Preview
Plaintiff's Claim and ORDER Clerk stamps date here when form is filed.
to Go to Small Claims Court
Notice to the person being sued:
You are the defendant if your name is listed in (2) on page 2 of this form or
Reader?
.
on form SC-100A. The person suing you is the plaintiff, listed in
on page 2.
You and the plaintiff must go to court on the trial date listed below. If you APR 17 2024
do not go to court, you may lose the case. If you lose, the court can order
that your wages, money, or property be taken to pay this claim. CLERK OP THE COURT
Bring witnesses, receipts, and any evidence you need to prove your case.
Fill in. court name Clerk
Read this form and all pages attached to understand the claim against you
Superior Court of California, ‘County of
and to protect your rights.
Aviso al Demandado: SMALL CLAIMS
. Usted es el Demandado si su nombre figura en @ de la pagina 2 de este SUPERIOR COURT
formulario, o en el formulario SC-100A. La persona que lo demanda es el 400 MCALLISTER, ROOM 108
Demandante, la que figura en (1) de la pagina 2. SAN FRANCISCO, CALIFORNIA 94102
Usted y el Demandante tienen que presentarse en la corte en la fecha del Court fills in case number when form is filed.
juicio indicada a continuacién. Si no se presenta, puede perder el caso. Si Case Number:
pierde el caso, la corte podria ordenar que le quiten de su sueldo, dinero u
otros bienes para pagar este reclamo. COM-24y- 66 2S O
Lleve testigos, recibos y cualquier otra prueba que necesite para probar su caso} Case Name:
Lea este formulario y todas las paginas adjuntas para entender la demanda
Borsomeo lx Ve f aStimerio
en su contra y para proteger sus derechos.
fe} cel-1al CoC Tom Co Oxo]
The people in (4) and (2) must attend court: (Clerk fills out section below.)
Trial }> Date Time Department Name and address of court, if different from above
Date | ‘alin
|. Li 2Zo2H4 a5 —
Date: APR 4 7 9994 Clerk, by 34, ZUBEDA KALOO _ Deputy
Instructions for the person suing:
Do not use this form to recover COVID-19 rental debt, which is unpaid rent or other financial obligations under a
tenancy due between March 1, 2020, and September 30, 2021. (See Code of Civil Procedure, §1179.02.) To recover
COVID-19 rental debt, use form SC-500, Plaintiff's Claim and ORDER to Go to Small Claims Court.
. You are the plaintiff. The person you are suing is the defendant.
. Before you fill out this form, read form SC-100-INFO, Information for the Plaintiff, to know your rights. You can get
form SC-100-INFO at any courthouse or county law library, or go to www.courts.ca.gov/forms.
Fill out pages 2, 3, and 4 of this form. Make copies of all the pages of this form and any attachments—one for each
arty named in this case and an extra copy for yourself. Take or mail the original and the copies to the court clerk’
office and pay the filing fee. The clerk will write the date of your trial in the box above. Your court may allow
electronic filing. Check your local court website for information: www.courts.ca.gov/find-my-court.htm.
You must have someone at least 18—not you or anyone else listed in this case—give each defendant a court-stamped
copy of all pages of this form and any pages this form tells you to attach. There are special rules for “serving,” or
delivering, this form to public entities, associations, and some businesses. See forms SC-104, SC-104B, and SC-104C.
+ Go to court on your trial date listed above. Bring witnesses, receipts, and any evidence you need to prove your case.
Judicial Council of Califomia, www.courts.ca.gov Plaintiff's Claim and ORDER SC-100, Page 1 of 6
Rev. January 1, 2024, Mandatory Form
Code of Chil Procedure,
118.220(6), 116.340(9)
§§ 116.110
et seq to Go to Small Claims Court >
Plaintiff (list names): Case Number:
@ The plaintiff (the person, business, or public entity that is suing)is: Lavo Awe
Name: FELe2 p. Boz Zoyee dz. Phone: 4/5 — Z53—-5/8O
Street address: axle] — HBL PIGENALE SON (Aen Ca, Bl.
State Zip
Mailing address (if different):
State Zip
Email address (if available): ovo, nels Eoffe pet
If more than one plaintiff, list next plaintiff here:
Name: Phone:
Street address:
Street City State Zip
Mailing address (if different):
Street City State
Email address (if available):
O Check here if more than two plaintiffs and attach form SC-100A.
