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CM-010
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): Bar#: 152461 FOR COURT USE ONLY
MichaelS. Braun, Esq., Law Office of MichaelS. Braun
21515 Hawthorne Blvd., Suite 670, Torrance, CA 90503
TELEPHONE NO. (31 0) 984-3220 FAX NO.. (31 0) 984-3221
EMAIL ADDRESS.
ATTORNEY FOR !Name! Plaintiffs, Cheryl Garland and Arzarious Neal
SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES
sTREET ADDREss 400 Civil Center Plaza
MAILING ADDRESS:
c1TY AND z1P coDE Pomona, California 917 66
BRANCH NAME Pomona Courthouse South
CASE NAME:
Garland v. Medina
CIVIL CASE COVER SHEET Complex Case Designation CASE NUMBER:
m Unlimited D Limited D Counter D Joinder
(Amount (Amount
demanded demanded is Filed with first appearance by defendant JUDGE
exceeds $35,000) $35,000 or less) (Cal. Rules of Court, rule 3.402) DEPT
Items 1-6 below must be comoleted tsee instructions on oaae 2).
1. Check one box below for the case type that best describes this case:
Auto Tort Contract Provisionally Complex Civil Litigation
m Auto (22) D Breach of contract/warranty (06)
D
(Cal. Rules of Court, rules 3.40Q-3.403)
D Uninsured motorist (46) Rule 3.740 collections (09) Antitrust/Trade regulation (03)
Other PIIPD/WD (Personal Injury/Property CJ Other collections (09) D Construction defect (10)
Damage/Wrongful Death) Tort D Insurance coverage (18) D Mass tort (40)
D Asbestos (04) CJ Other contract (37) D Securities litigation (28)
D Product liability (24)
Real Property D Environmental/Toxic tort (30)
D Medical malpractice (45)
CJ Eminent domain/Inverse
D Insurance coverage claims arising from the
D Other PIIPDNVD (23) condemnation (14)
above listed provisionally complex case
types (41)
Non-PIIPD/WD (Other) Tort Wrongful eviction (33) Enforcement of Judgment
D Business tort/unfair business practice (07) D Other real property (26) CJ Enforcement of judgment (20)
CJ Civil rights (08) Unlawful Detainer
Miscellaneous Civil Complaint
D Defamation (13) D Commercial (31)
D RIC0(27)
D Fraud (16) D Residential (32)
D Other complaint (not specified above) (42)
D Intellectual property (19) CJ Drugs(38)
Miscellaneous Civil Petition
D Professional negligence (25) Judicial Review
D
D Other non-PI/PDNVD tort (35) D Asset forfeiture (05)
Partnership and corporate governance (21)
Employment D Petition re: arbitration award (11) D Other petition (not specified above) (43)
D Wrongful termination (36) D Writ of mandate (02)
D Other employment (15) D Other judicial review (39)
2. This case D is is not m
complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the
factors requiring exceptional judicial management:
d. D Large number of witnesses
a. D Large number of separately represented parties
b. D Extensive motion practice raising difficult or novel e. D Coordination with related actions pending in one or more
issues that will be time-consuming to resolve courts in other counties, states, or countries, or in a federal
court
c. D Substantial amount of documentary evidence f. D Substantial postjudgment judicial supervision
3. Remedies sought (check all that apply): a. DO monetary b. D nonmonetary; declaratory or injunctive relief c. D punitive
4. Number of causes of action (specify): TWO (2)
5. This case D is is not a class action suit. m
6. If there are a1 known related cases, file and serve a notice of related case.ltf?u may use form CM-015.)
Date: Mi;h~~i~1Braun,Esg. ~ ~~Uet~ -Sfh--
(TYPE OR PRINT NAME) !SIGNATURE OF PARTY OR ATTORNEY FOR PARTYl
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. Page 1 of 2
Form Adopted for Mandatory Use Cal. Rules of Court, rules 2.30, 3.220, 3 400-3.403, 3. 740;
J, ,...t: ... ; ..... & r- ............ a ""' ,......,!;,:.....,..,...,..., CIVIL CASE COVER SHEET
INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET CM-010
To Plaintiffs and Others Filing First Papers. If you 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. If 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-for-service 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. If a plaintiff designates a case as complex, the cover sheet must be served with the
complaint on all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the
plaintiffs 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 Contract Provisionally Complex Civil Litigation (Cal.
