Preview
\I \a
ATTORNE'Z 0R PARTY WITHOUT ATTORNEY (Nam,
CM-O1 0
sun Barnum ondoddms),
JAZMIN MARIE MOLINA FaR couR r USE ONLY
8812 NIAGARA DR
TELEPHONE No. 840-247-0693 FAX N0 -
EMAIL ADDRESS SUPERIORE I L E D
CCU '9ng 0F CAUFORN,A
ATTORNEY FOR (Name) PRO PER SAN
BERNARDTNBOESNARDINO
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO :smzcr
STREET ADDRESS 247 W 3RD ST APR 2 2
MAILING ADDRESS SAME 2024
cm AND zw cone sAN BERNARDINO. CA 92415
BRANCH NAME
BY:
LEANN E M
CASE NAME: LANDEROS
IN THE MATTER OF JAZMIN MARIE MOLINA Deputy
CASE COVER SHEET
E c'V'L
Unlimited
(Amount
E Limited
(Amount
E
.
Complex Case Designation
.
Counter E Joinder
CASE “UMBER
CIV SB 2 k 1 U 3 0 7
demanded .
appearance by defendant Mme
Filed wuth first
demandedls
( C a" R ueso fC ou n ‘rue 3402 )
exceeds $35,000) $35,000 orless)
I ‘
DEPT I '
Items 1—6 below must be completed (see instructions on paqe 2).
1. Check one box below for the case type that best describes this case:
Auto Tort
D
E Auto (22)
Uninsured motorist (46)
Contract
E]
E]
Breach of contraCt/wananty (06)
D
Provisionnlly
(Cal.
Complex Civil Litigation
Rules of Court, rules 3.400—3.403)
Other Pl/PD/WD (Personal InjurylProporty
Damage/wmngfu' Death) Ton D
E
Rule 3.740 collections (09)
Other commons (09) E
D
Antit'USVTrade regulation (03)
ConSthtion defec‘ (10)
E
E ASbestos (04)
E Insurance coverage (18)
E M355 ton (40)
D PFOdUCt “ability (24)
Medical malpractice (45)
aRul
Other contract (37)
Property D
D
Securities litigation (28)
Environmental/Toxic tort (30)
D Other PI/PDNVD (23)
Non-PllPD/WD (Other) Tort
D
Eminent domain/lnverse
condemnation (14)
Insurance coverage claims arising from the
gfiglsegitfd
provisionally complex case
E
E Busmesstort/unfairbusiness practice(07)
CW"
Eunl'wm' Damn?"
Wrongful eviction (33)
Otherrealpropenyae)
E Enforcement of Judgment
Enforcementofjudgmem(20)
D
E
rights (08)
Defamation(13) D
E C0mm8f0'3N31)
D Mlscollaneous
RICOQD
Civll Complalnt
D Fraud(16) R es'den'a
'
t'
|
(32)
E Othercomplaint(nolspecifiedabove)(42)
D
E
'"‘e"e°‘“a'p'°peny“g)
Professionalnegligence(25)
D
§lolrzgsf38)
u ‘3‘ "m”
Assetfofle'turem5)
.
E
Miscellaneous CivuPetition
Partnershl
‘
and cor p orate 9 overnance ( 21
D
Othernon-PI/PD/woton(35)
Employment E
D Petition re: arbitration
Wrilo'mandatewz)
award (11) [E t?
Other Pem'O" (”O’SPec'fied 350W) (43)
'
)
E E Wrongfultermination(36)
Other employment (15) E Other judicial review (39)
.N
E
This case is is not complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the
E
factors requiring exceptional judicial
E
a.
b.
Large number of separately represented parties
management:
Extensive motion practice raising difficult or novel
d'
e'
E
E Large number Of w'messes
t
coordination With re'gted adions pending. in one. or more
issues that Wm be time_c0nsuming to resolve courtsin other counties. states, or countries, or m a federal
E
EE
,
,
coun
C' SUbStam'alamountOf documentary ev'dence
3. Remedies sought (check
Number causes of action
all thatapply):a. E monetary b.
f. Substantialpostjudgmentjudicialsupervision
nonmonetary; declaratory or injunctive relief c.
E punitive
4.
E E of (specify):
5.
6.