O Check here if either plaintiff listed above is doing business under a fictitious name and attach form SC-103.
O] Check here if any plaintiffis a “licensee” or “deferred deposit originator” (payday lender) under Financial
Code sections 23000 et seq.
The defendant (the person, business, or public entity being sued) is:
Name: 496/839. AAGGEL MASAMEMTO Phone: 4//9 — 4h20--YB2Lz
=>
Street address: AIG Si Gs 202.
Mailing address (if different):
Street State Zip
City
If the defendant is a corporation, limited liability company, or public entity, list the person
or agent authorized for service of process here:
‘Name: Job title, if known:
Address:
Street City State Zip
0 Check here if your case is against more than one defendant and attach form SC-100A.
O Check here if any defendant is on active military duty and write defendant’s name here:
The plaintiff claims the defendant owes $ 4 O00: <2 . (Explain below and on next page.)
(Note: A claim for COVID-19 rental debt cannot be made on this form. Use form
500, Plaintiff's Clai RDER to Go to Small COVID-19 | Debt),)
a. Why does the defendant owe the plaintiff money?
2.ZSPERLARS, ELIT NOY Cx»Ue IAF) C42 F.C DEK Jj-+
SAIC
LEAHY CLHUADSE $I VY PRI SCr, CDCI CFY (SO + See
DELENDOSE 15 OF AOCFOIO?P [RESPONSES BALLTTL MCLLLOMDE,
=> >=, =
Trlcets
Rev. January
1, 2024 Plaintiff's Claim and ORDER to Go to Small Claims Court SC-100, Page 2 of 6
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Plaintiff (list names): Case Number:
©) b. When did this happen? (Date): _ 79-//8/3-22.3
If no specific date, give the time period: Date started: Through:
¢. How did you calculate the money owed to you? (Do not include court cos: ts=>.or fees for service.)
MS LS CPCLA 7?, C4
Lb
PLSCYRANSCE COMED FEUE LIES HIDALE
OO Check here if you need more space. Attach one sheet of paper or form MC-031 and write “SC-100, Item 3” at
the top.
@) You must ask the defendant (in person, in writing, or by phone) to pay you before you
sue. If your claim is for possession of property, you must ask the defendant to give you
the property. Have you done this?
Yes O No Tf no, explain why not:
Why are you filing your claim at this courthouse?
This courthouse covers the area (check the one that applies):
a. (1) Where the defendant lives or does business. (4) Where a contract (written or spoken) was made,
(2) Where the plaintiff's property was damaged. signed, performed, or broken by the defendant or
(3) Where the plaintiff was injured. where the defendant lived or did business when the
defendant made the contract.
. C1 Where the buyer or lessee signed the contract, lives now, or lived when the contract was made, if this claim,
is about an offer or contract for personal, family, or household goods, services, or loans. (Code Civ. Proc.,
§ 395(b).)
c. (1 Where the buyer signed the contract, lives now, or lived when the contract was made, if this claim is about a
retail installment contract (like a credit card). (Civ. Code, § 1812.10.)
d. . C] Where the buyer signed the contract, lives now, or lived when the contract was made, or where the vehicle is
permanently garaged, if this claim is about a vehicle finance sale. (Civ. Code, § 2984.4.)
. 1 Other (specify):
List the zip code of the place checked in ©) above (ifyou know): P4/A2
@ Is your claim about an attorney-client fee dispute? [] Yes No
If yes, and if you have had arbitration, fill out form SC-101, attach it to this form, and check here: (]
Are you suing a public entity? [] Yes No
If yes, you must file a written claim with the entity first. [] A claim was filed on (date):
If the public entity denies your claim or does not answer within the time allowed by law, you can file this form.
Rev. January 1, 2024 Plaintiff's Claim and ORDER to Go to Small Claims Court SC-100, Page 3 of 6
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Plaintiff (list names): Case Number:
Have you filed more than 12 other small claims within the last 12 months in California?
C1 Yes No If yes, the filing fee for this case will be higher.
Is your claim for more than $2,500? [] Yes No
If you answer yes, you also confirm that you have not filed, and you understand that you may not file, more than two
small claims cases for more than $2,500 in California during this calendar year.
1 understand that by filing a claim in small claims court, | have no right to appeal this
claim.
I declare under penalty of perjury under the laws of the State of California that the information above and on any
attachments to this form is true and correct.