Auto (22)-Personallnjury/Property Breach of Contract/Warranty (06) Rules of Court Rules 3.40G-3.403)
Damage/Wrongful Death Breach of Rental/Lease 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 Breach-Seller 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 PIIPD/WD (Personal Injury/ Warranty (arising from provisionally complex
Property Damage/Wrongful Death) Tort Other Breach of Contract/Warranty case type listed above) (41)
Asbestos (04) Collections (e.g., money owed, open Enforcement of Judgment
Asbestos Property Damage book accounts) (09) Enforcement of Judgment (20)
Asbestos Personal Injury/ Collection Case-Seller Plaintiff Abstract of Judgment (Out of County)
wrongful Death Other Promissory Note/Collections Case Confession of Judgment (non-domestic
Product Liability (not asbestos or Insurance Coverage (not provisionally relations)
toxic/environmental) (24) complex) (18) Sister State Judgment
Medical Malpractice (45) Auto Subrogation Administrative Agency Award
Medical Malpractice- Other Coverage (not unpaid taxes)
Physicians & Surgeons Other Contract (37) Petition/Certification of Entry of
Other Professional Health Care Contractual Fraud Judgment on Unpaid Taxes
Malpractice Other Contract Dispute Other Enforcement of Judgment Case
Other PI/PDIWD (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/PDIWD Wrongful Eviction (33) Declaratory Relief Only
(e.g., assault, vandalism) Other Real Property (e.g., quiet title) (26) Injunctive Relief Only (non-
Intentional Infliction of Writ of Possession of Real Property harassment)
Emotional Distress Mortgage Foreclosure Mechanics Lien
Negligent Infliction of Quiet Title Other Commercial Complaint
Emotional Distress Other Real Property (not eminent Case (non-tort/non-complex)
Other PI/PDIWD 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) drugs, check this item; otherwise, Civil Harassment
Defamation (e.g., slander, libel) (13) report as Commercial or Residential) Workplace Violence
Fraud (16) Judicial Review Elder/Dependent Adult Abuse
Intellectual Property (19) Asset Forfeiture (05) Election Contest
Professional Negligence (25) Petition Re: Arbitration Award (11) Petition for Name Change
Legal Malpractice Writ of Mandate (02) Petition for Relief From Late Claim
Other Professional Malpractice Writ-Administrative Mandamus Other Civil Petition
(not medical or legal) Writ-Mandamus on Limited Court
Other Non-PI/PDIWD Tort (35) Case Matter
Employment Writ-Other Limited Court Case Review
Wrongful Termination (36) Other Judicial Review (39)
Other Employment (15) Review of Health Officer Order
Notice of Appeal-Labor Commissioner
CM-01 0 [Rev. January 1, 2024] Page 2 of2
CIVIL CASE COVER SHEET
Lexis.Nexis® Automated California Judicial Council Forms
SHORT TITLE CASE NUMBER
Garland v. Medina
CIVIL CASE COVER SHEET ADDENDUM AND STATEMENT OF LOCATION
(CERTIFICATE OF GROUNDS FOR ASSIGNMENT TO COURTHOUSE LOCATION)
This form is required pursuant to local Rule 2.3 in all new civil case filings in the Los Angeles Superior Court
Step 1: After completing the Civil Case Cover Sheet (Judicial Council form CM-010), find the exact case type in
Column A that corresponds to the case type indicated in the Civil Case Cover Sheet.
Step 2: In Column B, check the box for the type of action that best describes the nature of the case.
Step 3: In Column C, circle the number which explains the reason for the court filing location you have chosen.
Applicable Reasons for Choosing Courthouse Location (Column C)
1. Class Actions must be filed in the Stanley Mosk Courthouse, Central District. 7. Location where petitioner resides.
2. Permissive filing in Central District. 8. Location wherein defendant/respondent functions wholly.
3. Location where cause of action arose. 9. Location where one or more of the parties reside.
4. Location where bodily injury, death or damage occurred. 10. Location of Labor Commissioner Office.
5. Location where performance required, or defendant resides. 11. Mandatory filing location (Hub Cases- unlawful detainer, limited
non-collection, limited collection).
6. Location of property or permanently garaged vehicle.
A B c
Civil Case Cover Type of Action Applicable
Sheet Case Type (check only one) Reasons (see
Step 3 above)
Auto (22) [X] 2201 Motor Vehicle- Personal Injury/Property Damage/Wrongful 1,ID
t:
0 Death
1-
....::I
0
Uninsured Motorist 0 4601 Uninsured Motorist- Personal Injury/Property 1,4
'bo
~ t.: c
0. Q) 0 Medical Malpractice 0 4501 Medical Malpractice- Physicians & Surgeons 1,4
.. 0. ..
