Preview
Plaintiff's Claim and ORDER
SALE to Go to Small Claims Court
Notice to the person being sued:
* 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 (1)
on page 2.
* You and the plaintiff must go to court on the trial date listed below. If you
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.
+ Bring witnesses, receipts, and any evidence you need to prove your case.
* Read this form and all pages attached to understand the claim against you
and to protect your rights.
Aviso al Demandado:
* Usted es el Demandado si su nombre figura en @) de la pagina 2 de este
formulario, o en el formulario SC-100A. La persona que lo demanda es el
Demandante, la que figura en (4) de Ja pagina 2.
Usted y el Demandante tienen que presentarse en la corte en Ja fecha del
juicio indicada a continuacién. Si no se presenta, puede perder el caso. Si
pierde el caso, la corte podria ordenar que le quiten de su sueldo, dinero u
otros bienes para pagar este reclamo.
Lea este formulario y todas las paginas adjuntas para entender Ja demanda
en su contra y para proteger sus derechos.
Order to Go to Court
The people in (4) and (2) must attend court: (Clerk fills out section below.)
a
Clerk stamps date here when form is filed.
F SMALL CLAIMS
Seat tan an
MAR 9 12022
CLEQW Ur
BY:
OURT
puty Cleric
Fill in court name and street address:
Lleve testigos, recibos y cualquier otra prueba que necesite para probar su caso
Superior Court of California, County of
San Francisco
400 McAllister
San Francisco, CA 94102
Court fills in case number when form is filed.
Case Number:
CSM2.8 65 465
Case Name:
Cherniy vs
Berdchsestry)
Department
‘Name and address of court, if different from above
> Date Time ge
1. MAY 4 1 2022 dfn _SD6 STi [torye
2.
3. n lA
Date: MAR 212022 Clerk, by DA JONES » 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.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.gov/find-my-court. him,
You must have someone at Jeast 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.
Judicial Council of Califomia,www.courts.ca.gov
Rev. November 1, 2021, Mandatory Form
Code of Civil Procedure, §§ 116.110 el seq.,
116.220{c), 116.340(g)
Go to court on your trial date listed above. Bring witnesses, receipts, and any evidence you need to prove your case.
Plaintiff's Claim and ORDER
to Go to Small Claims Court
‘SC-100, Page 1 of 6
>Ss VJ
Plaintiff (list names): Case Number:
Cherniy
@ The plaintiff (the person, business, or public entity that is suing) is:
Name: Maryna Cherniy Phone: 415-6326287
Street address: 275 Collins St_Apt 23 San Francisco CA 94118
Street City State Zip
Mailing address (if different):
Street City State Zip
Email address (if available):
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):
Check here if more than two plaintiffs and attach form SC-100A.
DO Check here if either plaintiff listed above is doing business under a fictitious name and attach form SC-103.
OO 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: Mikhail Berdichevsky Phone: 415-386-5590
Street address: 4444 Geary Blvd San Francisco CA 94118
Street City State Zip
Mailing address (if different):
Street city State Zip
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.
Ol Check here if any defendant is on active military duty and write defendant’s name here:
@) The plaintiff claims the defendant owes $ 8759.20 . (Explain below and on next page.)
(Note: A claim for COVID-19 rental debt cannot be made on this form. Use form
SC-501 intiff's Claim and ORDER to Small Clai OVID-19 Ri Debt).)
a. Why does the defendant owe the plaintiff money?
rdichevsky performed dental pro es tha
Rev. November 1,2024 Plaintiffs Claim and ORDER to Go to Small Claims Court SC-100, Page 2 s—/ \ )
Plaintiff (list names): Case Number:
Cen,
q
@® b. When did this happen? (Date):
If no specific date, give the time period: Date started: May 2021 Through: Dec 2021
c. How did you calculate the money owed to you? (Do not include court costs or fees for service.)
—Payment to Alpha One Dental (implant replacement} $3570
Pp t-te Alpha One-Dental implant dand-b: ft fe ir of periimplant- defect)-$5,050-00.
'¥ ‘P: ap? oF Pi Pt iP POPE
0 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 [J 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. [Ed (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. [1 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.) °
a. (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 (5) above (if-you know): 94118
® Is your claim about an attorney-client fee dispute? [] Yes [x] 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 [xj 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. November 4,2021 Plaintiff's Claim and ORDER to Go to Small Claims Court SC-100, Page 3 of 6
>Plaintiff (list names): ~ r __imaber
OK aN 4
J :
stave you sled more than 12 other stall calms within the last {2 moni” California?