Date: 44/5"
Pfen2s P: Boeearuse Je: > fo
Plaintiff types or prints name here Plaint&f'signs here
Date: 44//S, [p22
Second plaintiff types or prints name here Second plaintiff
signs here
Requests for Accommodations
Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter
services are available if you ask at least five days before the trial. For these and other accommodations,
contact the clerk’s office for form MC-410, Disability Accommodation Request. (Civ. Code, § 54.8.)
Rev. January
1, 2024 Plaintiff's Claim and ORDER to Go to Small Claims Court SC-100, Page 4 of 6
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yore [tl) Information for the defendant (the person being sued)
"Small claims court” is a special court where claims for * * Prove thi is the wrong court. Send a letter to the court
$12,500 or less are decided. Individuals, including “natural - before your. trial explaining why you think this is the wrong court.
persons" and sole proprietors, may claim up to $12,500." Ask the court to dismiss the claim. You must serve (give) a copy
Corporations, partnerships, public entities, and other businesses of your letter (by mail or in person) to all parties. (Your letter to
are limited to claims of $6,250. (See below for exceptions.) The the court must say you have done so.)
process is quick and cheap. The rules are simple and informal.
You are the defendant—the person being sued. The person who is
Go to the trial and try to win your case. Bring
suing you is the plaintiff. witnesses, receipts, and any evidence you need to prove your
case. To have the court order a witness fo go tc the ‘rial, fill out
Do I need a lawyer? You may talk to a lawyer before or after form SC-107, fl Claim:
the case. But you may not have a lawyer represent you in court and have it served on the witness.
(unless this is an appeal from a small claims case).
How do | get ready for court? You don't have to file any Sue the person who is suing you. If you have a claim
against the plaintiff, and the claim is appropriate for small claims
papers before your trial, unless you think this is the wrong court for
court as described on this form, you may file Defendant's Claim
your case. But bring to your trial any witnesses, receipts, and
(form SC-120) and bring the claim in this action. If your claim is
evidence that support your case. And read “Be Prepared for Your
for more than allowed in small claims court, you may still file it in
Trial” at
small claims court if you give up the amount over the small
What if | need an accommodation? Ifyou have a claims value amount, or you may file a claim for the full value of
disability or are hearing impaired, fill out form MC-410, Disability the claim in the appropriate court. If your claim is for more than
. Give the form to your court clerk or the allowed in small claims court and relates to the same contract,
ADA/Access Coordinator. transaction, matter, or event that is the subject of the plaintiffs
What if | don’t speak English well? Ask the court clerk claim, you may file your claim in the appropriate court and file a
as soon as possible for a court-provided interpreter. You may use motion to transfer the plaintiffs claim to that court to resolve
form INT-300, Request for Interpreter (Civil) or a local court form both matters together. You can see a description of the amounts
to request an interpreter. If a court interpreter is unavailable for allowed in the paragraph above, titled “Small Claims Court.”
your trial, it may be necessary to reschedule your trial. You cannot . Agree with the plaintiff's claim and pay the
bring your own interpreter for. the trial unless the interpreter has
money. : Or, if you can’t pay-the money now, go to your trial
been approved by the court as a certified, registered, or
provisionally qualified interpreter. (See Cal. Rules of Court, rule and say you want to make payments.
2.893, and form INT-140.) Let the case "default." If you don't settle and do not go to
Where can I get the court forms I need?.Go to any the trial (default), the judge may give the plaintiff what he or she
courthouse or your county law library, or print forms at is asking for plus court costs. If this happens, the plaintiff can
www.
courts.ca.gov/forms. legally take your money, wages, and property to pay the
judgment.
What happens at the trial? The judge will listen to both
sides. The judge may make a decision at your trial or mail the What if | need more time?
decision to. you later. You can change the trial date if:
+ You cannot go to court on.the scheduled date (you: will have! to.
What if | lose the case? If you lose, you mayv appeal.’ You'll pay a fee to.postpone the trial), or
have to pay a fee. (Plaintiffs cannot appeal their own claims.) + You did not get served (receive this order to go to court) atleast
«Ifyou were at the trial, file form SC-140,
Notice of Appeal. You 15 days before the trial (or 20 days if you live outside the
must file within 30 days after the clerk hands or mails you the county).
judge's decision (judgment) on form SC-200 or form SC-130, Ask the Small Claims Clerk about the rules and fees for
postponing a trial. Or fill out form SC-150 (or write a letter) and
oiIfyou were not at the trial, fil out and file form SC-135, Notice of mail it to the court and to all other people listed on your court
tion, to ask the judge to papers before the deadline. Enclose a check for your court fees,
voto the Noreont Wockionl If the judge does not give you a unless a fee waiver was granted.
new trial, you have ,9 days to appeal the decision. File form
SC-140. Need help?