.cQ)
.. 0 3: (45)
...,o. 1,4
0 0 4502 Other Professional Health Care Malpractice
.c Business Tort (07) 0 0701 Other Commercial/Business Tort (not fraud or breach of 1, 2, 3
.....
Ill contract)
0 0 1501 Other Employment Complaint Case
c. (15)
w
E 0 1502 Labor Commissioner Appeals 10
Breach of Contract I 0 0601 Breach of Rental/Lease Contract (not unlawful detainer or 2, 5
Warranty (06} wrongful eviction)
(not insurance)
0 0602 Contract/Warranty Breach- Seller Plaintiff (no 2,5
fraud/negligence)
0 0603 Negligent Breach of Contract/Warranty (no fraud) 1, 2, 5
0 0604 Other Breach of Contract/Warranty (no fraud/ negligence) 1, 2, 5
ti
,_
Ill 0 0605 Breach of Rental/Lease Contract (COVID-19 Rental Debt) 2,5
.....
s:: Collections (09) 0 0901 Collections Case- Seller Plaintiff
0 5, 6, 11
u
0 0902 Other Promissory Note/Collections Case 5,11
0 0903 Collections Case- Purchased Debt (charged off consumer debt 5,6, 11
purchased on or after January 1, 2014)
0 0904 Collections Case- COVID-19 Rental Debt 5,11
Insurance Coverage 0 18011nsurance Coverage (not complex) 1, 2, 5, 8
(18)
LASC CIV 109 Rev. 01/23 CIVIL CASE COVER SHEET ADDENDUM LASC Local Rule 2.3
For Mandatory Use AND STATEMENT OF LOCATION
LexisNex1s® Automated California County Forms
SHORT TITLE CASE NUMBER
Garland v. Medina
A 8 c
Civil Case Cover Type of Action Applicable
Sheet Case Type (check only one) Reasons (see
Step 3 above)
Other Contract (37) D 3701 Contractual Fraud 1, 2, 3, 5
+''il
u OJ
ra ::s D 3702 Tortious Interference 1, 2, 3, 5
.......s:: ·-...,c:
0 c: D 3703 Other Contract Dispute (not breach/insurance/fraud/ 1, 2, 3, 8, 9
u8 negligence)
Eminent Domain/ D 1401 Eminent Domain/Condemnation 2, 6
Inverse Number of Parcels
> Condemnation (14)
t: Wrongful Eviction D 3301 Wrongful Eviction Case 2,6
Ql
a.
0
...
0..
(33)
Other Real D 2601 Mortgage Foreclosure 2,6
iii
Ql
a:: Property (26) D 2602 Quiet Title 2,6
D 2603 Other Real Property (not eminent domain, 2, 6
landlord/tenant, foreclosure)
Unlawful Detainer D 3101 Unlawful Detainer- Commercial (not drugs or wrongful 6, 11
...
Ql
-Commercial (31) eviction)
s:: Unlawful Detainer D 3201 Unlawful Detainer- Residential (not drugs or wrongful 6,11
·n;
....
Ql -Residential (32) eviction)
0
-s Unlawful Detainer D 3401 Unlawful Detainer- Post Foreclosure 2,6, 11
lra -Post Foreclosure
c (34)
:::::1
Unlawful Detainer D 3801 Unlawful Detainer- Drugs 2,6,11
-Drugs (38)
Asset Forfeiture D 0501 Asset Forfeiture Case 2, 3, 6
(OS)
Petition re D 1101 Petition to Compel/Confirm/Vacate Arbitration 2,5
Arbitration (11)
3:
Ql Writ of Mandate 0 0201 Writ- Administrative Mandamus 2,8
·:;
Ql (02) D 0202 Writ- Mandamus on Limited Court Case Matter 2
a::
iii D 0203 Writ- Other Limited Court Case Review 2
:2
"C
Other Judicial 2,8
....;:, D 3901 Other Writ/Judicial Review
Review (39)
D 3902 Administrative Hearing 2,8
D 3903 Parking Appeal 2,8
Antitrust/Trade 0 0301 Antitrust/Trade Regulation 1, 2, 8
=>ra )(
Ql
s::
o Regulation (03)
s::- ·-
0 a. ....