Dl Yes [No Ives, the filing fee for this case will be higher.
ssc ny of pug vr wr eC a einmatin en 8
attachments to this form is true and correct. . .
pae_ 03/21 /2 @ Up—
_ _Maryna Chemiy > ;
‘Plaintiff types or prints name here Plaintiff signs here
“Dates
os »
Second plaintiff types or prints name here Second plaintiff signs here
for Accommodations :
Asie Hang ee five day bef thea For tes ad ber mae .
contact the clerk’s office for form MC-410, Disability Accommodation Request. (Civ. Code, § 54.8.)
Fv. Rewenbor 4.2924 Plaintiff's Claim and ORDER to Go to Small Claims Court SC-180, Pateinformation 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 letter to the court
$10,000 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 $10,000. 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 $5,000. (See below for exceptions.) The the court must say you have done so.)
process is quick and cheap. The rules are simple and informal. + Go to the trial and try to win your case. Bring
You are the defendant—the person being sued. The person who is witnesses, receipts, and any evidence you need to prove your
suing you is the plaintiff. case. To have the court order a witness to go to the trial, fill out
Do I need a lawyer? You may talk toa lawyer before or after form SC-107, Small Claims Subpoena and Declaration,
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). Sue the person who is suing you. If you have a claim
> "4 f
How do I get ready for court? You don’t have to file any against the plaintiff, and the claim is appropriate for smaill 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. Ifyour 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 www. courts.ca.gov/smallclaims/prepare, small claims court if you give up the amount over the small
What if | need an accommodation? If you 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.formore than ~
Accommodation Request. 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 plaintiff's 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 ne if t the mone: 0 fo your trial
been approved by the court as a certified, registered, or mn sa y you cant peyments '¥ now, go toy
provisionally qualified interpreter. (See Cal. Rules of Couit, rule y . 7
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. If this happens, the plaintiff can
www. courts.ca.gov/forms, legally take your money, wages, and property to pay the
. juds it.
What happens at the trial? The judge will isten to both Ibcgment
sides. The judge may make a decision at your trial or mall 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 may 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) at least
+ If you 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).
{udge's decision (iudgment) on form $G:200 or form $C-130. ack the Small Claims Clerk about the rules and fees for
Notice of Entry of Judgment. Postponing a trial. Or fill out form SC-150 (or write a letter) and
+ Ifyou were not at the trial, fill out and file form SC-135, Notice of mail it to the court and to all other people listed on your court
Motion to Vacate Judgment and Declaration, 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 youa unless a fee waiver was granted.
new trial, you have 10 days to appeal the decision. File form
SC-140. Need help?
‘our county's Small Claims Advisor can help for free.
For more information on appeals, see www.courts.ca.gov/
Smaliclaims/appeals.
Do I have options? Yes. If you are being sued you can: r “|
+ Settle your case before the trial. If you and the
plaintiff agree on how to settle the case before the trial, the L . _|
plaintiff must file form ClV-110, Request for Dismissal or a . .
written and signed settlement agreement with the clerk. Ask the Or go to www.courts.ca.qov/smaliclaims/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 inan action to
Fecover COVID-19 rental debt. (See Code Civ. Proc., §§ 116.223 & 1179.02; form SC-500.)
Revised November 1, 2021 Plaintiff's Claim and ORDER to Go to Small Claims Court SC-100, Page oeInformacion para el demandado (la persona demandada)
La “Corte de reclamos menores” es una corte especial donde se
deciden casos por $10,000 o menos. Los individuos, o sea las
“personas fisicas" y los propietarios por cuenta propia, pueden
reclamar hasta $10,000. Las corporaciones, asociaciones, entidades
publicas y otras empresas solo pueden reclamar hasta $5,000. (Vea
abajo para las excepciones.*) El proceso es rapido y econdémico. Las
reglas son sencillas e informales. Usted es el Demandado—la
persona que se esta demandando. La persona que lo esta
demandando es el Demandante.
gNecesito un abogado? Puede hablar con un abogado antes o
después del caso. Pero no puede tener a un abogado que lo
represente ante la corle (a menos que se trate de una apelacién de un
caso de reclamos menores).
