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: at Calfornia
. in
You are the defendant if your name is listed in @) on page 2 of this form or
on form SC-100A. The person suing you is the plaintiff, listed in@)
APR 3 0 2024
on page 2.
You and the plaintiff must go to court on the trial date listed below. If you c
do not go to court, you may lose the case. If you lose, the court can order
BY:
that your wages, money, or property be taken to pay this claim.
Bring witnesses, receipts, and any evidence you need to prove your case.
Fill in court name and street address:
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:
. 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 ROOM 103
Demandante, la que figura en (4) de la pagina 2. SAN P2ANGIBGO, CALIFORNIA 64102
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 continuaci6n. 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. CSM -24 -66S312
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
en su contra y para proteger sus derechos. Crilherd Ve Teived
Ol ce[- 1m oC Tom KoMOrolt lad
The people in (@) and @) must attend court: (Clerk fills out section below.)
Trial }-> Date Time Department Name and address of court, if different from above
Date 1. tan 2g. 202. 4 03430 am So6 g* Ely
2.
3
Date: APR 2/@ 2024 Clerk, by _ZUBEDA KALQO (gy, )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, Inform: for the P| to know your rights. You can get
form SC-100-INFO at any courthouse or county law library, or go to www.courts.ca, gow/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
party named in this case and an extra copy for yourself. Take or mail the original and the copies to the court clerk’s
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.gow/find-my-court. him.
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
Rev. January 1, 2024, Mandatory Form Plaintiff's Claim and ORDER 'SC-100, Page 1 of 6
Code of Civil Procedure, §§ 116.110 et seq.,
116.220(c), 116.340(9) to Go to Smail Claims Court >
Plaintiff (list names) Case Number:
@) The plaintiff (the person, business, or public entity that is suing) is:
Name: Joel Gi (eek Phone: TN4-155. 9 B64
Street address: 223 dan st eek Satramina cA UY
Street City State Zip
Mailing address (if different)
State Zip
Email address (if available) Fi\bertJoA5 @ Jmnai\. Com
If more than one plaintiff, list next plaintiff here
Name: Phone:
Street address:
Street City State Zip
Mailing address (if different)
Street City State Zip
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.
0 Check here if any plaintiff is 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: Niviy Tryedi Phone: 5(0'da7- S195
Street address: “US 19(, Tissinck Nock Soli Bema Ch SAO
State Zip
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
1 Check here if any defendant is on active military duty and write defendant's name here.
The plaintiff claims the defendant owes $ G § 0 0 . (Explain below and on next page.)
Wrote: A claim for COVID-19 rental debt cannot be made 0onn tis s form. Use form
intiff Jaim a d OR DER to [D-19 Debt).)
a. Why does the defendant owe the Pit money?
Devo NG whi 00 £70 lord
AG Bal atte Pm ers pong.
This Qimount i LUV? at yin Catifocnio wil Code Sechon O50-9
Rev. January 1, 2024 Plaintiff's Claim and ORDER to Go to Small Claims Court SC-100, Page 2 of 6
>
Plaintiff (list names): Case Number:
(3) b. When did this happen? (Date): AGA
If no specific date, give the time period: Date started: oO \S a4 Through: Cuwent
¢. How did you calculate the money owed to you? (Do not include ce ‘ourt costs or fees for service.)
0 clevosit eld in 10. My. XL= S300 fe cl cole
secon 1450.9. This [nndlord ghashed we 46 on 06 \ handed Vim
ex
1 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 0 No If no, explain why not:
Why are you filing your claim at this courthouse?
This courthouse covers the area (check the one that applies):
a. xm (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.
b. CJ 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. (1 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.)
e. (] Other (specify):
©) List the zip code of the place checked in ©) above (if you know): aH}
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: (]
(8) Are you suing a public entity? [1 Yes iif 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
>
Plaintiff (list names): Case Number:
Have you filed more than 12 other small claims within the last 12 months in California?
1 Yes No If yes, the filing fee for this case will be higher.
Is your claim for more than $2,500? Yes O01 No
Ifyou 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.
| 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: DA
"Foe Gilbect
Plaintiff types or prints name here Plaintiff signs here
Date:
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
>
Teme Tilt) Information for the defendant (the person being sued)
“Small claims court" is a special court where claims for * Prove this is the wrong court. Send a letterto 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 alll 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
uing you is the plaintiff. witnesses, receipts, and any evidence you need to prove your
case. To have the court order a witness to go to the trial, fill out
Do | need a lawyer? You may talk to a lawyer before or after form It 1
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 I 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 plaintiff's claim to that court to resolve
form r In ora 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 | get the court forms | 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. !f this happens, the plaintiff can
www,
courts.ca.gov/forms. legally take your money, wages, and property to pay the
What happens at the trial? The judge will listen to both judgment.
