Document for SERGIO FLORES ET AL VS STATE FARM GENERAL INSURANCE CO ET AL

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                                CIV-110
ATTORNEY OR PARTY WITHOUT ATTORNEY:                STATE BAR NO: 94654                                             FOR COURT USE ONLY
NAME: Steven Zelig
FIRM NAME: WLA Legal Services, Inc.
STREET ADDRESS: 1543 7th Street, Suite 300
cITY: Santa Monica                                      STATE: CA    ZIP CODE: 90401
TELEPHONE NO.: 310-393-6702                            FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (Name): Plaintiffs Sergio Flores, et al.
SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES
 STREET ADDRESS: 12720 Norwalk Blvd.
 MAILING ADDREss: 12720 Norwalk Blvd.
cITY AND zIP CODE: Norwalk, CA 90650-3188
    BRANCH NAME: Norwalk Courthouse
     Plaintiff/Petitioner: Sergio Flores, et al.
Defendant/Respondent: State Farm General Insurance Company, et al.
                                                                                                   CASE NUMBER:
                                      REQUEST FOR DISMISSAL                                        BC677076

 A conformed copy will not be returned by the clerk unless a method of return Is provided with the document.
 This form may not be used for dismissal of a derivative action or a class action or of any party or cause of action in a class
 action. (Cal. Rules of Court, rules 3.760 and 3.770.)
1. TO THE CLERK: Please dismiss this action as follows:
   a. (1) [K] With prejudice      (2)                   D
                                           Without prejudice
   b. (1)       D
              Complaint           (2)      Petition     D
      (3)       D
              Cross-complaint filed by (name):                                                        on (date):
      (4)       D
              Cross-complaint filed by (name):                                                        on (date):
          (5)   D       Entire action of all parties and all causes of action
           (6) [K] Other (specify):* Dismissal of Complaint as to all Defendants by Plaintiff Ramon Sanchez, ONLY.
2. (Complete in all cases except family law cases.)
      The court    D       did    00       did not waive court fees and costs for a party in this case. (Thi   ~ormatio~btained from the

Date: 10-21-19
Steven Zelig                                                                    r        L·
                                                                                                  ·-r~0
      clerk. If court fees and costs were waived, the declaration on the back of this form must..l!l2m,i\>M3/P.t


                                                                                ----------------,==--------
                                                                                           .
(TYPE OR PRINT NAME OF [K] ATTORNEY             D         PARTY WITHOUT ATTORNEY)                                    (SIGNATURE)
*If dismissal requested is of specified parties only of specified causes of action only, Attorney or party without attorney for:
or of specified cross-complaints only, so state and identify the parties, causes of                        D
                                                                                         [K] Plaintiff/Petitioner            Defendant/Respondent
action, or cross-complaints to be dismissed.
                                                                                D              Cross Complainant
3. TO THE CLERK: Consent to the above dismissal is hereby given.**
Date:

(TYPE OR PRINT NAME OF D ATTORNEY D PARTY WITHOUT ATTORNEY)
•• If a cross-complaint- or Response (Family Law) seeking affirmative
                                                                                •                           (SIGNATURE)
                                                                                Attorney or party without attorney for:
relief- is on file, the attorney for cross-complainant (respondent) must sign
                                                                                D     Plaintiff/Petitioner D        Defendant/Respondent
                                                                                D
this consent if required by Code of Civil Procedure section 581 (i) or (j).
                                                                                      Cross Complainant

(To be completed by clerk)
4.  D    Dismissal entered as requested on (date):
5   D    Dismissal entered on (date):                             as to only (name):          Plaintiff Ramon Sanchez
6.  D    Dismissal not entered as requested for the following reasons (specify):


7. a.    D Attorney or party without attorney notified on (date):
   b.    D Attorney or party without attorney not notified. Filing party failed to provide
           D a copy to be conformed D means to return conformed copy
Date:                                                         Clerk, by                                                        Deputy              Page 1 of2
Form Adopted for Mandatory Use                                                                               Code of Civil Procedure, § 581 et seq.; Gov. Code,
Judicial Council of California                                     REQUEST FOR DISMISSAL                           § 68637(c); Cal. Rules of Court, rule 3.1390
CIV-110 [Rev. Jan. 1, 2013]                                                                                                                 www.cowts.ca.gov