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CM-010
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Slalc Bar number, and address)
FOR COURT USE ONLY
Tiffany Melendez
20 neighbor st
oroville, CA, 95966
TELEPHONE N0.: FAX NO. :
(530) 693-8694
EMAIL ADDRESS:
F Superior Court of California
ATTORNEY FOR (Name):
6 P I;
SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE
l
County of Butte
STREET ADDRESS 1775 Concord Avenue
3 L FEB 29 2024
MAILING ADDRESS E
CITY AND ZIP CODE 3
Chico, CA 95928 D Sharii Elmallah, Clerk
' D
BRANCH NAME 3
Chico North Butte County Courthouse
Petition of:
-
By' Deputy
CASE NAME:
Tiffany Melendez
CIVIL CASE COVER SHEET Complex Case Designation
CASE NUMBER:
Unlimited
(Amount (Amount
|:| Limited [:| Counter [:l Joinder
/ @l 'i
Filed with first appearance by defendant JUDGE;
demanded demanded is
exceeds $35,000) $35,000 or less) (Cal. Rules of Court, rule 3.402) DEPT.:
Items 16 below must be completed (see instructions on page 2).
1 Check one box below for the case type that best describes this case:
Auto Tort Contract Provlslonally Complex Civil Litigation
|:] Auto (22) CI
Breach of contract/wananty (06) (Cal. Rules of Court, rules 3.4003.403)
C] Uninsured motorist (46) |:| Rule 3.740 collections (09) Antitrust/Trade regulation (03)
Other Pl/PD/WD (Personal Injury/Property
[:I Other collections (09) Construction defect (10)
DamageNVrongful Death) Tort
|:] Asbestos (04)
[:] Insurance coverage (18) Mass tort (40)
|:] Product liability (24)
|:] Other contract (37) Securities litigation (28)
Environmentalfl'oxic tort (30)
El Medical malpractice (45)
Real Property
I: Eminent domain/Inverse
insurance coverage claims arising from the
[:1 Other Pl/PD/WD (23) condemnation (14)
above listed provisionally complex case
Non-PIIPD/WD (Other) Tort [:] Wrongful eviction (33)
types (41)
Enforcement of Judgment
Business tort/unfair business practice (07)
Civil rights (08)
C] Other real property (26)
Unlawful Detainer
[:l Enforcement of judgment (20)
Miscellaneous Civil Complaint
Defamation (13) [:I
Commercial (31)
Fraud (16) [:l
Residential (32)
|:]
RICO (27)
Other complaint (not specified above) (42)
intellectual property (19) |:] Drugs (38) Miscellaneous Clvil Petltlon
Judicial Review
Professional negligence (25)
Other non-Pl/PD/WD tort (35) |:] Asset forfeiture (05) [:I Partnership and corporate governance (21)
Employment |:| Petition re: arbitration award (11) [Z] Other petition (not specified above) (43)
|:] Wrongful termination (36) |:| Writ of mandate (02) Petition for Name Change
|:] Other employment (15) |:] Otherjudicial review (39)
2. This case |:| X is not
is complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the
factors requiring exceptional judicial management:
I: 1:] .
a. Large number of separately represented parties
d' Large number 0f Witnesses
l: |:] . _
b. Extensive motion practice raising difficult or novel e. Coordination with related actions pending in one or more
issues that will be time-consuming to resolve in other counties. states. or countries, or In a federal
C' :1
Substantial amount 0f documentary evidence
f.
22:25
\:|
Substantial postjudgmentjudicial supervision
3. Remedies sought (check all that apply):a. |:| monetary b.
4. Number of causes of action (specify): 1
[XI
nonmonetary; declaratory or injunctive relief c. punitive :1
5. This case :I
is X is not a class action suit.
6. there are any known related cases. file and serve a notice of related case. (You
If ay use form CM015.)
Date: February 29. 2024
Tiffany Melendez
(TYPE OR PRINT NAME)
WM~€ 2
(SIGNATURE OF PARTY 0R ATTORNEY FOR PARTY)
NOTICE
. Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed
under the Probate Code, Family Code. or Welfare and Institutions Code). (Cal. Rules of Court, rule 3.220.) Failure to file may result in sanctions.
. File this cover sheet in addition to any cover sheet required by local court rule.