~Cémo me preparo para ir a la corte? No tiene que presentar
ningun documento antes del juicio, a menos que piense que ésta es la
corte equivocada para su caso. Pero lleve al juicio cualquier testigos,
recibos y pruebas que apoyan su caso. Y lea “Esté preparado para su
juicio” en www.courts.ca.gov/reclamosmenores/preparese.
Qué hago si necesito ‘na modificaci6n? Si tiene una
discapacidad o tiene impedimentos de audicin, Ilene el formulario
MC-410, Solicitud de modificaciones para discapacidad. Entregue el
formulario al secretario de la corte o al Coordinador de Acceso/ADA
de su corte.
éQué pasa si no hablo bien inglés? Solicite un intérprete al
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
intérprete de la corte para su juicio, es posible que se tenga que
cambiar la fecha de su juicio. No puede llevar su propio intérprete
para et juicio a menos que el intérprete haya sido aprobado por la
corte como un intérprete certificado, registrado, o provisionalmente
calificado. (Vea la regla 2.893 de las Reglas-de la Corte de California,
y el formulario INT-140.)
gDénde puedo obtener los formularios de la corte que necesito?
Vaya a cualquier edificio de la corte, la biblioteca legal de su condado,
0 imprima los formularios en www.courts.ca.gov/smallclaims/forms
(pagina esta en inglés). .
~Qué pasa en él juicio? El juez escuchar a ambas partes. El juez
puede tomar su decisién durante la audiencia o enviarsela por correo
después.
~Qué pasa si pierdo el caso? Si pierde, puede apelar. Tendraé que
pagar una cuota. (El Demandante no puede apelar su propio reclamo.)
. Siestuvo presente en el juicio, Ilene el formulario SC-140, Aviso de
apelacién (Notice of Appeal). Tiene que presentarlo dentro de 30
dias después de que el secretario le entregue o envie la decision
(fallo) del juez en el formulario SC-200 0 SC-130, Aviso de
publicacién del fallo (Notice of Entry of Judgment).
Si no estuvo en el juicio, Ilene y presente el formulario SC-135,
Aviso de peticion para anular el fallo y Declaracion para pedirle al
juez que anule el fallo (decision). Si la corte no le otorga un nuevo
juicio, tiene 10 dias para apelar la decisién. Presente el formulario
‘SC-140. .
Para obtener mas informacién sobre las apelaciones, vea
www.courts.ca.gov/reclamosmenores/apelaciones.
éTengo otras opciones? Si. Silo estan demandando, puede:
. Resolver su caso antes del juicio. Si usted y el Demandante se
ponen de acuerdo en como resolver el caso antes del juicio, el
Demandante tiene que presentar el formulario ClV-110 Solicitud de
desestimacién (Request for Dismissal) o un acuerdo de resolucién
escrito y firmado al secretario de la corte. Pidale al Asesor de
Reclamos Menores que lo ayude.
+ Probar que es la corte equivocada. Envie una catia a la corte
antes del juicio explicando por qué cree que es lacorte
equivocada. Pidale a la corte que despida el reclame. Tiene que
entregar (dar) una copia de su carta (por.correo oen persona) a
todas las partes. (Su carta a la corte tiene que decir que hizola
entrega.)
Ir al juicio y tratar de ganar el caso. Lleve testigos, recibos y
cualquier prueba que necesite para probar su caso. Si desea que
la corte e1 una orden de comparecencia para que los testigos
vayan al juicio, Ilene el formulario SC-107, Citatoriode reclamos
menores (Small Claims Subpoena) y entrégueselo legalmente al
testigo.
Demandar a la persona que lo demand6. Si tiene un reclamo.
contra-el Demandante, y el reclamo se puede presentar en la
corte de reclamos menores, tal como se describeeneste
formulario, puede presentar el formulario SC-120, Reclamo del
demandado (Defendant's Claim) y presentarlo eneste mismo
caso, Si su reclamo excede el limite permitido enlacorte de
reclamos menores, puede igualmente presentatloen la corte de
reclamos menores si esta dispuesto a limitar su reclamo al
maximo permitido, o puede presentar un reclamo por el monto
total en la corte apropiada. Si su reclamo excede el limite
permitido en la corte de reclamos menores y estételacionado con
el mismo contrato, transaccién, asunto o aconteciniento que el
reclamo del Demandante, puede presentar su reclamo en la corte
apropiada y presentar una mocién para transferirel reclamo del
Demandante a dicha corte, para poder resolver losdos reclamos
juntos. Puede ver una descripcién de los montos permitidos en el
parrafo anterior titulado "Corte de reclamos menores’.