·- E ra Asbestos (04) D 0401 Asbestos Property Damage 1, 11
·~ 0 ~
eu::::; 1, 11
0.. D 0402 Asbestos Personal Injury/Wrongful Death
LASC CIV 109 Rev. 01/23 CIVIL CASE COVER SHEET ADDENDUM LASC Local Rule 2.3
For Mandatory Use AND STATEMENT OF LOCATION
LexisNexis® Automated California County Forms
SHORT TITLE CASE NUMBER
Garland v. Medina
A 8 c
Civil Case Cover Type of Action Applicable
Sheet Case Type (check only one) Reasons (see
Step 3 above)
Construction D 1001 Construction Defect 1, 2, 3
)(
Defect (10)
OJ
Q. Claims Involving D 4001 Claims Involving Mass Tort 1, 2, 8
E Mass Tort (40)
u0 c0 :0
OJ Securities Litigation D 2801 Securities Litigation Case 1, 2, 8
> ·-
=I'll ~ .£:
tl.O ~
:l
(28)
c ~
·-·s; ...,.,
0
In
·- u
-
0
Toxic Tort
Environmental (30)
D 3001 Toxic Tort/Environmental 1, 2, 3, 8
Q.
e Insurance Coverage D 41011nsurance Coverage/Subrogation (complex case only) 1, 2, 5, 8
Claims from
Complex Case (41)
Enforcement of D 2001 Sister State Judgment 2,5, 11
'0 Judgment (20)
.......... D 2002 Abstract of Judgment 2,6
c c
OJ OJ
E E
OJ tl.O D 2004 Administrative Agency Award (not unpaid taxes) 2,8
u-o
... ::s
,E ... D 2005 Petition/Certificate for Entry of Judgment Unpaid Tax 2,8
c
LU
D 2006 Other Enforcement of Judgment Case 2,8,9
RICO (27) D 2701 Racketeering (RICO) Case 1, 2, 8
Other Complaints D 4201 Declaratory Relief Only 1, 2, 8
(not specified
D 4202 Injunctive Relief Only (not domestic/harassment) 2,8
above) (42)
D 4203 Other Commercial Complaint Case (non- 1,2,8
tort/noncomplex)
D 4204 Other Civil Complaint (non-tort/non-complex) 1, 2, 8
Partnership D 2101 Partnership and Corporation Governance Case 2,8
Corporation
Governance (21)
Other Petitions D 4301 Civil Harassment with Damages 2, 3, 9
(not specified
D 4302 Workplace Harassment with Damages 2,3,9
above) (43)
D 4303 Elder/Dependent Adult Abuse Case with Damages 2,3,9
D 4304 Election Contest 2
D 4305 Petition for Change of Name/Change of Gender 2, 7
D 4306 Petition for Relief from Late Claim Law 2,3,8
D 4307 Other Civil Petition 2, 9
LASC CIV 109 Rev. 01/23 CIVIL CASE COVER SHEET ADDENDUM LASC Local Rule 2.3
For Mandatory Use AND STATEMENT OF LOCATION
LexisNe:m® Automated California County Forms
SHORT TITLE CASE NUMBER
Garland v. Medina
Step 4: Statement of Reason and Address: Check the appropriate boxes for the numbers shown under Column
C for the type of action that you have selected. Enter the address, which is the basis for the filing location
including zip code. (No address required for class action cases.)
REASON: ADDRESS:
D 1. D 2. D 3. ~ 4. D 5. D 6. D 7. D 8. D 9. D 10. D 11 Eastbound 60 Freeway
CITY: I STATE: I ZIP CODE:
Baldwin Park CA 91706
Step 5: Certification of Assignment: I certify that this case is properly filed in the Los Angeles- Pomona Courthouse
District of the Superior Court of California, County of los Angeles [Code of Civ. Proc., 392 et seq., and LASC local
Rule 2.3(a)(1)(E)]
Dated: J- )G-J~ j'Vt0~ "26u--
(SIGNATURE OF ATTORNEY/FILING PARTY
PLEASE HAVE THE FOLLOWING ITEMS COMPLETED AND READY TO BE FILED IN ORDER TO PROPERLY COMMENCE
YOUR NEW COURT CASE:
1. Original Complaint or Petition.
2. If filing a Complaint, a completed Summons form for issuance by the Clerk.
3. Civil Case Cover Sheet Judicial Council form CM-010.
4. Civil Case Cover Sheet Addendum and Statement of location form lASC CIV 109 (01/23).
5. Payment in full of the filing fee, unless there is a court order for waiver, partial or schedule payments.
6. A signed order appointing a Guardian ad litem, Judicial Council form CIV-010, if the plaintiff or
petitioner is a minor under 18 years of age will be required by Court to issue a Summons.
7. Additional copies of documents to be conformed by the Clerk. Copies of the cover sheet and this
addendum must be served along with the Summons and Complaint, or other initiating pleading in the
case.