. If this case is complex under rule 3.400 et seq. of the California Rules of Court. you must serve a copy of this cover sheet on all other parties to
the action or proceeding.
- Unless this is a collections case under rule 3.740 or a complex case. this cover sheet will be used for statistical purposes only. page1 of:
Form Adopted for Mandatory Use
CIVIL CASE COVER SHEET Cal. Rules of Court. rules 2.30. 3.220. 3.4003.403. 3.740;
~
Judlclal Council of Cafifomla Cal. Standards of Judlclal Admlnlstratlon. std. 3.10
CM-01O [Rev. January 1. 2024]
LH [5559 BUTTE www.courfs.ca.gov
INSTRUCTIONS 0N How To COMPLETE THE COVER SHEET CM-010
To Plaintiffs and Others Filing First Papers. Ifyou are filing a first paper (for example. a complaint) in a civil case, you must
complete and file, along with your first paper, the Civil Case Cover Sheet contained on page 1. This information will be used to compile
statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item 1, you must check
one box for the case type that best describes the case. If the case fits both a general and a more specific type of case listed in item 1,
check the more specific one. lf the case has multiple causes of action, check the box that best indicates the primary cause of action.
To assist you in completing the sheet. examples of the cases that belong under each case type in item 1 are provided below. A cover
sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party,
its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court.
To Parties in Rule 3.740 Collections Cases. A "collections case" under rule 3.740 is defined as an action for recovery of money owed
in a sum stated to be certain that is not more than $25,000, exclusive of interest and attorney's fees, arising from a transaction in which
property, services, or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort
damages, (2) punitive damages, (3) recovery of real property, (4) recovery of personal property, or (5) a prejudgment writ of
attachment. The identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the general
time-forservice requirements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 collections
case will be subject to the requirements for service and obtaining a judgment in rule 3.740.
To Parties in Complex Cases. In complex cases only, parties must also use the Civil Case Cover Sheet to designate whether the
case is complex. If a plaintiff believes the case is complex under rule 3.400 of the California Rules of Court, this must be indicated by
completing the appropriate boxes in items 1 and 2. lf a plaintiff designates a case as complex, the cover sheet must be served with the
complaint on all parties to the action. A defendant mayifile and serve no later than the time of its first appearance a joinder in the
plaintiff's designation, a counter-designation that the case is not complex, or, If the plaintiff has made no designation, a designation that
the case is complex. CASE TYPES AND EXAMPLES
Auto Tort Contra ct
Breach of Contract/Warranty (06)
Provisionally Complex Civil Litigation (Cal.
Auto (22)Personal Injury/Property Rules of Court Rules 3.4003.403)
Breach of Rental/Lease
DamageNVrongful Death Antitrust/Trade Regulation (03)
Uninsured Motorist (46) (if the Contract (not unlawful detainer Construction Defect (10)
case involves an uninsured or wrongful eviction)
Claims Involving Mass Tort (40)
motorist claim subject to Contract/Warranty BreachSeller Securities Litigation (28)
arbitration, check this item Plaintiff (not fraud or negligence) Environmental/Toxic Tort (30)
instead of Auto) Negligent Breach of Contract/ Insurance Coverage Claims
Other Pl/PD/WD (Personal lnjury/ Warranty (arising from provisionally comp/ex
Other Breach of Contract/Warranty
Property Damage/Wrongful Death) Tort case type listed above) (41)
Asbestos (O4) Collections (e.g., money owed, open Enforcement of Judgment
Asbestos Property Damage book accounts) (09)
Enforcement of Judgment (20)
Asbestos Personal lnjury/ Collection CaseSeller Plaintiff Abstract of Judgment (Out of County)
Other Promissory Note/Collections Case
Wrongful Death Confession of Judgment (nonoomestic
Product Liability (not asbestos or Insurance Coverage (not provisional/y relations)
toxic/environmental) (24) comp/ex) (1 8) Sister State Judgment