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 I lose the case? If you lose, you may appeal. You'll y a fee to postpone the trial),
have to pay a fee. (Plaintiffs cannot appeal their own claims.) + You did not get served (receive this order to go to court) at least
« 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 Gudgment) 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
+ Ifyou were not at the trial, I out and file form SC-135, Notice of mail it to the court and to all other people listed on your court
ition, to ask the judge to papers before the deadline. Enclose a check for your court fees,
cancel the judgment (decision). If the judge does not give you a unless a fee waiver was granted.
new trial, you have 10 days to appeal the decision. File form
SC-140. Need help?
For more information on appeals, see www.courts.ca.gov/ Your county’s Small Claims Advisor can help for free.
smalictaims/appeals. - 7
Do | 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 CIV-110, Request
for Dismissal or a L_ |
written and signed settlement agreement with the clerk. Ask the Or go to www.courts.ca.gov/smaliciaims/advisor.
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 Code Civ. Proc., §§ 116.223 & 1179.02; form SC-500.)
Rev. January 1, 2024 Plaintiff's Claim and ORDER to Go to Small Claims Court SC-100, Page
5 of 6
>
Informa n para el demandado (la persona demandada)
La “Corte de reciamos menores” es una corte especial aonae se + Probar que es la corte eauivocada. Envie una carta a la com:
deciden casos por $12,500 o menos. Los indiviauos, 0 sea 1as 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
teclamar 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 tadas las partes. (Su carta a la corte tiene que decir aue hizo la
abajo para las excepciones.*) E1 proceso es rapido y economico. Las entrega.)
reglas son sencillas e informales. Usted es el bemandado—ia Ir al juicio y tratar de ganar el caso. Lieve 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 e! Demandante. fa corte emita una orden de comparecencia para que los testigos
2Necesito un abogado? Puede hablar con un abogado antes o 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
represente 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 reclamo
~Cémo me preparo para ir a la corte? No tiene que presentar contra el Demandante, y el reclamo se puede presentar en la
ning&in 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
2Qué hago si necesito una modificacién? Si tiene una
reclamos menores, puede igualmente presentarlo en la corte de
discapacidad o tiene impedimentos de audicién, liene 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
formulario al secretario de la corte o al Coordinador de Acceso/ADA total en la corte apropiada. Si su reclamo excede el limite
de su corte. permitido en la corte de reclamos menores y esta relacionado con
el mismo contrato, transaccién, asunto o 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
apropiada y presentar una mocién para transferir el reclamo del
INT-300 0 un formulario de su corte local. Si no esta disponible un
Demandante a dicha corte, para poder resolver los dos reclamos
intérprete de la corte para su juicio, es posible que se tenga que
juntos. Puede ver una descripcién 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 fa regla 2.893 de las Reglas de la Corte de California, puede pagar en ese momento, vaya al juicio y diga que quiere
y el formulario INT-140.) hacer los pagos a plazos.
éDénde 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
imprima los formularios en www.courts.ca.gov/smaliclaims/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,
Qué pasa en el juicio? El juez escuchara a ambas partes. El juez
su sueldo o sus bienes para cobrar el fallo.
puede tomar su decisién durante la audiencia o enviarsela por correo
2Qué hago si necesito mas tiempo? Puede cambiar la fecha del
después.
juicio si:
Qué 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, llene el formulario SC-140, Aviso de + No le entregaron los documentos legalmente (no recibié la orden
apelacién (Notice of Appeal). Tiene que presentarlo dentro de 30 para ir a la corte) por lo menos 15 dias antes del juicio (6 20 dias
dias después de que el secretario le entregue o envie la decision si vive fuera del condado).
(fallo) del juez en el formulario SC-200 0 SC-130, Aviso de
Preguntele al secretario de reclamos menores sobre las regias y las
publicacién del fallo (Notice of Entry of Judgment).
cuotas para aplazar un juicio. O llene el formulario SC-150 (0 escriba
Si no estuvo en el juicio, lene 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 (decisi6n). Si la 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 decisi6n. Presente el formulario exencion.
SC-i40. zNecesita ayuda? El Asesor de Reclamos Menores de su
Para obtener mas informaci6n sobre las apelaciones, vea
www.courts.ca.gov/reclamosmenores/apelaciones.
condado le puede ayudar sin cargo.
4
Tengo 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 CIV-110 Solicitud de O visite www.courts.ca.gov/reclamosmenores/asesores.
_j
desestimacion (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 rectamo contra un garante. (Vea el Cédigo de
Reclamos Menores que lo ayude. Procedimiento Civil, seccién 116,220 (c),) Los limites no se aplican a las acciones para reclamar
una deuda de alquiler del COVID-19. (Vea el Codigo de Procedimiento 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
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