Mendocino — SC-100A

Source: http://www.courts.ca.gov/documents/sc100a.pdf

SC-100A Other Plaintiffs or Defendants Case Number:

This form is attached to form SC-100, item 1 or 2.

1 If more than two plaintiffs (person, business, or entity suing), list their information below: Other plaintiff’s name: Street address: Phone: City: State: Zip: Mailing address (if different): City: State: Zip: Is this plaintiff doing business under a fictitious name? Yes No If yes, attach form SC-103. Other plaintiff’s name: Street address: Phone: City: State: Zip: Mailing address (if different): City: State: Zip: Is this plaintiff doing business under a fictitious name? Yes No If yes, attach form SC-103. Check here if more than 4 plaintiffs and fill out and attach another form SC-100A. 2 If more than one defendant (person, business, or entity being sued), list their information below: Other defendant’s name: Street address: Phone: City: State: Zip: Mailing address (if different): City: State: Zip: If this defendant is a corporation, limited liability company, or public entity, list the person or agent authorized for service of process: Name: Job title, if known: Address: City: State: Zip: Check here if your case is against more than two defendants, and fill out and attach another form SC-100A. 3 Is your claim for more than $2,500? Yes No If yes, I have not filed, and understand that I cannot file, more than two small claims cases for more than $2,500 in California during this calendar year. 4 I understand that by filing a claim in small claims court, I have no right to appeal this claim. I declare under penalty of perjury under California state law that the information above and on any attachments to this form is true and correct. Date:

Type or print your name Sign your name Date:

Type or print your name Sign your name

Judicial Council of California, www.courts.ca.gov SC-100A, Page __ of __Revised January 1, 2017, Mandatory Form Other Plaintiffs or Defendants Code of Civil Procedure, § 116.110 et seq. (Attachment to Plaintiff's Claim and ORDER to Go to Small Claims Court)

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