Date:
This case
If there are any kn
JAZMIN MARIE MOLI A
o
o
q
Plaintiff
..
must
‘
g.
9
is
(TYPE
wn
is
0R PRINT NAME)
not
related cases, file
a class action
and serve a
suit.
notice of related case. (You
NOTICE
cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed
file this
under the Probate Code. Family Code, or Welfare and Institutions Code). (Cal. Rules of Court, rule
File this cover sheet in addition to any cover sheet required
}
3.220.) Failure to file may result
‘W 1
may use
m form CM-015.)
(SIGNATURE or PARTV 0R ATTORNEY Fon PARTY)
in sanctions.
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 cover sheet on
this 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 be used
will for statistical purposes only. p”. 1 o. z
Form Adopted fov Mandatory Use
.ludmml Cnunml n! Calvfnmla CIVIL CASE COVER SHEET Cal Rules of Court. rules 2.30‘ 3.220, 3 400—3403, 3.740.
Cal SVandamQ anudmml Admnmsvrahon SM 3 1O
\r
INSTRUCTIONM How To COMPLETE THE COVER SHEET CM-010
To Plaiiztiffs and Others Filing First Papers. If you are
paper (for example, a complaint) in a civil case, you must
filing a first
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 Ton Contract
Breach of Contract/Warranty (06)
Provisionally Complex Civil Litigation (Cal.
Auto (22)—Persona| Injury/Property
Rules of Court Rules 3.400—3.403)
DamageNVrongful Death Breach of RentaI/Lease
Antitrust/Trade Regulation (03)
Uninsured Motorist (46) (if the Contract (no! 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 Plaintifl (not fraud or negligence)
Environmental/Toxoc Tort (30)
instead of Auto) Negligent Breach of Contract]
Insurance Coverage Claims
Other PI/PDIWD (Personal lnjury/ Warranty
(an'sing from provisionally complex
Property DamageIWrongful Death) Ton Other Breach 01 Contract/Warranty
case type listed above) (41)
Asbestos (O4) Collections (e.gA, 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 (Ou! of County)
Wrongful Death Other Promissory Note/Collections Case
Confession of Judgment (non-domestic
Product Liability (no! asbestos or Insurance Coverage (no! provisionally
relations)
toxic/environmental) (24) complex) (18)
Auto Subrogation
Sister State Judgment
Medical Malpractice (45)
Other Coverage
Administrative Agency Award
Medical Malpractice—
(no! 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 Pl/PDNVD (23) Real Property
Miscellaneous Civil Complaint
Premises Liability (e.g., slip
Eminent Domain/lnverse
RICO (27)
and fall) Condemnation (14)
Other Complaint (no! specified above) (42)
Intentional Bodily Injury/PD/WD Wrongful Eviction (33)
Declaratory Relief Only
(e.g.. assault, vandalism) Other Real Property (e.g., quiet title) (26)
Injunctive Relief Only (non-
Intentional lnfliction of Writ of Possession of Real Property
harassment)
Emotional Distress Mortgage Foreclosure
Mechanics Lien
Negligent lnfliction of Quiet Title
Other Commercial Complaint
Emotional Distress Other Real Property (not eminent
domain, landlordfienant. or
Case (non-ton/non—comp/ex)
Other Pl/PD/WD
Other Civil Complaint
Non-Pl/PD/WD (Other) Ton foreclosure)
Unlawful Dotainer (non-ton/non~complex)
Busuness Tort/Unfalr Business
Miscellaneous Civil Petition
Practice (07) Commercial (31)
Partnership and Corporate
Civil Rights (e.g,. discrimination, Residential (32)
Drugs (38) (if the case involves illegal
Governance (21)
false arrest) (not civil
Other Petmon (not specified above) (43)
harassment) (08) drugs, check this item; otherwise,
Civil Harassment
Defamation (e.g., slander, report as Commercial or Residential)
libel) (13)
Workplace Violence
Fraud (16) Judicial Review
EIder/Dependent Adult Abuse
Intellectual Property (19) Asset Forfeiture (05)
Election Contest
Professional Negligence (25) Petition Re: Arbitration Award (1 1)
Writ of Mandate
Petition for Name Change
Legal Malpractice (02)
Petition for Relief From Late Claim
