Complaint,Petition: MARSHA LEVINSON et al VS. FIRE INSURANCE EXCHANGE, A CORPORATION et al

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                                MAA

SUPERIOR COURT OF CALIFORNIA
COUNTY OF SAN FRANCISCO

Document Scanning Lead Sheet
Aug-10-2011 3:47 pm

Case Number: CGC-08-482411
Filing Date: Aug-10-2011 11:33
Juke Box: 001 Image: 03295543
DISMISSAL WITH PREJUDICE OF COMPLAINT

MARSHA LEVINSON et al VS. FIRE INSURANCE EXCHANGE, A CORPORATION et ¢

001003295543

Instructions:
Please place this sheet on top of the document to be scanned.~
~~ ew
. CIV-110
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State (Gar number, and adchess):
J, Edward Kerley, 175695 F 7 FUSE OMY

Gene Halavanau, 267280
HEREFORD KERLEY LLP FIL D
1999 Harrison Street, Suite 1400, Oakland, CA 94612

TELEPHONE HO: 510-379-5801 FAX NO. fOptonw 510-228-0350

E-MAIL ADORESS (Optional)
ATIORNEY FoR ene): Plaintiffs, Masha Levinson and Leon Taylor AUG 1 6: 201
SUPERIOR COURT OF CALIFORNIA, COUNTY OF San Francisco CLERK OF
sireet aooress 400 McAllister Street By: Courr 4
maine aooress: 400 McAllister Street
ciryanoze cove: San Francisco, CA 94102 Deputy Clan

BRANCH NAME:

PLAINTIFF/PETITIONER: Masha Levinson and Leon Taylor
DEFENDANTIRESPONDENT: Fire Insurance Exchange, et al.

REQUEST FOR DISMISSAL
Personat Injury, Property Damage, or Wrongful Death
[J Motor Vehicle [_] Other CGC-08482411

[[) Family taw [_] Eminent Domain
Ci Other (specify) :
L TA conformed copy will not be returned by the clerk unless a method of return Is provided with the document. -

CASE NUMBER:

4. TO THE CLERK: Please dismiss this action as follows:
With prejudice (2) [__] Without prejudice

. Complaint 2) Petition
aE] Crese-complaint fies Cree on (date): BY FAX
(4) (_] Cross-complaint filed by (name): ‘on (date):
(5) [] Entire action of ail parties and alt causes of action
(6) [_] Other (specify):*

2. (Complete in all cases except family iaw cases.)

[7 court fees and costs were waived for a party in this case. (This informatiogymay be gbtained fram the clerk. if this box is
checked, the declaration on the back of this form must be completed). el

Date: July 15, 2011

crvpe or print NAME OF LY] arrorNey [__] PARTY wTHOUT ATTORNEY (SIGNATURE)
“it dismissa} requested is of specified parties only of specified causes of acton  Atlomey or party vitnout attorney for:
1h of dik the parties,
Sauien of igatod iad cross complaints OO acased wd antl the (2) PiaintiavPetitioner [1] DetendantRespondent
(1 cross-Complainant
3. TO THE CLERK: Consent to the above dismissal is hereby given.**

Date: >
(TYPE OR PRINT NAME OF Co ATTORNEY Co PARTY WATHOUT ATTORNEY) {SIGNATURE}
+f w cross-compiaint-or Response (Family Law) seeking affimative Attomey or party without attorney for:
Sap ie cae y WC ef Cnt Procedure seston $07 0) [) PiaintityPetitioner — [_] DefendantRespondent
ort). (1 Cross-Compiainant
(To be completed by clerk)
4. [_] Dismissal entered as requested on (date):
5 (__] Dismissal entered on (date): as to only (name):

6. [_] Dismissal not entered as requested for the following reasons (specify)

7. a. L_] Attomey or party without attorney notified on (date):
b. [7] Attorney or party without attorney not notified. Filing party failed to provide
{J a copy to be conformed means to return conformed copy

Date: Clerk, by

, Deputy
Ferm peopled for Marsstory One REQUEST FOR DISMISSAI cae 5 Sl.
“haeid Canc of Corte Ql ‘OR DISMISSAL Cin, coe, 5 wih Ct ee EOH a 1885

ce()

ClV-110
PLAINTIFFIPETITIONER: Masha Levinson and Leon Taylor

CASE NUMBER:
DEFENDANT/RESPONDENT: Fire Insurance Exchange, et al. CGC-08482411

Declaration Concerning Waived Court Fees

The court has a statutory lien for waived fees and costs on any recovery of $10,000 or more in value by

settlement, compromise, arbitration award, mediation settlement, or other recovery. The court's tien must.
lbe paid before the court will dismiss the case.

1. The court waived fees and costs in this action for (name):
2. The person in item 1 (check one):

a. is not recovering anything of value by this action.
b. (_] is recovering fess than $10,000 in value by this action.

c. [__] is recovering $10,000 or more in value by this action. (if item 2c is checked, item 3 must be completed.)
3. (7) All court fees and costs that were waived in this action have been paid to the court (check one): [_] Yes. [_] No

I declare under penalty of perjury under the laws of the State of California that the information above is true and correct.

b

(TYPE OR PAINT NAME OF{__] ATTORNEY [__] PARTY MAKING DECLARATION) (SIGHATURE)

GIV-140 [Rev shdy 1, 2009]

REQUEST FOR DISMISSAL

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