Attorney or unrepresented party (name & address) Representing (name): Calif. Bar Assoc. No For Court Use Only Telephone Number: SUPERIOR COURT OF CALIFORNIA, COUNTY OF MERCED 21ST & M STREET MERCED. CALIFORNIA 95340 Plaintiff: NATURE OF CASE Personal Injury, Property Damage or wrongful Death involving Motor Vehicle All other Personal Injury etc. Family Law Eminent Domain Other Civil NOTE : Eminent domain actions Must show parcel number Submit one copy of this form for each parcel and for each case if consolidated actions. Case number: Parcel No Defendant: AT-ISSUE MEMORANDUM AMENDED COUNTER AT-ISSUE 1 What date was the action filed? 2 3 4 What date was the first answer filed? Yes Jury trial requested: Time estimated for trial: Days 5 6 7 Yes Case entitled to preference: No partially completed completed Is discovery Is any law and motion matter pending or contemplated? No Hours Under code section: not yet begun Yes Yes Will such law and motion matter be heard within 90 days? Yes No Is equitable relief sought? 10 Does the amount in controversy exceed $25.000 as to any Plaintiff? 11 Do you object to the matter being ordered to Arbitration? Yes No 8 9 No Yes No No 12 Are you willing to stipulate to Arbitration, regardless of the amount in controversy? Yes No 13 If Personal Injury: a. Nature and extend of injuries b. Total medical expenses to date: c. Future medical expenses: d. Loss of earnings to date: e. Future loss of earnings: f. Other special or general damages: 14 Other: a. Nature of damages: b. Amount of damages: 15 c. Relief sought: indicate below, names of party being represented and trial counsel Plaintiff Defendant Attorney Attorney Firm Firm Address Address Telephone Telephone Party Party Attorney Attorney Firm Firm Address Address Telephone Telephone AT ISSUE MEMORANDUM 2002 © American LegalNet, Inc. Party Party Attorney Attorney Firm Firm Address Address Telephone Telephone Party Party Attorney Attorney Firm Firm Address Address Telephone Telephone For additional parties, attach a separate sheet and check here I here by represent to the court that all essential parties have been served with processor have appeared herein and that this case at Issue as to all such parties that no amended or supplemental complaint or cross-complaint or other affirmative pleading remains unanswered that to my knowledge no other parties will be served with a summons prior to the time of trial. and I know of no further pleading to be filed Date Attorney (s) for ANY PARTY NOT IN AGREEMENT WITH THE INFORMATION OR ESTIMATES GIVEN IN AT ISSUE MEMORANDUM SHALL. WITHIN TEN DAYS AFTER SERVICE THEREOF SERVE AND FILE A MEMORANDUM IN HIS BEHALF . PROOF OF SFRVICE BY MAIL. (C.C.P. 1013a) I served the At-issue Memorandum by depositing a copy thereof (enclosed in sealed envelope(s). postage prepaid) in the United States mail at addressed to each party or to his attorney as shown in such memoranda, on California At the time of service, I was at least 18 years of age, (employed/ residing) mailing occurred, and not a party to the action. My (residence/ business) in the county where the address is: I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and this declaration is executed on (date) at (place) (Signature of declarant) (Type or print name) 2002 © American LegalNet, Inc.