Medical Malpractice (45) Auto Subrogation Administrative Agency Award
/ Medical Malpractice Other Coverage
(not unpaid taxes)
Other Contract (37)
Physicians & Surgeons Petition/Certification of Entry of
Other Professional Health Care Contractual Fraud
Judgment on Unpaid Taxes
Other Contract Dispute
Malpractice Other Enforcement of Judgment Case
Other Pl/PD/WD (23) Real Property Miscellaneous Civil Complaint
Premises Liability (e.g., slip Eminent Domain/Inverse
RICO (27)
and fall) Condemnation (14)
Other Complaint (not specified above) (42)
Intentional Bodily lnjury/PD/WD Wrongful Eviction (33)
Other Real Property (e.g., quiet title) (26)
Declaratory Relief Only
(e.g., assault, vandalism) Injunctive Relief Only (non-
intentional lnfiiction of Writ of Possession of Real Property
harassment)
Emotional Distress Mortgage Foreclosure Mechanics Lien
Quiet Title
Negligent infliction of Other Commercial Complaint
Emotional Distress Other Real Property (not eminent
Case (non-tort/non-comp/ex)
Other Pl/PDNVD domain, landlord/tenant, or Other Civil Complaint
Non-Pl/PD/WD (Other) Tort foreclosure)
(non-tort/non-complex)
Business Tort/Unfair Business Unlawful Detainer
Miscellaneous Civil Petition
Practice (07) Commercial (31)
Partnership and Corporate
Civil Rights (e.g., discrimination, Residential (32)
Governance (21)
false arrest) (not civil Drugs (38) (if the case involves illegal Other Petition (not specified above) (43)
harassment) (08) dnJgs, check this item; otherwise, Civil Harassment
Defamation (e.g., slander, libel) (13) report as Commercial or Residential)
Judicial Review Workplace Violence
Fraud (16) Elder/Dependent Adult Abuse
Intellectual Property (19) Asset Forfeiture (05) Election Contest
Professional Negligence (25) Petition Re: Arbitration Award (11)
Petition for Name Change
Writ of Mandate (02)
Legal Malpractice Petition for Relief From Late Claim
Other Professional Malpractice Writ~Administrative Mandamus
Other Civil Petition
WritMandamus on Limited Court
(not medical or legal)
Other Non-PI/PDNVD Tort (35) Case Matter
WritOther Limited Court Case Review
Employment
Other Judicial Review (39)
Wrongful Termination (36)
Other Employment (15) Review of Health Officer Order
. .
Notice of AppealLabor CommIsSIoner
Appeals
CM-O1U [Rev. January 1, 2024]
CIVIL CASE COVER SHEET Page 2 of 2
LHl5559 BUTFE
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CM-010 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Slalc Bar number, and address) FOR COURT USE ONLY Tiffany Melendez 20 neighbor st oroville, CA, 95966 TELEPHONE N0.: FAX NO. : (530) 693-8694 EMAIL ADDRESS: F Superior Court of California ATTORNEY FOR (Name): 6 P I; SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE l County of Butte STREET ADDRESS 1775 Concord Avenue 3 L FEB 29 2024 MAILING ADDRESS E CITY AND ZIP CODE 3 Chico, CA 95928 D Sharii Elmallah, Clerk ' D BRANCH NAME 3 Chico North Butte County Courthouse Petition of: - By' Deputy CASE NAME: Tiffany Melendez CIVIL CASE COVER SHEET Complex Case Designation CASE NUMBER: Unlimited (Amount (Amount |:| Limited [:| Counter [:l Joinder / @l 'i Filed with first appearance by defendant JUDGE; demanded demanded is exceeds $35,000) $35,000 or less) (Cal. Rules of Court, rule 3.402) DEPT.: Items 16 below must be completed (see instructions on page 2). 1 Check one box below for the case type that best describes this case: Auto Tort Contract Provlslonally Complex Civil Litigation |:] Auto (22) CI Breach of contract/wananty (06) (Cal. Rules of Court, rules 3.4003.403) C] Uninsured motorist (46) |:| Rule 3.740 collections (09) Antitrust/Trade regulation (03) Other Pl/PD/WD (Personal Injury/Property [:I Other collections (09) Construction defect (10) DamageNVrongful Death) Tort |:] Asbestos (04) [:] Insurance coverage (18) Mass tort (40) |:] Product liability (24) |:] Other contract (37) Securities litigation (28) Environmentalfl'oxic tort (30) El Medical malpractice (45) Real Property I: Eminent domain/Inverse insurance coverage claims arising from the [:1 Other Pl/PD/WD (23) condemnation (14) above listed provisionally complex case Non-PIIPD/WD (Other) Tort [:] Wrongful eviction (33) types (41) Enforcement of Judgment Business tort/unfair business practice (07) Civil rights (08) C] Other real property (26) Unlawful