+ Aceptar el reclamo del Demandante y pagar el dinero. O, sino
puede pagar en ese momento, vaya al juicio y digaque quiere
hacer los pagos a plazos.
+ No iral juicio y aceptar el fallo por falta de comparecencia. Si
no llega a un acuerdo con el Demandante y no vaaljuicio (fallo
por falta de comparecencia), el juez le puede otorgar al
Demandante lo que esta reclamando mas los costes de la corte.
En ese caso, él Demandante legalmente puéde tomar su dinero, +
su sueldo o sus bienes para cobrar el fallo.
~Qué hago si necesito mas tiempo? Puede cambiatla fecha del
juicio si:
+ No puede ira la corte en la fecha programada (tend que pagar
una cuota para aplazar el juicio), o
+ No le entregaron los documentos legalmente (no recibi6 Ia orden
para ira la corte) por lo menos 15 dias antes del juicio (6 20 dias
si vive fuera del condado).
Preguntele al secretario de reclamos menores sobrelas reglas y las
cuotas para aplazar un juicio. O lene el formulario SC-150 (0 escriba
una carta) y envielo antes del plazo a la corte y a todas las otras
personas que figuran en sus papeles de la corte. Adjunte un cheque
para pagar los costos de la corte, a menos que Je hayan dado una
exencién.
éNecesita ayuda? El Asesor de ReclamosMenores de su
condado le puede ayudar sin cargo.
_
+ Excepciones: Existen diferentes limites en un rectamo contra un garanle,Vea el Cédigo de
Procedimiento Civil, seccién 116.220 (c).) Los limites no se aplican a las aciones para reclamar
tuna deuda de alquiler del COVID-19. (Vea el Cédigo de Procedimiento Citi secciones 116.223
1179.02; y el formulatio SC-500.)
O visite www.courts.ca.gov/reclamosmenores/asesores.
Rev. November 1, 2021
Reclamo del Demandante y ORDEN Para Ir a la Corte de
SC-400, Page 6 of 6
Reclamos Menores
Preview
Plaintiff's Claim and ORDER SALE to Go to Small Claims Court Notice to the person being sued: * 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 (1) on page 2. * You and the plaintiff must go to court on the trial date listed below. If you 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. + Bring witnesses, receipts, and any evidence you need to prove your case. * Read this form and all pages attached to understand the claim against you and to protect your rights. Aviso al Demandado: * Usted es el Demandado si su nombre figura en @) de la pagina 2 de este formulario, o en el formulario SC-100A. La persona que lo demanda es el Demandante, la que figura en (4) de Ja pagina 2. Usted y el Demandante tienen que presentarse en la corte en Ja fecha del juicio indicada a continuacién. Si no se presenta, puede perder el caso. Si pierde el caso, la corte podria ordenar que le quiten de su sueldo, dinero u otros bienes para pagar este reclamo. Lea este formulario y todas las paginas adjuntas para entender Ja demanda en su contra y para proteger sus derechos. Order to Go to Court The people in (4) and (2) must attend court: (Clerk fills out section below.) a Clerk stamps date here when form is filed. F SMALL CLAIMS Seat tan an MAR 9 12022 CLEQW Ur BY: OURT puty Cleric Fill in court name and street address: Lleve testigos, recibos y cualquier otra prueba que necesite para probar su caso Superior Court of California, County of San Francisco 400 McAllister San Francisco, CA 94102 Court fills in case number when form is filed. Case Number: CSM2.8 65 465 Case Name: Cherniy vs Berdchsestry) Department ‘Name and address of court, if different from above > Date Time ge 1. MAY 4 1 2022 dfn _SD6 STi [torye 2. 3. n lA Date: MAR 212022 Clerk, by DA JONES » 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.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.gov/find-my-court. him, You must have someone at Jeast 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. Judicial Council of Califomia,www.courts.ca.gov Rev. November 1, 2021, Mandatory Form Code of Civil Procedure, §§ 116.110 el seq., 116.220{c), 116.340(g) Go to court on your trial date listed above. Bring witnesses, receipts, and any evidence you need to prove your case. Plaintiff's Claim and ORDER to Go to Small Claims Court ‘SC-100, Page 1 of 6 >Ss VJ Plaintiff (list names): Case Number: Cherniy @ The plaintiff (the person, business, or public entity that is suing) is: Name: Maryna Cherniy Phone: 415-6326287 Street address: 275 Collins St_Apt 23 San Francisco CA 94118 Street City State Zip Mailing address (if different): Street City