Other Professional Malpractice Writ—Administrative Mandamus
Other Civil Petition
(no! medical or legal) Writ—Mandamus on Limited Court
Other Non-Pl/PDNVD 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 AppeaI—Labor Commissioner
Aw:
CM-010 [Rev. January 1. 2024]
For your protection and privacy, please press the Clear
CIVIL CASE COVER SHEET
j I *l Ffi Pagozon
Preview
\I \a ATTORNE'Z 0R PARTY WITHOUT ATTORNEY (Nam, CM-O1 0 sun Barnum ondoddms), JAZMIN MARIE MOLINA FaR couR r USE ONLY 8812 NIAGARA DR TELEPHONE No. 840-247-0693 FAX N0 - EMAIL ADDRESS SUPERIORE I L E D CCU '9ng 0F CAUFORN,A ATTORNEY FOR (Name) PRO PER SAN BERNARDTNBOESNARDINO SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO :smzcr STREET ADDRESS 247 W 3RD ST APR 2 2 MAILING ADDRESS SAME 2024 cm AND zw cone sAN BERNARDINO. CA 92415 BRANCH NAME BY: LEANN E M CASE NAME: LANDEROS IN THE MATTER OF JAZMIN MARIE MOLINA Deputy CASE COVER SHEET E c'V'L Unlimited (Amount E Limited (Amount E . Complex Case Designation . Counter E Joinder CASE “UMBER CIV SB 2 k 1 U 3 0 7 demanded . appearance by defendant Mme Filed wuth first demandedls ( C a" R ueso fC ou n ‘rue 3402 ) exceeds $35,000) $35,000 orless) I ‘ DEPT I ' Items 1—6 below must be completed (see instructions on paqe 2). 1. Check one box below for the case type that best describes this case: Auto Tort D E Auto (22) Uninsured motorist (46) Contract E] E] Breach of contraCt/wananty (06) D Provisionnlly (Cal. Complex Civil Litigation Rules of Court, rules 3.400—3.403) Other Pl/PD/WD (Personal InjurylProporty Damage/wmngfu' Death) Ton D E Rule 3.740 collections (09) Other commons (09) E D Antit'USVTrade regulation (03) ConSthtion defec‘ (10) E E ASbestos (04) E Insurance coverage (18) E M355 ton (40) D PFOdUCt “ability (24) Medical malpractice (45) aRul Other contract (37) Property D D Securities litigation (28) Environmental/Toxic tort (30) D Other PI/PDNVD (23) Non-PllPD/WD (Other) Tort D Eminent domain/lnverse condemnation (14) Insurance coverage claims arising from the gfiglsegitfd provisionally complex case E E Busmesstort/unfairbusiness practice(07) CW" Eunl'wm' Damn?" Wrongful eviction (33) Otherrealpropenyae) E Enforcement of Judgment Enforcementofjudgmem(20) D E rights (08) Defamation(13) D E C0mm8f0'3N31) D Mlscollaneous RICOQD Civll Complalnt D Fraud(16) R es'den'a ' t' | (32) E Othercomplaint(nolspecifiedabove)(42) D E '"‘e"e°‘“a'p'°peny“g) Professionalnegligence(25) D §lolrzgsf38) u ‘3‘ "m” Assetfofle'turem5) . E Miscellaneous CivuPetition Partnershl ‘ and cor p orate 9 overnance ( 21 D Othernon-PI/PD/woton(35) Employment E D Petition re: arbitration Wrilo'mandatewz) award (11) [E t? Other Pem'O" (”O’SPec'fied 350W) (43) ' ) E E Wrongfultermination(36) Other employment (15) E Other judicial review (39) .N E This case is is not complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the E factors requiring exceptional judicial E a. b. Large number of separately represented parties management: Extensive motion practice raising difficult or novel d' e' E E Large number Of w'messes t coordination With re'gted adions pending. in one. or more issues that Wm be time_c0nsuming to resolve courtsin other counties. states, or countries, or m a federal E EE , , coun C' SUbStam'alamountOf documentary ev'dence 3. Remedies sought (check Number causes of action all thatapply):a. E monetary b. f. Substantialpostjudgmentjudicialsupervision nonmonetary; declaratory or injunctive relief c. E punitive 4. E E of (specify): 5. 6. Date: This case If there are any kn JAZMIN MARIE MOLI A o o q Plaintiff .. must ‘ g. 9 is (TYPE wn is 0R PRINT NAME) not related cases, file a class action and serve a suit. notice of related case. (You NOTICE cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed file this under the Probate Code. Family Code, or Welfare and Institutions Code). (Cal. Rules of Court, rule File this cover sheet in addition to any cover sheet required } 3.220.) Failure to file may result ‘W 1 may use m form CM-015.) (SIGNATURE or PARTV 0R ATTORNEY Fon PARTY) in sanctions. 