Detainer [:l Enforcement of judgment (20) Miscellaneous Civil Complaint Defamation (13) [:I Commercial (31) Fraud (16) [:l Residential (32) |:] RICO (27) Other complaint (not specified above) (42) intellectual property (19) |:] Drugs (38) Miscellaneous Clvil Petltlon Judicial Review Professional negligence (25) Other non-Pl/PD/WD tort (35) |:] Asset forfeiture (05) [:I Partnership and corporate governance (21) Employment |:| Petition re: arbitration award (11) [Z] Other petition (not specified above) (43) |:] Wrongful termination (36) |:| Writ of mandate (02) Petition for Name Change |:] Other employment (15) |:] Otherjudicial review (39) 2. This case |:| X is not is complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the factors requiring exceptional judicial management: I: 1:] . a. Large number of separately represented parties d' Large number 0f Witnesses l: |:] . _ b. Extensive motion practice raising difficult or novel e. Coordination with related actions pending in one or more issues that will be time-consuming to resolve in other counties. states. or countries, or In a federal C' :1 Substantial amount 0f documentary evidence f. 22:25 \:| Substantial postjudgmentjudicial supervision 3. Remedies sought (check all that apply):a. |:| monetary b. 4. Number of causes of action (specify): 1 [XI nonmonetary; declaratory or injunctive relief c. punitive :1 5. This case :I is X is not a class action suit. 6. there are any known related cases. file and serve a notice of related case. (You If ay use form CM015.) Date: February 29. 2024 Tiffany Melendez (TYPE OR PRINT NAME) WM~€ 2 (SIGNATURE OF PARTY 0R ATTORNEY FOR PARTY) NOTICE . Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed under the Probate Code, Family Code. or Welfare and Institutions Code). (Cal. Rules of Court, rule 3.220.) Failure to file may result in sanctions. . File this cover sheet in addition to any cover sheet required by local court rule. . If this case is complex under rule 3.400 et seq. of the California Rules of Court. you must serve a copy of this cover sheet on all other parties to the action or proceeding. - Unless this is a collections case under rule 3.740 or a complex case. this cover sheet will be used for statistical purposes only. page1 of: Form Adopted for Mandatory Use CIVIL CASE COVER SHEET Cal. Rules of Court. rules 2.30. 3.220. 3.4003.403. 3.740; ~ Judlclal Council of Cafifomla Cal. Standards of Judlclal Admlnlstratlon. std. 3.10 CM-01O [Rev. January 1. 2024] LH [5559 BUTTE www.courfs.ca.gov INSTRUCTIONS 0N How To COMPLETE THE COVER SHEET CM-010 To Plaintiffs and Others Filing First Papers. Ifyou are filing a first paper (for example. a complaint) in a civil case, you must complete and file, along with your first paper, the Civil Case Cover Sheet contained on page 1. This information will be used to compile statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item 1, you must check one box for the case type that best describes the case. If the case fits both a general and a more specific type of case listed in item 1, check the more specific one. lf the case has multiple causes of action, check the box that best indicates the primary cause of action. To assist you in completing the sheet. examples of the cases that belong under each case type in item 1 are provided below. A cover sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party, its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court. To Parties in Rule 3.740 Collections Cases. A "collections case" under rule 3.740 is defined as an action for recovery of money owed in a sum stated to be certain that is not more than $25,000, exclusive of interest and attorney's fees, arising from a transaction in which property, services, or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort damages, (2) punitive damages, (3) recovery of real property, (4) recovery of personal property, or (5) a prejudgment writ of attachment. The identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the general time-forservice requirements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 collections case will be subject to the requirements for service and obtaining a judgment in rule 3.740. To Parties in Complex Cases. In complex cases only, parties must also use the Civil