For more’ information on appeals, see Wwww.courts.ca.gov/ Your county's Small Claims Advisor can help for free.
smaliclaims/appeals. [- +
Do I have options? Yes. If you are being sued you can:
* Settle your case before the trial. If you and the
plaintiff agree on how to settle the case before the trial, the
plaintiff must file form ClV-110, Request for Dismissal.or a LOr go to www.courts.ca.gov/smaliclaims/advisor.
|
written.and signed settlement agreement with the clerk. Ask the
Small Claims Advisor for help.
* Exceptions: Different limits apply in an action against a defendant who is a guarantor. (See Code Civ. Proc., § 116.220(c),) Limits do not apply in an action to
recover COVID-19 rental debt. (See Cade Civ. Proc., §§ 116.223 & 1179.02; form SC-500.)
Rev. January1, 2024 Plaintiff's Claim and ORDER to Go to Small Claims Court SC-100, Page 5 of 6
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Sy Oma L010) Informacion para el demandado (la persona demandada)
La “Corte de reclamos menores” es una corte especial donde se + Probar que es la corte equivocada. Envie una carta a la corte
deciden casos por $12,500 o menos. Los individuos, 0 sea las antes del juicio explicando por qué cree que es la corte
‘personas fisicas” y los propietarios por cuenta propia, pueden equivocada. Pidale a la corte que despida el reclamo.Tiene que.
reclamar hasta $12,500. Las corporaciones, asociaciones, entidades entregar (dar) una copia de su carta (por correo o en persona) a
publicas y otras empresas solo pueden reclamar hasta $6,250. (Vea todas las partes. (Su carta a la corte tiene que decir que hizo la
abajo para las excepciones.*) El proceso es rapido y econémico. Las entrega.)
teglas son sencillas e informales. Usted es el Demandado—la Iral juicio y tratar de ganar el caso. Lleve testigos, recibos y
persona que se esta demandando. La persona que lo esta cualquier prueba que necesite para probar su caso. Si desea que
demandando es el Demandante. la corte emita una orden de comparecencia para que los testigos
2Necesito un abogado? Puede hablar con un abogado antes 0 vayan al juicio, llene el formulario SC-107, Citatorio de reclamos
después del caso. Pero no puede tener a un abogado que lo menores (Small Claims Subpoena) y entrégueselo legalmente al
fepresente ante la corte (a menos que se trate de una apelacién de un testigo.
caso de reclamos menores). Demandar a la persona que lo demand6. Si tiene un recamo
&Como me preparo para ir a la corte? No tiene que presentar contra el Demandante, y el reclamo se puede presentar en la
ningtin documento antes del juicio, a menos que piense que ésta es la corte de reclamos menores, tal como se describe en este
corte equivocada para su caso. Pero lleve al juicio cualquier testigos, formulario, puede presentar el formulario SC-120, Reclamo del
recibos y pruebas que apoyan su caso. Y lea “Esté preparado para su demandado (Defendant's Claim) y presentarlo en este mismo.
juicio” en www.courts.ca.gov/reclamosmenores/preparese. caso. Si su reclamo excede el limite permitido en la corte de
Qué hago si necesito una modificacién? Si tiene una reclamos menores, puede igualmente presentarlo en la corte de
discapacidad o tiene impedimentos de audicién, Ilene el formulario
reclamos menores si esta dispuesto a limitar su reclamo al
MC-410, Solicitud de modificaciones para discapacidad. Entregue el maximo permitido, o puede presentar un reclamo por el monto
total en la corte apropiada. Si su reclamo excede el limite
formulario al secretario de la corte o al Coordinador de Acceso/ADA
permitido en la corte de reclamos menores y esta relacionado con
de su corte.