State Zip Email address (if available): 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): Check here if more than two plaintiffs and attach form SC-100A. DO Check here if either plaintiff listed above is doing business under a fictitious name and attach form SC-103. OO 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: Mikhail Berdichevsky Phone: 415-386-5590 Street address: 4444 Geary Blvd San Francisco CA 94118 Street City State Zip Mailing address (if different): Street city State Zip 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. Ol Check here if any defendant is on active military duty and write defendant’s name here: @) The plaintiff claims the defendant owes $ 8759.20 . (Explain below and on next page.) (Note: A claim for COVID-19 rental debt cannot be made on this form. Use form SC-501 intiff's Claim and ORDER to Small Clai OVID-19 Ri Debt).) a. Why does the defendant owe the plaintiff money? rdichevsky performed dental pro es tha Rev. November 1,2024 Plaintiffs Claim and ORDER to Go to Small Claims Court SC-100, Page 2 s—/ \ ) Plaintiff (list names): Case Number: Cen, q @® b. When did this happen? (Date): If no specific date, give the time period: Date started: May 2021 Through: Dec 2021 c. How did you calculate the money owed to you? (Do not include court costs or fees for service.) —Payment to Alpha One Dental (implant replacement} $3570 Pp t-te Alpha One-Dental implant dand-b: ft fe ir of periimplant- defect)-$5,050-00. '¥ ‘P: ap? oF Pi Pt iP POPE 0 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 [J 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. [Ed (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. [1 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.) ° a. (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 (5) above (if-you know): 94118 ® Is your claim about an attorney-client fee dispute? [] Yes [x] 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 [xj 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. November 4,2021 Plaintiff's Claim and ORDER to Go to Small Claims Court SC-100, Page 3 of 6 >Plaintiff (list names): ~ r __imaber OK aN 4 J : stave you sled more than 12 other stall calms within the last {2 moni” California? Dl Yes [No Ives, the filing fee for this case will be higher. ssc ny of pug vr wr eC a einmatin en 8 attachments to this form is true and correct. . . pae_ 03/21 /2 @ Up— _ _Maryna Chemiy > ; ‘Plaintiff types or prints name here Plaintiff signs here “Dates os » Second plaintiff types or prints name here Second plaintiff signs here for Accommodations : Asie Hang ee five day bef thea For tes ad ber mae . contact the clerk’s office for form MC-410, Disability Accommodation Request. (Civ. Code, § 54.8.) Fv. Rewenbor 4.2924 Plaintiff's Claim and ORDER to Go to Small Claims Court SC-180, Pateinformation 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 letter to the court $10,000 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 $10,000. 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 $5,000. (See below for exceptions.) The the court must say you have done so.) process is quick and cheap. The rules are simple and informal. + Go to the trial and try to win your case. Bring You are the defendant—the person being sued. The person who is witnesses, receipts, and any evidence you need to prove your suing you is the plaintiff. case. To have the court order a witness to go to the trial, fill out Do I need a lawyer? You may talk toa lawyer before or after form SC-107, Small Claims Subpoena and Declaration, 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). Sue the person who is suing you. If you have a claim > "4 f How do I get ready for court? You don’t have to file any against the plaintiff, and the claim is appropriate for smaill 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. Ifyour 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 www. courts.ca.gov/smallclaims/prepare, small claims court if you give up the amount over the small What if | need an accommodation? If you 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.formore than ~ Accommodation Request. 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 plaintiff's 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 ne if t the mone: 0 fo your trial been approved by the court as a certified, registered, or mn sa y you cant peyments '¥ now, go toy provisionally qualified interpreter. (See Cal. Rules of Couit, rule y . 