacting your local court or county bar association. NOTE: The court has a statutory lien for waived fees and
costs on any settlement or arbitration award of $10,000 or more in a civil case. The court's lien must be paid before the court will dismiss the case.
iAW$O! Lo han demandado. Sl no responde dentro de 30 d/ae la @fte puede clecidir en su contra sin escuchar su versi6n. Lea la informaci1n a
continuaci6n.
Tiene 30 DIAS DE CALENDARTO despUds de gue te entreguen e*a citaci'n y papeles legales para presentar una respue*a por escito en esta
cofte y hacer que se entregue una co{a al demandante. lJna cafta o una llamada telef'nica no lo protegen. Su respuesfa por escito tiene que edar
en fotmato legal conecto g desea que procesen su caso en la cofte. Es posi0re que haya un formulafio que uded pueda usar para su respuesfa.
Puede encontrar estos formulaios de la cofte y mds informaci6n en el Centro de Ayuda de las Corfes de Calffomia (www.sucorte.ca .gov), en la
biblioteca de leyes de su condado o en la cofte que le quede mds cerca. Si no puede pagar la cuota de presentaei6n, pida al secretario de la corte
que le dd un formulaio de exencifin de pago de qJotas. Si no presenta su respuesfa a tiempo, puede perder el caso por incumplimiento y la corte le
podrd quitar w sueldo, dinero y bienes sm mds advertencia.
Hay otros requisitos legales. Es recomendable que llame a un abogado inmediatamente. Si no conoce a un abogado, puede llamar a un seruicio de
remid6n a abogados. Si no puede pagar a un abogado, es povb/e que cumpla con los requisitos para obtener senacros legales gratuitos de un
programa de servicios legates srn fines de luuo. Puede encontrar esfos grupos sn frnes de lucro en el sitio web de Califomia Legal Services,
lVvww.lawhelpcalifornia.orgl, en el Centro de Ayuda de /as Corfes de Califomia, (www.sucorte.ca .gov) o poniandose en contado con la corte o el
colegio de abogados locales. AVISO: Por ley, la cofte tiene derecho a reclamar las cuofas y /os costos exentos por imponer un gravamen sobre
cualquier recuperaci'n de $10,000 6 mes de valor redblcla mediante un acuerdo o una cancesi'n de arbitraje en un caso de derecho ciil. Tiene que
pagar el grevamen de la cofte anfes de que la cofte pueda deschar el caso.
The name and address of the court is: CASE NUMBER:
(El nombre y direcci6n de la corte es): NAn{oddCa&):
Superior Court of Californi4 County of Los Angeles
I I I North Hill Street
Los Angeles, Califomia 90012
The name, address, and telephone number of plaintiffs attorney, or plaintiff without an attorney, is:TODD F. HAINES, ESQ.
(El nombre, la direcci6n y el nrtmero de tel6fono del abogado del demandante, o del demandante que no tiene abogado, es):
LAW OFFICES OF TODD F. HAINES
30495 CANWOOD STREET, SUITE#IOO, AGOURA HTLLS, CA 91301 #500-16r 8t8-597-2240
DATE: Clerk, by , Deputy
(Fecha) (Secretario) (Adjunto)
(For proof of service of this summons, use Proof of Service of Summons (form POS-010).)
(Para prueba de entrega de esfa citati6n use el formulano Proof of Service of Summons, (POS-010)).
.ISEAL]
NOTICE TO THE PERSON SERVED: You are served
1. l-l as an individual defendant.
2. n as the person sued under the fictitious name of (specify):
3. n on behalf of (specify):
under: E
l-_l
ccP 416.10 (corporation)
ccp 416.20 (defunct corporation)
n
n CCP 416.60 (minor)
CCP 41 6.70 (conservatee)
n CCP 416.40 (association or partnership) E CCP 416.90 (authorized person)
l-l other (specity):
4. [---l by personal delivery on (date):
Paoe I of I
Form Adopted for Mandatory Us Code of Civil Procedure SS 41220, /t65
Judicial Council of Calibrnia
SUMMONS
ww.Ndinfo.@.gar
SUirt-100 [R*. July 1, 20@l Vt€tLw Doc & Form Bulds