PARTY WITHOUT ATTORNEY (Name and address): FOR COURT USE ONLY TELEPHONE NO.: EMAIL ADDRESS (Optional): FAX NO.(Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, SMALL CLAIMS, 330 W. BROADWAY, ROOM 241, SAN DIEGO, CA 92101 NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA 92081 PLAINTIFF(S) DEFENDANT(S) CASE NUMBER REQUEST FOR DISMISSAL ­ SMALL CLAIMS To the clerk of the court: I am the plaintiff defendant in this case and I am asking the court to dismiss (select one of the following): all claims I have in this case as to all parties. the claim I have in this case as to (name of party) only. I am asking the court to dismiss the claim or party above (select one of the following): Without prejudice (disposes of the lawsuit and any claim about the same facts or dispute can only be filed before the legal deadline). You may wish to seek legal advice for clarification. With prejudice (disposes of the lawsuit permanently). I understand that I am giving up the right to file another claim against defendant(s) about the same facts or dispute. You may wish to seek legal advice for clarification. Date: Type or Print Name Signature of Party (or authorized agent, including title) Date: Type or Print Name Signature of Party (or authorized agent, including title) NOTE: IF A CLAIM OF DEFENDANT HAS BEEN FILED, DISMISSAL OF THE PLAINTIFF'S CLAIM WILL NOT DISMISS THE CLAIM OF THE DEFENDANT, NOR WILL THE DISMISSAL OF A CLAIM OF DEFENDANT DISMISS A PLAINTIFF'S CLAIM. DO NOT USE THIS DISMISSAL FORM IF JUDGMENT HAS BEEN RENDERED. YOU MAY WISH TO SEEK LEGAL ADVICE. SDSC SC-044 (Rev. 12/14) REQUEST FOR DISMISSAL ­ SMALL CLAIMS American LegalNet, Inc. www.FormsWorkFlow.com