7 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. If this happens, the plaintiff can www. courts.ca.gov/forms, legally take your money, wages, and property to pay the . juds it. What happens at the trial? The judge will isten to both Ibcgment sides. The judge may make a decision at your trial or mall 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 may 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) at least + If you 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). {udge's decision (iudgment) on form $G:200 or form $C-130. ack the Small Claims Clerk about the rules and fees for Notice of Entry of Judgment. Postponing a trial. Or fill out form SC-150 (or write a letter) and + Ifyou were not at the trial, fill out and file form SC-135, Notice of mail it to the court and to all other people listed on your court Motion to Vacate Judgment and Declaration, 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 youa unless a fee waiver was granted. new trial, you have 10 days to appeal the decision. File form SC-140. Need help? ‘our county's Small Claims Advisor can help for free. For more information on appeals, see www.courts.ca.gov/ Smaliclaims/appeals. Do I have options? Yes. If you are being sued you can: r “| + Settle your case before the trial. If you and the plaintiff agree on how to settle the case before the trial, the L . _| plaintiff must file form ClV-110, Request for Dismissal or a . . written and signed settlement agreement with the clerk. Ask the Or go to www.courts.ca.qov/smaliclaims/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 inan action to Fecover COVID-19 rental debt. (See Code Civ. Proc., §§ 116.223 & 1179.02; form SC-500.) Revised November 1, 2021 Plaintiff's Claim and ORDER to Go to Small Claims Court SC-100, Page oeInformacion para el demandado (la persona demandada) La “Corte de reclamos menores” es una corte especial donde se deciden casos por $10,000 o menos. Los individuos, o sea las “personas fisicas" y los propietarios por cuenta propia, pueden reclamar hasta $10,000. Las corporaciones, asociaciones, entidades publicas y otras empresas solo pueden reclamar hasta $5,000. (Vea abajo para las excepciones.*) El proceso es rapido y econdémico. Las reglas son sencillas e informales. Usted es el Demandado—la persona que se esta demandando. La persona que lo esta demandando es el Demandante. gNecesito un abogado? Puede hablar con un abogado antes o después del caso. Pero no puede tener a un abogado que lo represente ante la corle (a menos que se trate de una apelacién de un caso de reclamos menores). ~Cémo me preparo para ir a la corte? No tiene que presentar ningun documento antes del juicio, a menos que piense que ésta es la corte equivocada para su caso. Pero lleve al juicio cualquier testigos, recibos y pruebas que apoyan su caso. Y lea “Esté preparado para su juicio” en www.courts.ca.gov/reclamosmenores/preparese. Qué hago si necesito ‘na modificaci6n? Si tiene una discapacidad o tiene impedimentos de audicin, Ilene el formulario MC-410, Solicitud de modificaciones para discapacidad. Entregue el formulario al secretario de la corte o al Coordinador de Acceso/ADA de su corte. éQué pasa si no hablo bien inglés? Solicite un intérprete al 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 intérprete de la corte para su juicio, es posible que se tenga que cambiar la fecha de su juicio. No puede llevar su propio intérprete para et juicio a menos que el intérprete haya sido aprobado por la corte como un intérprete certificado, registrado, o provisionalmente calificado. (Vea la regla 2.893 de las Reglas-de la Corte de California, y el formulario INT-140.) gDénde puedo obtener los formularios de la corte que necesito? Vaya a cualquier edificio de la corte, la biblioteca legal de su condado, 0 imprima los formularios en www.courts.ca.gov/smallclaims/forms (pagina esta en inglés). . ~Qué pasa en él juicio? El juez escuchar a ambas partes. El juez puede tomar su decisién durante la audiencia o enviarsela por correo después. ~Qué pasa si pierdo el caso? Si pierde, puede apelar. Tendraé que pagar una cuota. (El Demandante no puede apelar su propio reclamo.) . Siestuvo presente en el juicio, Ilene el formulario SC-140, Aviso de apelacién (Notice of Appeal). Tiene que presentarlo dentro de 30 dias después