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 cover sheet on this 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 be used will for statistical purposes only. p”. 1 o. z Form Adopted fov Mandatory Use .ludmml Cnunml n! Calvfnmla CIVIL CASE COVER SHEET Cal Rules of Court. rules 2.30‘ 3.220, 3 400—3403, 3.740. Cal SVandamQ anudmml Admnmsvrahon SM 3 1O \r INSTRUCTIONM How To COMPLETE THE COVER SHEET CM-010 To Plaiiztiffs and Others Filing First Papers. If you are paper (for example, a complaint) in a civil case, you must filing a first 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 Ton Contract Breach of Contract/Warranty (06) Provisionally Complex Civil Litigation (Cal. Auto (22)—Persona| Injury/Property Rules of Court Rules 3.400—3.403) DamageNVrongful Death Breach of RentaI/Lease Antitrust/Trade Regulation (03) Uninsured Motorist (46) (if the Contract (no! 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 Plaintifl (not fraud or negligence) Environmental/Toxoc Tort (30) instead of Auto) Negligent Breach of Contract] Insurance Coverage Claims Other PI/PDIWD (Personal lnjury/ Warranty (an'sing from provisionally complex Property DamageIWrongful Death) Ton Other Breach 01 Contract/Warranty case type listed above) (41) Asbestos (O4) Collections (e.gA, 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 (Ou! of County) Wrongful Death Other Promissory Note/Collections Case Confession of Judgment (non-domestic Product Liability (no! asbestos or Insurance Coverage (no! provisionally relations) toxic/environmental) (24) complex) (18) Auto Subrogation Sister State Judgment Medical Malpractice (45) Other Coverage Administrative Agency Award Medical Malpractice— (no! 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 Pl/PDNVD (23) Real Property Miscellaneous Civil Complaint Premises Liability (e.g., slip Eminent Domain/lnverse RICO (27) and fall) Condemnation (14) Other Complaint (no! specified above) (42) Intentional Bodily Injury/PD/WD Wrongful Eviction (33) Declaratory Relief Only (e.g.. assault, vandalism) Other Real Property (e.g., quiet title) (26) Injunctive Relief Only (non- Intentional lnfliction of Writ of Possession of Real Property harassment) Emotional Distress Mortgage Foreclosure Mechanics Lien Negligent lnfliction of Quiet Title Other Commercial Complaint Emotional Distress Other Real Property (not eminent domain, landlordfienant. or Case (non-ton/non—comp/ex) Other Pl/PD/WD Other Civil Complaint Non-Pl/PD/WD (Other) Ton foreclosure) Unlawful Dotainer (non-ton/non~complex) Busuness Tort/Unfalr Business Miscellaneous Civil Petition Practice (07) Commercial (31) Partnership and Corporate Civil Rights (e.g,. discrimination, Residential (32) Drugs (38) (if the case involves illegal Governance (21) false arrest) (not civil Other Petmon (not specified above) (43) harassment) (08) drugs, check this item; otherwise, Civil Harassment Defamation (e.g., slander, report as Commercial or Residential) libel) (13) Workplace Violence Fraud (16) Judicial Review EIder/Dependent Adult Abuse Intellectual Property (19) Asset Forfeiture (05) Election Contest Professional Negligence (25) Petition Re: Arbitration Award (1 1) Writ of Mandate Petition for Name Change Legal Malpractice (02) Petition for Relief From Late Claim Other Professional Malpractice Writ—Administrative Mandamus Other Civil Petition (no! medical or legal) Writ—Mandamus on Limited Court Other Non-Pl/PDNVD 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 AppeaI—Labor Commissioner Aw: CM-010 [Rev. January 1. 2024] For your protection and privacy, please press the Clear CIVIL CASE COVER SHEET j I *l Ffi Pagozon