Mendocino — MSC-102

Source: https://www.mendocino.courts.ca.gov/system/files/forms-and-filings/msc-102.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) For Court Use Only

TELEPHONE NO.: FAX NO. (Optional):

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF MENDOCINO

UKIAH Courthouse TEN MILE Branch Court
100 North State Street 700 South Franklin Street
Ukiah, CA 95482 Fort Bragg, CA 95437

PETITIONER/PLAINTIFF: CASE NUMBER:

RESPONDENT/DEFENDANT:

NOTICED MOTION REQUESTING ENTRY OF JUDGMENT HEARING DATE:
AFTER DEFAULT AND SUPPORTING DECLARATION
(Small Claims) TIME: DEPT.

I, (name) , am the Plaintiff Defendant in this action and I declare that:

1. On (date) parties stipulated that Plaintiff Defendant perform pursuant to the terms of the Small Claims Settlement Agreement, copy attached.

2. Plaintiff Defendant, (name) , breached the agreement as follows:

3. I request that this action be heard so the dismissal previously entered may be set aside and that the

   Court enter a judgment granting relief pursuant to the terms of the Small Claims Settlement Agreement

   and the breach as stated above.

4. Upon receipt of a hearing date (as stated above) I shall have someone who is 18 years of age or older and who is not a party to this action serve a copy of this document to Plaintiff Defendant, either by personal service or through regular mail to the address as noted on the Small Claims Settlement Agreement and I shall then file the appropriate Proof of Service with the Court.

I declare under penalty of perjury that the foregoing is true and correct.

Date: Signature of Declarant

MSC-102 (rev 0422)