de que el secretario le entregue o envie la decision (fallo) del juez en el formulario SC-200 0 SC-130, Aviso de publicacién del fallo (Notice of Entry of Judgment). Si no estuvo en el juicio, Ilene y presente el formulario SC-135, Aviso de peticion para anular el fallo y Declaracion para pedirle al juez que anule el fallo (decision). Si la corte no le otorga un nuevo juicio, tiene 10 dias para apelar la decisién. Presente el formulario ‘SC-140. . Para obtener mas informacién sobre las apelaciones, vea www.courts.ca.gov/reclamosmenores/apelaciones. éTengo otras opciones? Si. Silo estan demandando, puede: . Resolver su caso antes del juicio. Si usted y el Demandante se ponen de acuerdo en como resolver el caso antes del juicio, el Demandante tiene que presentar el formulario ClV-110 Solicitud de desestimacién (Request for Dismissal) o un acuerdo de resolucién escrito y firmado al secretario de la corte. Pidale al Asesor de Reclamos Menores que lo ayude. + Probar que es la corte equivocada. Envie una catia a la corte antes del juicio explicando por qué cree que es lacorte equivocada. Pidale a la corte que despida el reclame. Tiene que entregar (dar) una copia de su carta (por.correo oen persona) a todas las partes. (Su carta a la corte tiene que decir que hizola entrega.) Ir al juicio y tratar de ganar el caso. Lleve testigos, recibos y cualquier prueba que necesite para probar su caso. Si desea que la corte e1 una orden de comparecencia para que los testigos vayan al juicio, Ilene el formulario SC-107, Citatoriode reclamos menores (Small Claims Subpoena) y entrégueselo legalmente al testigo. Demandar a la persona que lo demand6. Si tiene un reclamo. contra-el Demandante, y el reclamo se puede presentar en la corte de reclamos menores, tal como se describeeneste formulario, puede presentar el formulario SC-120, Reclamo del demandado (Defendant's Claim) y presentarlo eneste mismo caso, Si su reclamo excede el limite permitido enlacorte de reclamos menores, puede igualmente presentatloen la corte de reclamos menores si esta dispuesto a limitar su reclamo al maximo permitido, o puede presentar un reclamo por el monto total en la corte apropiada. Si su reclamo excede el limite permitido en la corte de reclamos menores y estételacionado con el mismo contrato, transaccién, asunto o aconteciniento que el reclamo del Demandante, puede presentar su reclamo en la corte apropiada y presentar una mocién para transferirel reclamo del Demandante a dicha corte, para poder resolver losdos reclamos juntos. Puede ver una descripcién de los montos permitidos en el parrafo anterior titulado "Corte de reclamos menores’. + Aceptar el reclamo del Demandante y pagar el dinero. O, sino puede pagar en ese momento, vaya al juicio y digaque quiere hacer los pagos a plazos. + No iral juicio y aceptar el fallo por falta de comparecencia. Si no llega a un acuerdo con el Demandante y no vaaljuicio (fallo por falta de comparecencia), el juez le puede otorgar al Demandante lo que esta reclamando mas los costes de la corte. En ese caso, él Demandante legalmente puéde tomar su dinero, + su sueldo o sus bienes para cobrar el fallo. ~Qué hago si necesito mas tiempo? Puede cambiatla fecha del juicio si: + No puede ira la corte en la fecha programada (tend que pagar una cuota para aplazar el juicio), o + No le entregaron los documentos legalmente (no recibi6 Ia orden para ira la corte) por lo menos 15 dias antes del juicio (6 20 dias si vive fuera del condado). Preguntele al secretario de reclamos menores sobrelas reglas y las cuotas para aplazar un juicio. O lene el formulario SC-150 (0 escriba una carta) y envielo antes del plazo a la corte y a todas las otras personas que figuran en sus papeles de la corte. Adjunte un cheque para pagar los costos de la corte, a menos que Je hayan dado una exencién. éNecesita ayuda? El Asesor de ReclamosMenores de su condado le puede ayudar sin cargo. _ + Excepciones: Existen diferentes limites en un rectamo contra un garanle,Vea el Cédigo de Procedimiento Civil, seccién 116.220 (c).) Los limites no se aplican a las aciones para reclamar tuna deuda de alquiler del COVID-19. (Vea el Cédigo de Procedimiento Citi secciones 116.223 1179.02; y el formulatio SC-500.) O visite www.courts.ca.gov/reclamosmenores/asesores. Rev. November 1, 2021 Reclamo del Demandante y ORDEN Para Ir a la Corte de SC-400, Page 6 of 6 Reclamos Menores