Case Cover Sheet to designate whether the case is complex. If a plaintiff believes the case is complex under rule 3.400 of the California Rules of Court, this must be indicated by completing the appropriate boxes in items 1 and 2. lf a plaintiff designates a case as complex, the cover sheet must be served with the complaint on all parties to the action. A defendant mayifile and serve no later than the time of its first appearance a joinder in the plaintiff's designation, a counter-designation that the case is not complex, or, If the plaintiff has made no designation, a designation that the case is complex. CASE TYPES AND EXAMPLES Auto Tort Contra ct Breach of Contract/Warranty (06) Provisionally Complex Civil Litigation (Cal. Auto (22)Personal Injury/Property Rules of Court Rules 3.4003.403) Breach of Rental/Lease DamageNVrongful Death Antitrust/Trade Regulation (03) Uninsured Motorist (46) (if the Contract (not unlawful detainer Construction Defect (10) case involves an uninsured or wrongful eviction) Claims Involving Mass Tort (40) motorist claim subject to Contract/Warranty BreachSeller Securities Litigation (28) arbitration, check this item Plaintiff (not fraud or negligence) Environmental/Toxic Tort (30) instead of Auto) Negligent Breach of Contract/ Insurance Coverage Claims Other Pl/PD/WD (Personal lnjury/ Warranty (arising from provisionally comp/ex Other Breach of Contract/Warranty Property Damage/Wrongful Death) Tort case type listed above) (41) Asbestos (O4) Collections (e.g., money owed, open Enforcement of Judgment Asbestos Property Damage book accounts) (09) Enforcement of Judgment (20) Asbestos Personal lnjury/ Collection CaseSeller Plaintiff Abstract of Judgment (Out of County) Other Promissory Note/Collections Case Wrongful Death Confession of Judgment (nonoomestic Product Liability (not asbestos or Insurance Coverage (not provisional/y relations) toxic/environmental) (24) comp/ex) (1 8) Sister State Judgment Medical Malpractice (45) Auto Subrogation Administrative Agency Award / Medical Malpractice Other Coverage (not unpaid taxes) Other Contract (37) Physicians & Surgeons Petition/Certification of Entry of Other Professional Health Care Contractual Fraud Judgment on Unpaid Taxes Other Contract Dispute Malpractice Other Enforcement of Judgment Case Other Pl/PD/WD (23) Real Property Miscellaneous Civil Complaint Premises Liability (e.g., slip Eminent Domain/Inverse RICO (27) and fall) Condemnation (14) Other Complaint (not specified above) (42) Intentional Bodily lnjury/PD/WD Wrongful Eviction (33) Other Real Property (e.g., quiet title) (26) Declaratory Relief Only (e.g., assault, vandalism) Injunctive Relief Only (non- intentional lnfiiction of Writ of Possession of Real Property harassment) Emotional Distress Mortgage Foreclosure Mechanics Lien Quiet Title Negligent infliction of Other Commercial Complaint Emotional Distress Other Real Property (not eminent Case (non-tort/non-comp/ex) Other Pl/PDNVD domain, landlord/tenant, or Other Civil Complaint Non-Pl/PD/WD (Other) Tort foreclosure) (non-tort/non-complex) Business Tort/Unfair Business Unlawful Detainer Miscellaneous Civil Petition Practice (07) Commercial (31) Partnership and Corporate Civil Rights (e.g., discrimination, Residential (32) Governance (21) false arrest) (not civil Drugs (38) (if the case involves illegal Other Petition (not specified above) (43) harassment) (08) dnJgs, check this item; otherwise, Civil Harassment Defamation (e.g., slander, libel) (13) report as Commercial or Residential) Judicial Review Workplace Violence Fraud (16) Elder/Dependent Adult Abuse Intellectual Property (19) Asset Forfeiture (05) Election Contest Professional Negligence (25) Petition Re: Arbitration Award (11) Petition for Name Change Writ of Mandate (02) Legal Malpractice Petition for Relief From Late Claim Other Professional Malpractice Writ~Administrative Mandamus Other Civil Petition WritMandamus on Limited Court (not medical or legal) Other Non-PI/PDNVD Tort (35) Case Matter WritOther Limited Court Case Review Employment Other Judicial Review (39) Wrongful Termination (36) Other Employment (15) Review of Health Officer Order . . Notice of AppealLabor CommIsSIoner Appeals CM-O1U [Rev. January 1, 2024] CIVIL CASE COVER SHEET Page 2 of 2 LHl5559 BUTFE