LASC CIV 109 Rev. 01/23 CIVIL CASE COVER SHEET ADDENDUM LASC Local Rule 2.3
For Mandatory Use AND STATEMENT OF LOCATION
LexisNexis® Automated Ca/iforma County Forms
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CM-010 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): Bar#: 152461 FOR COURT USE ONLY MichaelS. Braun, Esq., Law Office of MichaelS. Braun 21515 Hawthorne Blvd., Suite 670, Torrance, CA 90503 TELEPHONE NO. (31 0) 984-3220 FAX NO.. (31 0) 984-3221 EMAIL ADDRESS. ATTORNEY FOR !Name! Plaintiffs, Cheryl Garland and Arzarious Neal SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES sTREET ADDREss 400 Civil Center Plaza MAILING ADDRESS: c1TY AND z1P coDE Pomona, California 917 66 BRANCH NAME Pomona Courthouse South CASE NAME: Garland v. Medina CIVIL CASE COVER SHEET Complex Case Designation CASE NUMBER: m Unlimited D Limited D Counter D Joinder (Amount (Amount demanded demanded is Filed with first appearance by defendant JUDGE exceeds $35,000) $35,000 or less) (Cal. Rules of Court, rule 3.402) DEPT Items 1-6 below must be comoleted tsee instructions on oaae 2). 1. Check one box below for the case type that best describes this case: Auto Tort Contract Provisionally Complex Civil Litigation m Auto (22) D Breach of contract/warranty (06) D (Cal. Rules of Court, rules 3.40Q-3.403) D Uninsured motorist (46) Rule 3.740 collections (09) Antitrust/Trade regulation (03) Other PIIPD/WD (Personal Injury/Property CJ Other collections (09) D Construction defect (10) Damage/Wrongful Death) Tort D Insurance coverage (18) D Mass tort (40) D Asbestos (04) CJ Other contract (37) D Securities litigation (28) D Product liability (24) Real Property D Environmental/Toxic tort (30) D Medical malpractice (45) CJ Eminent domain/Inverse D Insurance coverage claims arising from the D Other PIIPDNVD (23) condemnation (14) above listed provisionally complex case types (41) Non-PIIPD/WD (Other) Tort Wrongful eviction (33) Enforcement of Judgment D Business tort/unfair business practice (07) D Other real property (26) CJ Enforcement of judgment (20) CJ Civil rights (08) Unlawful Detainer Miscellaneous Civil Complaint D Defamation (13) D Commercial (31) D RIC0(27) D Fraud (16) D Residential (32) D Other complaint (not specified above) (42) D Intellectual property (19) CJ Drugs(38) Miscellaneous Civil Petition D Professional negligence (25) Judicial Review D D Other non-PI/PDNVD tort (35) D Asset forfeiture (05) Partnership and corporate governance (21) Employment D Petition re: arbitration award (11) D Other petition (not specified above) (43) D Wrongful termination (36) D Writ of mandate (02) D Other employment (15) D Other judicial review (39) 2. This case D is is not m complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the factors requiring exceptional judicial management: d. D Large number of witnesses a. D Large number of separately represented parties b. D Extensive motion practice raising difficult or novel e. D Coordination with related actions pending in one or more issues that will be time-consuming to resolve courts in other counties, states, or countries, or in a federal court c. D Substantial amount of documentary evidence f. D Substantial postjudgment judicial supervision 3. Remedies sought (check all that apply): a. DO monetary b. D nonmonetary; declaratory or injunctive relief c. D punitive 4. Number of causes of action (specify): TWO (2) 5. This case D is is not a class action suit. m 6. If there are a1 known related cases, file and serve a notice of related case.ltf?u may use form CM-015.) Date: Mi;h~~i~1Braun,Esg. ~ ~~Uet~ -Sfh-- (TYPE OR PRINT NAME) !SIGNATURE OF PARTY OR ATTORNEY FOR PARTYl 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. Page 1 of 2 Form Adopted for Mandatory Use Cal. Rules of Court, rules 2.30, 3.220, 3 400-3.403, 3. 740; J, ,...t: ... ; ..... & r- ............ a ""' ,......,!;,:.....,..,...,..., CIVIL CASE COVER SHEET INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET CM-010 To Plaintiffs and Others Filing First Papers. If you 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. If 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-for-service 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. If a plaintiff designates a case as complex, the cover sheet must be served with the complaint on all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the plaintiffs 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 Contract Provisionally Complex Civil Litigation (Cal. Auto (22)-Personallnjury/Property Breach of Contract/Warranty (06) Rules of Court Rules 3.40G-3.403) Damage/Wrongful Death Breach of Rental/Lease 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 Breach-Seller 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 PIIPD/WD (Personal Injury/ Warranty (arising from provisionally complex Property Damage/Wrongful Death) Tort Other Breach of Contract/Warranty case type listed above) (41) Asbestos (04) Collections (e.g., money owed, open Enforcement of Judgment Asbestos Property Damage book accounts) (09) Enforcement of Judgment (20) Asbestos Personal Injury/ Collection Case-Seller Plaintiff Abstract of Judgment (Out of County) wrongful Death Other Promissory Note/Collections Case Confession of Judgment (non-domestic Product Liability (not asbestos or Insurance Coverage (not provisionally relations) toxic/environmental) (24) complex) (18) Sister State Judgment Medical Malpractice (45) Auto Subrogation Administrative Agency Award Medical Malpractice- Other Coverage (not unpaid taxes) Physicians & Surgeons Other Contract (37) Petition/Certification of Entry of Other Professional Health Care Contractual Fraud Judgment on Unpaid Taxes Malpractice Other Contract Dispute Other Enforcement of Judgment Case Other PI/PDIWD (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/PDIWD Wrongful Eviction (33) Declaratory Relief Only (e.g., assault, vandalism) Other Real Property (e.g., quiet title) (26) Injunctive Relief Only (non- Intentional Infliction of Writ of Possession of Real Property harassment) Emotional Distress Mortgage Foreclosure Mechanics Lien Negligent Infliction of Quiet Title Other Commercial Complaint Emotional Distress Other Real Property (not eminent Case (non-tort/non-complex) Other PI/PDIWD 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) drugs, check this item; otherwise, Civil Harassment Defamation (e.g., slander, libel) (13) report as Commercial or Residential) Workplace Violence Fraud (16) Judicial Review Elder/Dependent Adult Abuse Intellectual Property (19) Asset Forfeiture (05) Election Contest Professional Negligence (25) Petition Re: Arbitration Award (11) Petition for Name Change Legal Malpractice Writ of Mandate (02) Petition for Relief From Late Claim Other Professional Malpractice Writ-Administrative Mandamus Other Civil Petition (not medical or legal) Writ-Mandamus on Limited Court Other Non-PI/PDIWD Tort (35) Case Matter Employment Writ-Other Limited Court Case Review Wrongful Termination (36) Other Judicial Review (39) Other Employment (15) Review of Health Officer Order Notice of Appeal-Labor Commissioner CM-01 0 [Rev. January 1, 2024] Page 2 of2 CIVIL CASE COVER SHEET Lexis.Nexis® Automated California Judicial Council Forms SHORT TITLE CASE NUMBER Garland v. Medina CIVIL CASE COVER SHEET ADDENDUM AND STATEMENT OF LOCATION (CERTIFICATE OF GROUNDS FOR ASSIGNMENT TO COURTHOUSE LOCATION) This form is required pursuant to local Rule 2.3 in all new civil case filings in the Los Angeles Superior Court Step 1: After completing the Civil Case Cover Sheet (Judicial Council form CM-010), find the exact case type in Column A that corresponds to the case type indicated in the Civil Case Cover Sheet. Step 2: In Column B, check the box for the type of action that best describes the nature of the case. Step 3: In Column C, circle the number which explains the reason for the court filing location you have chosen. Applicable Reasons for Choosing Courthouse Location (Column C) 1. Class Actions must be filed in the Stanley Mosk Courthouse, Central District. 