CIV-110
ATTORNEY OR PARTY WITHOUT ATI’ORNEY

(Name, State Bar number. and address):

Stephen J. Estey, Esq.
Estey & Bomberger, LLP
2869 India Street

FOR COURT USE ONLY

(SBN#163093)

E-FILED
4/4/2018 3:21 PM
FRESNO COUNTY SUPERIOR COURT
By: K. Daves, Deputy

San Diego, California
ADDRESS

E-MAIL

92103
295- 0035

(619)

TELEPHONE N0;

FAxquOmkanaI):

295-0172

(619)

(Optional);

AWORNEY FOR

P laint i f f

(Name):

FRESNO

SUPERIOR COURT OF CALIFORle COUNTY OF

1130 O Street
Same
Fre sno Cal i fornia 93 7 2 l

STREETADDREss:
MAILING ADDRESS:
CITY AND ZIP CODE:

,

BRANCH NAME:

PLAINTIFF/PETITIONER: JENNY DOE, a minor, by and through
her Guardian ad Litem, Pete
DEFENDANT/RESPONDENT: BLAKE WELLS, a minor, RONALD W.
WELLS, II, CHERYL DENISE WELLS
CASENUMBER:

REQUEST FOR DISMISSAL

16CECG00594

A conformed copy will

not be returned by the clerk unless a method of return is provided with the document.
This form may not be used for dismissal of a derivative action or a class action or of any party or cause of action in a
class action. (Cal. Rules of Court, rules 3.760 and 3.770.)

TO THE CLERK:

1.

a. (1)
b.

(1)
(3)

(4)
(5)
(6)

IE With prejudice

E
E
E
C

The

court

the clerk.

this action

follows:

C] Without prejudice
C} Petition

(2)

Complaint

as

(2)

Cross-complaint filed by (name):

on

Cross-complaint filed by (name):

on dale):

Entire action of

all

parties

and

all

(date):

causes of action

Other (specify):*

cases except family law cases.)
X did not waive court fees and costs for a party in this case. (Thi
If court fees and costs were waived, the declaration on the back of this form m

(Complete

2.

Please dismiss

in all

did

'on

infor

may be obtained

from

v/eted).

Date:

_S.tle.phen
(TYPE

Estey, Esq.

J.

B] ATTORNEY

OR PRINT NAME OF

’

(SBN#1630
v_v

Attorney or party without attorney fo

’lf

dismissal requested is of specified panies only of specified causes of action
only,orof3pecified cross-complaints only, so state and identifylhe parties.
causes of action, or cross-complaints to be dismissed.

fi
"X

;

3.

¢

(SIG

PARTY WITHOUT ATTORNEY)

TO THE CLERK: Consent to the above

dismissal

is

RE)
.

Jenny Doe

{‘7‘}

Defendant/Respondent

PIaintiff/Petitioner
.

Cross—Complalnant

hereby given."

Date:

>

'

(

TYPE 0R PRINT NAME oF

**

ATTORNEY

W

PARTY WITHOUT ATr o R NEW

(SIGNATURE)
.

Attorney or party Without attorney

a cross-complaint — or Response (Family Law) seeking affirmative
relief— is on file, the attorney for cross-complainant (respondent) must
sigr) this consent if required by Code of Civil Procedure sec‘ion 581 (i)

for:

If

:J

or m'

D

PIaintiff/Petitioner

Defendant/Respondent

;;l Cross—Complainant
(To
4.
5.

X
Q
m
X
E
E
b9;

completed by

4/4/2018

Dismissal entered on (date):

as to only (name):
Dismissal not entered as requested for thé following reasons (specify):

V

6.

clerk)

Dismissal entered as requested on (date):

7. a.
b.

Date:

4/6/2018

Attorney or party without attorney notified on (date):
Attorney or party without attorney not notified. Filing party failed to provide
a copy to be conformed
means to return conformed copy

j

4/6/2018

l:

Clerk, by

K. Daves
,

Deputy

Page
Form Adopted

for

Mandatory Use

JUdiCial council of california

CIV—1 10 [Rev‘ Jan.

1,

201

3]

REQUEST FOR DISMISSAL

Code

sofil%‘faills—

E&Pus

Gov. Code.

1

of 2

ofCivil Procedure. § 581 etseq.:
§ 65637(c); Cal. Rules of Court, rule 3.1390

 ClV-1 10

JENNY DOE, a minor, by and
through her Guardian ad Litem, Pe
DEFENDANT/RESPONDENT: BLAKE WELLS, a minor, RONALD w.
WELLS, II, CHERYL DENISE WELLS
PLAINTIFF/PETITIONER:

CASE NUMBER:

16CEC900594

COURT'S RECOVERY 0F WAIVED COURT FEES AND COSTS
a party whose court fees and costs were initially waived has recovered or will recover $1 0,000 or
more in value by way of settlement, compromise, arbitration award, mediation settlement, or other
means, the court has a statutory lien on that recovery. The court may refuse to dismiss the case until
the lien is satisfied. (Gov. Code, § 68637.)
If

Declaration Concerning Waived Court Fees
1.

The

2.

The person named

court waived court fees

in

item

1

and costs
is

in this

action for (name):

(check one below):

not recovering anything of value by this action.

a.

recovering less than $10,000

b.

in

value by this action.

r

recovering $10,000 or

c.

:1

3.

l

All

court fees

more

and court costs

that

in

value by this action.

were waived

in this

(If

item 2c

action have

is

checked, item 3 must be completed.)

been paid

to the court

declare under penalty of perjury under the laws of the State of California that the information above

(check one):

is

true

and

S

Yes

No

correct.

Date:

V
(TYPE

0R PRINT NAME 0F

CIV-110 [Rev. January

1.

,

2013]

AWORNEY

PARTY MAKING DECLARATION)

REQUEST FOR DISMISSAL

(SIGNATURE)

Pase2 0'2