el mismo contrato, transaccién, asunto 0 acontecimiento que el
Qué pasa si no hablo bien inglés? Solicite un intérprete al
reclamo del Demandante, puede presentar su reclamo en la corte
secretario de la corte lo mas pronto posible. Puede usar el formulario
INT-300'0 un formulario de su corte local. Si no esta disponible un apropiada y presentar una mocién para transferir el reclamo del
intérprete de la corte para su juicio, es posible que se tenga que
Demandante a dicha corte, para poder resolver los dos reclamos
juntos. Puede ver una descripcion de los montos permitidos en el
cambiar la fecha de su juicio. No puede llevar su propio intérprete
parrafo anterior titulado “Corte de reclamos menores’
para el juicio a menos que el intérprete haya sido aprobado por la
corte como un intérprete certificado, registrado, o provisionalmente + Aceptar el reclamo del Demandante y pagar el dinero, O, sino
calificado. (Vea la regla 2.893 de las Reglas de la Corte de California, puede pagar en ese momento, vaya al juicic y diga que quiere
y el formulario INT-140.) hacer los pagos a plazos,
zDénde puedo obtener los formularios de la corte que necesito? * No ir al juicio y aceptar el fallo por falta de comparecencia. Si
Vaya a cualquier edificio de la corte, la biblioteca legal de su condado, no llega a un acuerdo con el Demandante y no va al juicio (fallo
9 imprima los formularios en www.courts.ca.gov/smallclaims/forms. por falta de comparecencia), el juez le puede otorgar al
(pagina esta en inglés). Demandante lo que esta reclamando mas los costos de la corte.
En ese caso, el Demandante legalmente puede tomar su dinero,
2Qué pasa en el juicio? El juez escuchara a ambas partes. El juez
su sueldo 0 sus bienes para cobrar el fallo.
puede tomar su decisién durante la audiencia o enviarsela por correo
éQué hago si necesito mas tiempo? Puede cambiar la fecha del
después.
juicio si:
4Qué pasa si pierdo el caso? Si pierde, puede apelar. Tendra que + No puede ir a la corte en la fecha programada (tendra que pagar
pagar una cuota. (El Demandante no puede apelar su propio reclamo.) una cuota para aplazar el juicio), o
. Si estuvo presente en el juicio, Ilene el formulario SC-140, Aviso de + No le entregaron los documentos legalmente (no recibié la orden
apelaci6n (Notice of Appeal). Tiene que presentarlo dentro de 30 para ir ala corte) por lo menos 15 dias antes del juicio (6 20 dias
dias después de que el secretario le entregue o. envie la decisin si vive fuera del condado).
(fallo) de! juez en el formulario SC-200 0 SC-130, Aviso de
Preguntele al secretario de reclamos menores sobre las reglas y las
publicacién del fallo (Notice of Entry of Judgment).
cuotas para aplazar un Juicio. O Ilene el formulario SC-150 (0 escriba
Si no estuvo en el juicio, Ilene y presente el formulario SC-135, una carta) y envielo antes del plazo a la corte y a todas las otras
Aviso de peticién para anular el fallo y Declaracién para pedirle al personas que figuran en sus papeles de la corte. Adjunte un cheque
juez que anule el fallo (decision). Sila corte no le otorga un nuevo para pagar los costos de la corte, a menos que le hayan dado una
juicio, tiene 10 dias para apelar la decision. Presente el formulario exencion.
SC-140.
¢Necesita ayuda? El Asesor de Reclamos Menores de su
Para obtener mas informacién sobre las apelaciones, vea
www.courts.ca.gov/reclamosmenores/apelaciones.
condado le puede ayudar sin cargo.
4
zTengo otras opciones? Si. Si lo estan demandando, puede:
. Resolver su caso antes del juicio. Si usted y el Demandante se
ponen de acuerdo en cémo resolver el caso antes del juicio, el
Demandante tiene que presentar el formulario ClV-110 Solicitud de O visite www.courts.ca.gov/reclamosmenores/asesores. 2 _|
desestimacién (Request for Dismissal) o un acuerdo de resolucién
escrito y firmado al secretario de la corte. Pidale al Asesor de ‘* Excepciones: Existen diferentes limites en un rectam® contraun garante. (Vea sl Cédigo do
Reclamos Menores que lo ayude. Procedimiento Civil, seccién 116.220 (c).) Los limites no se aplican a las acciones para recamar
una deuda do alquiler del COVID-19. (Vea el Cédigo de Procadimiento Civil, secciones 116.223
y 1179.02: y el formulario SC-500.)
Rev. January
1, 2024 SC-100, Page
6 of 6
Reclamo del Demandante y ORDEN Para Ir a la Corte de
Reclamos Menores
For your Protection and privacy, please press the Clear
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