Request,Application: JON LESLIE WILSON VS CA HAND SURGERY & ORTHOPEDIC SPECIALIST

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                                CIV-100
ArORNEY OR PARTY WITHOUT ATTORNEY        s- ATEBARN01 71281                                                          FOR CO URT USE ONLY
NAME. JEROLD " GENE " SULLIVAN
FIRM NAME SULLIVAN & SULLIVAN
STREET ADDRESS 12 3 0 Rosecrans A venue , Suite 600
CITY Manhattan Beach                           STATE CA   Z PCODE 9 0 2 6 6
TELEPHONE NO. 3 1 0 3 7 4 4 3 5 7             FAX NO 3103791951
E-MAIL ADDRESS sull i vanandsullivanattorneys@gmail . com
ArORNEY=OR(namej Plaintiff - JON LESLIE WILSON
SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES
 s- REET ADDRESS: 111 North Hill Street
 MAILING ADDRESS: 111 North Hill Street
CITY AND ZIP CODE Lo s Angeles ' 90012
     BRANCHNAME Stanley Mos k Cou r thouse
     Plaintiff/Petitioner: JON LESLIE WILSON
DefendanURespondent: CA HAND SURGERY AND ORTHOPEDIC SPECIALISTS , et al .
                                                                                                      CASE NUMBER·
 REQUEST FOR                          [xJ Entry of Default          D     Clerk's Judgment
                                                                                                      BC722523
  (Application)                       D      Court Judgment
     Not for use in actions under the Fair Debt Buying Practices Act (Civ. Code, § 1788.50 et seq.); (see form CIV-105 )

1. TO THE CLERK: On the complaint or cross-complai nt filed
   a. on(date). Septemb e r 19 , 2018
      b.   by0am~: Plainti f f                  -   JON LESLIE WILSON
      c.   [X)     Enter default of defendant (names) : LAWRENCE R . MILLER ,               M. D.


      d.   D       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.      D Enter clerk's judgment
       (1)       D
                 for restitution of the premises only and issue a w rit of execution on the j udgment Code of Civil Procedure section
                 117 4(c) does not apply . (C ode Civ. Proc , § 1169 )
                      D
                      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 w ith Code of Civil Procedure section
                     415 .46 .
       (2)       D
                 under Code of Civil Procedure section 585(a). (Complete the declaration under Code Civ. Proc., § 5855 on the
                 reverse (item 5))
       (3)       D
                 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 th e rate of: $                                per day beginning (date) .
      (* Personal injury or wrongful death actions; Code Civ. Proc .. § 425. 11)
3.    D        (Check if filed in an unlawful detainer case) Legal document assistant or uni
               reverse (complete item 4).
      Date :

                                     (TYPE OR PRINT NAME)                            ►
  FOR COURT
                              (1)    D       Default entered as requested on (date).
  USE ONLY                    (2)    D       Default NOT entered as requested (state reason) :
                                                                      Clerk, by                                                , Deputy              Page 1 of
                       See notice of rejection
                                                                                                                       Code of Civ i Procedure. §§ 585-587, 1169
Form Adopted for Mand atory Use                             REQUEST FOR ENTRY OF DEFAULT                                                      www .courts.ca.gov
Judici al Counci l of Califor"l ia
c1v .1 00 [Rev January 1 2023)                                 (Application to Enter Default)                                          Westlaw Doc &Form B~lder·