Fresno — (CIV-110) Request for Dismissal

Source: https://www.courts.ca.gov/documents/civ110.pdf

CIV-110 ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER: FOR COURT USE ONLY NAME: FIRM NAME: STREET ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE NO.: FAX NO.: EMAIL ADDRESS: ATTORNEY FOR (name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT:

CASE NUMBER:

REQUEST FOR DISMISSAL

A conformed copy will not be returned by the clerk unless a method of return is provided with the document. This form may not be used for dismissal of a derivative action or a class action or of any party or cause of action in a class action. (Cal. Rules of Court, rules 3.760 and 3.770.)

1. TO THE CLERK: Please dismiss this action as follows: a. (1) With prejudice (2) Without prejudice (3) Without prejudice and with the court retaining jurisdiction (Code Civ. Proc., § 664.6) b. (1) Complaint (2) Petition (3) Cross-complaint filed on (date): by (name): (4) Cross-complaint filed on (date): by (name): (5) Entire action of all parties and all causes of action (6) Other (specify)*:
2. (Complete in all cases except family law cases.) The court did did not waive court fees and costs for a party in this case. (This information may be obtained from the clerk. If court fees and costs were waived, the declaration on the back of this form must be completed.) Date:

(TYPE OR PRINT NAME OF ATTORNEY PARTY WITHOUT ATTORNEY) (SIGNATURE)

• If dismissal requested is of specified parties only, of specified causes of action only, Attorney or party without attorney for or of specified cross-complaints only, so state and identify the parties, causes of Plaintiff/Petitioner Defendant/Respondent action, or cross-complaints to be dismissed Cross-Complainant

3. TO THE CLERK: Consent to the above dismissal is hereby given.† Date:

(TYPE OR PRINT NAME OF ATTORNEY PARTY WITHOUT ATTORNEY) (SIGNATURE) † If item 1a(3) is checked, all parties must sign. Attorney or party without attorney for If a cross-complaint—or Response—Marriage/Domestic Partnership (form FL-120) Plaintiff/Petitioner Defendant/Respondent seeking affirmative relief—is on file, the attorney for cross-complainant (respondent) must sign this consent if required by Code of Civil Procedure section 581(i) or (j). Cross-Complainant Check here and use form MC-025 or a separate page for additional signatures. Include date, printed name, and party information. 4. Dismissal entered as requested on (date): 5. Dismissal entered on (date): as to only (name): 6. Dismissal not entered as requested for the following reasons (specify):

7. a. Attorney or party without attorney notified on (date): b. Attorney or party without attorney not notified. Filing party failed to provide a copy to be conformed means to return conformed copy

Date: Clerk, by , Deputy

Form Adopted for Mandatory Use REQUEST FOR DISMISSAL Code of Civil Procedure, § 581 et seq.;Judicial Council of California Government Code, § 68637(c); Cal. Rules of Court, rule 3.1390 CIV-110 [Rev. January 1, 2025] www.courts.ca.gov

CIV-110 PLAINTIFF/PETITIONER: CASE NUMBER: DEFENDANT/RESPONDENT:

COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS If a party whose court fees and costs were initially waived has recovered or will recover $10,000 or

more in value by way of settlement, compromise, arbitration award, mediation settlement, or other means, the court has a statutory lien on that recovery. The court may refuse to dismiss the case until the lien is satisfied. (Gov. Code, § 68637.)

Declaration Concerning Waived Court Fees

1. The court waived court fees and costs in this action for (name):

2. The person named in item 1 is (check one below) a. not recovering anything of value by this action. b. recovering less than $10,000 in value by this action. c. recovering $10,000 or more in value by this action. (If item 2c is checked, item 3 must be completed.)

3. All court fees and court costs that were waived in this action have been paid to the court (check one): Yes No

I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date:

(TYPE OR PRINT NAME OF ATTORNEY PARTY MAKING DECLARATION) (SIGNATURE)

CIV-110 [Rev. January 1, 2025] REQUEST FOR DISMISSAL Page 2 of 2 For your protection and privacy, please press the Clear This Form button after you have printed the form. Print this form Save this form Clear this form