SC-100 · · · · · Plaintiff's Claim and ORDER to Go to Small Claims Court Clerk stamps date here when form is filed. Notice to the person being sued: You are the defendant if your name is listed in 2 on page 2 of this form. 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. Usted es el Demandado si su nombre figura en 2 de la página 2 de este formulario. La persona que lo demanda es el Demandante, la que figura en 1 de la página 2. Usted y el Demandante tienen que presentarse en la corte en la fecha del juicio indicada a continuación. Si no se presenta, puede perder el caso. Fill in court name and street address: Superior Court of California, County of Aviso al Demandado: · Court fills in case number when form is filed. · Case Number: Si pierde el caso la corte podría ordenar que le quiten de su sueldo, dinero u Case Name: otros bienes para pagar este reclamo. · Lleve testigos, recibos y cualquier otra prueba que necesite para probar su caso. · Lea este formulario y todas las páginas adjuntas para entender la demanda en su contra y para proteger sus derechos. · Order to Go to Court The people in 1 and 2 must go to court: (Clerk fills out section below.) Trial Date Date Time Department Name and address of court, if different from above 1. 2. 3. Date: Clerk, by , Deputy Instructions for the person suing: · 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. Get SC-100-INFO at any courthouse or county law library, or go to www.courts.ca.gov/smallclaims/forms. · Fill out pages 2 and 3 of this form. Then make copies of all pages of this form. (Make one copy for each party named in this case and an extra copy for yourself.) Take or mail the original and these 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. · 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 five 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 California, www.courts.ca.gov Revised January 1, 2017, Mandatory Form Code of Civil Procedure, §§ 116.110 et seq., 116.220(c), 116.340(g) Plaintiff's Claim and ORDER to Go to Small Claims Court (Small Claims) SC-100, Page 1 of 5 American LegalNet, Inc. www.FormsWorkFlow.com Plaintiff (list names): Case Number: 1 The plaintiff (the person, business, or public entity that is suing) is: Name: Street address: Street City Street City State State Zip Zip Phone: Mailing address (if different): If more than one plaintiff, list next plaintiff here: Name: Street address: Street City Street City State State Zip Zip Phone: Mailing address (if different): Check here if more than two plaintiffs and attach form SC-100A. Check here if either plaintiff listed above is doing business under a fictitious name. If so, attach form SC-103. Check here if any plaintiff is a "licensee" or "deferred deposit originator" (payday lender) under Financial Code sections 23000 et seq. 2 The defendant(the person, business, or public entity being sued) is: Name: Street address: Street City Street City State State Zip Zip Phone: Mailing address (if different): If the defendant is a corporation, limited liability company, or public entity, list the person or agent authorized for service of process here: Name: Address: Street City State Zip Job title, if known: Check here if your case is against more than one defendant, and attach form SC-100A. Check here if any defendant is on active military duty, and write his or her name here: 3 The plaintiff claims the defendant owes $ a. Why does the defendant owe the plaintiff money? . (Explain below): When did this happen? (Date): b. If no specific date, give the time period: Date started: Through: c. How did you calculate the money owed to you? (Do not include court costs or fees for service.) 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. Revised January 1, 2017 Plaintiff's Claim and ORDER to Go to Small Claims Court (Small Claims) SC-100, Page 2 of 5 American LegalNet, Inc. www.FormsWorkFlow.com Plaintiff (list names): Case Number: 4 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 No If no, explain why not: 5 Why are you filing your claim at this courthouse? This courthouse covers the area (check the one that applies): a. (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. 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. 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.) Where the buyer signed the contract, lives now, or lived when the contract was made, or where the vehicle is d. permanently garaged, if this claim is about a vehicle finance sale. (Civ Code, § 2984.4.) Other (specify): e. 6 7 8 List the zip code of the place checked in 5 above (if you know): Is your claim about an attorney-client fee dispute? Are you suing a public entity? Yes No If yes, and if you have had arbitration, fill out form S