7. Location where petitioner resides. 2. Permissive filing in Central District. 8. Location wherein defendant/respondent functions wholly. 3. Location where cause of action arose. 9. Location where one or more of the parties reside. 4. Location where bodily injury, death or damage occurred. 10. Location of Labor Commissioner Office. 5. Location where performance required, or defendant resides. 11. Mandatory filing location (Hub Cases- unlawful detainer, limited non-collection, limited collection). 6. Location of property or permanently garaged vehicle. A B c Civil Case Cover Type of Action Applicable Sheet Case Type (check only one) Reasons (see Step 3 above) Auto (22) [X] 2201 Motor Vehicle- Personal Injury/Property Damage/Wrongful 1,ID t: 0 Death 1- ....::I 0 Uninsured Motorist 0 4601 Uninsured Motorist- Personal Injury/Property 1,4 'bo ~ t.: c 0. Q) 0 Medical Malpractice 0 4501 Medical Malpractice- Physicians & Surgeons 1,4 .. 0. .. .cQ) .. 0 3: (45) ...,o. 1,4 0 0 4502 Other Professional Health Care Malpractice .c Business Tort (07) 0 0701 Other Commercial/Business Tort (not fraud or breach of 1, 2, 3 ..... Ill contract) 0 0 1501 Other Employment Complaint Case c. (15) w E 0 1502 Labor Commissioner Appeals 10 Breach of Contract I 0 0601 Breach of Rental/Lease Contract (not unlawful detainer or 2, 5 Warranty (06} wrongful eviction) (not insurance) 0 0602 Contract/Warranty Breach- Seller Plaintiff (no 2,5 fraud/negligence) 0 0603 Negligent Breach of Contract/Warranty (no fraud) 1, 2, 5 0 0604 Other Breach of Contract/Warranty (no fraud/ negligence) 1, 2, 5 ti ,_ Ill 0 0605 Breach of Rental/Lease Contract (COVID-19 Rental Debt) 2,5 ..... s:: Collections (09) 0 0901 Collections Case- Seller Plaintiff 0 5, 6, 11 u 0 0902 Other Promissory Note/Collections Case 5,11 0 0903 Collections Case- Purchased Debt (charged off consumer debt 5,6, 11 purchased on or after January 1, 2014) 0 0904 Collections Case- COVID-19 Rental Debt 5,11 Insurance Coverage 0 18011nsurance Coverage (not complex) 1, 2, 5, 8 (18) LASC CIV 109 Rev. 01/23 CIVIL CASE COVER SHEET ADDENDUM LASC Local Rule 2.3 For Mandatory Use AND STATEMENT OF LOCATION LexisNex1s® Automated California County Forms SHORT TITLE CASE NUMBER Garland v. Medina A 8 c Civil Case Cover Type of Action Applicable Sheet Case Type (check only one) Reasons (see Step 3 above) Other Contract (37) D 3701 Contractual Fraud 1, 2, 3, 5 +''il u OJ ra ::s D 3702 Tortious Interference 1, 2, 3, 5 .......s:: ·-...,c: 0 c: D 3703 Other Contract Dispute (not breach/insurance/fraud/ 1, 2, 3, 8, 9 u8 negligence) Eminent Domain/ D 1401 Eminent Domain/Condemnation 2, 6 Inverse Number of Parcels > Condemnation (14) t: Wrongful Eviction D 3301 Wrongful Eviction Case 2,6 Ql a. 0 ... 0.. (33) Other Real D 2601 Mortgage Foreclosure 2,6 iii Ql a:: Property (26) D 2602 Quiet Title 2,6 D 2603 Other Real Property (not eminent domain, 2, 6 landlord/tenant, foreclosure) Unlawful Detainer D 3101 Unlawful Detainer- Commercial (not drugs or wrongful 6, 11 ... Ql -Commercial (31) eviction) s:: Unlawful Detainer D 3201 Unlawful Detainer- Residential (not drugs or wrongful 6,11 ·n; .... Ql -Residential (32) eviction) 0 -s Unlawful Detainer D 3401 Unlawful Detainer- Post Foreclosure 2,6, 11 lra -Post Foreclosure c (34) :::::1 Unlawful Detainer D 3801 Unlawful Detainer- Drugs 2,6,11 -Drugs (38) Asset Forfeiture D 0501 Asset Forfeiture Case 2, 3, 6 (OS) Petition re D 1101 Petition to Compel/Confirm/Vacate Arbitration 2,5 Arbitration (11) 3: Ql Writ of Mandate 0 0201 Writ- Administrative Mandamus 2,8 ·:; Ql (02) D 0202 Writ- Mandamus on Limited Court Case Matter 2 a:: iii D 0203 Writ- Other Limited Court Case Review 2 :2 "C Other Judicial 2,8 ....;:, D 3901 Other Writ/Judicial Review Review (39) D 3902 Administrative Hearing 2,8 D 3903 Parking Appeal 2,8 Antitrust/Trade 0 0301 Antitrust/Trade Regulation 1, 2, 8 =>ra )( Ql s:: o Regulation (03) s::- ·- 0 a. .... ·- E ra Asbestos (04) D 0401 Asbestos Property Damage 1, 11 ·~ 0 ~ eu::::; 1, 11 0.. D 0402 Asbestos Personal Injury/Wrongful Death LASC CIV 109 Rev. 01/23 CIVIL CASE COVER SHEET ADDENDUM LASC Local Rule 2.3 For Mandatory Use AND STATEMENT OF LOCATION LexisNexis® Automated California County Forms SHORT TITLE CASE NUMBER Garland v. Medina A 8 c Civil Case Cover Type of Action Applicable Sheet Case Type (check only one) Reasons (see Step 3 above) Construction D 1001 Construction Defect 1, 2, 3 )( Defect (10) OJ Q. Claims Involving D 4001 Claims Involving Mass Tort 1, 2, 8 E Mass Tort (40) u0 c0 :0 OJ Securities Litigation D 2801 Securities Litigation Case 1, 2, 8 > ·- =I'll ~ .£: tl.O ~ :l (28) c ~ ·-·s; ...,., 0 In ·- u - 0 Toxic Tort Environmental (30) D 3001 Toxic Tort/Environmental 1, 2, 3, 8 Q. e Insurance Coverage D 41011nsurance Coverage/Subrogation (complex case only) 1, 2, 5, 8 Claims from Complex Case (41) Enforcement of D 2001 Sister State Judgment 2,5, 11 '0 Judgment (20) .......... D 2002 Abstract of Judgment 2,6 c c OJ OJ E E OJ tl.O D 2004 Administrative Agency Award (not unpaid taxes) 2,8 u-o ... ::s ,E ... D 2005 Petition/Certificate for Entry of Judgment Unpaid Tax 2,8 c LU D 2006 Other Enforcement of Judgment Case 2,8,9 RICO (27) D 2701 Racketeering (RICO) Case 1, 2, 8 Other Complaints D 4201 Declaratory Relief Only 1, 2, 8 (not specified D 4202 Injunctive Relief Only (not domestic/harassment) 2,8 above) (42) D 4203 Other Commercial Complaint Case (non- 1,2,8 tort/noncomplex) D 4204 Other Civil Complaint (non-tort/non-complex) 1, 2, 8 Partnership D 2101 Partnership and Corporation Governance Case 2,8 Corporation Governance (21) Other Petitions D 4301 Civil Harassment with Damages 2, 3, 9 (not specified D 4302 Workplace Harassment with Damages 2,3,9 above) (43) D 4303 Elder/Dependent Adult Abuse Case with Damages 2,3,9 D 4304 Election Contest 2 D 4305 Petition for Change of Name/Change of Gender 2, 7 D 4306 Petition for Relief from Late Claim Law 2,3,8 D 4307 Other Civil Petition 2, 9 LASC CIV 109 Rev. 01/23 CIVIL CASE COVER SHEET ADDENDUM LASC Local Rule 2.3 For Mandatory Use AND STATEMENT OF LOCATION LexisNe:m® Automated California County Forms SHORT TITLE CASE NUMBER Garland v. Medina Step 4: Statement of Reason and Address: Check the appropriate boxes for the numbers shown under Column C for the type of action that you have selected. Enter the address, which is the basis for the filing location including zip code. (No address required for class action cases.) REASON: ADDRESS: D 1. D 2. D 3. ~ 4. D 5. D 6. D 7. D 8. D 9. D 10. D 11 Eastbound 60 Freeway CITY: I STATE: I ZIP CODE: Baldwin Park CA 91706 Step 5: Certification of Assignment: I certify that this case is properly filed in the Los Angeles- Pomona Courthouse District of the Superior Court of California, County of los Angeles [Code of Civ. Proc., 392 et seq., and LASC local Rule 2.3(a)(1)(E)] Dated: J- )G-J~ j'Vt0~ "26u-- (SIGNATURE OF ATTORNEY/FILING PARTY PLEASE HAVE THE FOLLOWING ITEMS COMPLETED AND READY TO BE FILED IN ORDER TO PROPERLY COMMENCE YOUR NEW COURT CASE: 1. Original Complaint or Petition. 2. If filing a Complaint, a completed Summons form for issuance by the Clerk. 3. Civil Case Cover Sheet Judicial Council form CM-010. 4. Civil Case Cover Sheet Addendum and Statement of location form lASC CIV 109 (01/23). 5. Payment in full of the filing fee, unless there is a court order for waiver, partial or schedule payments. 6. A signed order appointing a Guardian ad litem, Judicial Council form CIV-010, if the plaintiff or petitioner is a minor under 18 years of age will be required by Court to issue a Summons. 7. Additional copies of documents to be conformed by the Clerk. Copies of the cover sheet and this addendum must be served along with the Summons and Complaint, or other initiating pleading in the case. LASC CIV 109 Rev. 01/23 CIVIL CASE COVER SHEET ADDENDUM LASC Local Rule 2.3 For Mandatory Use AND STATEMENT OF LOCATION LexisNexis® Automated Ca/iforma County Forms