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5C-100 Plaintiff's Claim and ORDER Clerk stamps date here when form is filed.

to Go to Small Claims Court


Notice to the person begin sued:
You are the Defendant if your name is listed in (2) on page 2 of this
form. The person suing you is the Plaintiff.

You and the Plaintiff must go to the court on the trial date listed below. If

~T 112005
you do not go to court, you may lose the case.

If you lose, the court can order that your wages, money, or property be
taken to pay this claim.
FIll out court name andstreet address:
Bring witnesses, receipts, and any evidence you need to prove your case. Superior Court of california, County of Riverside

Read pages 2 and 3 of this form to understand the Plaintiffs claim against
880 North State Street
you and page 4 of this form to protect your rights.
Hemet, CA 92543
Aviso al demandando:
Usted es el Demandado si su nombre Figura in (2) de la pagina 2
de este formulario. La persona que 10 demanda es el Demandante.
Oerk fills In case number when fonn IS filed.

Usted y el Demandante tienen que presentarse en la corte en la ICose Number:


fecha del juicio indicada a continuacion. 5i no se presenta, puede HE5011184
perder el caso.

5i pierde el caso la corte podrfa ordenar que Ie quiten de su


sueldo, dinero u otros bienes para pagar este reclamo.

L1eve testigos, recibos y cualquier otra prueba que necesite para probar su caso.

Lea las paginas 2 y 3 de este formulario para entender la demanda en su contra y la pagina 5 de este formulario
para proteger sus derechos.
Order to Go to Court
The people in (1) and (2) must go to court on: (Clerk fills out below)

Date Time Department Name and address of court if different from above
Trial
1. 11/10105 1:30 PM H5
Date
2. _

3. _

Date: 10/11/05 Clerk by, VICKIE ARVIZU

Instructions for the person suing:


You are the Plaintiff. The person you are suing is the Defendant.

Before you fill out this form, read Form 5C-150, Information for the Small Claims Plaintiff, to know your rights. Get
5C-150 at any courthouse, county law library, or go to www.courtinfo.ca.gov/forms

Fill out pages 2 and 3 of this form. Then take or mail it to the courthouse clerk's office and pay your fee. The clerk
will write your trial date in the box above.

You must have someone 18 or over--not you or anyone else involved with this case--give each Defendant a copy of
all 5 pages of this form and any pages this form tells you to attach. Keep a copy for your records.

Go to court on your trial date listed above. Bring witnesses, receipts, and any evidence you needed to prove your case.
SC-100, Page 1 of 5
Judicial Council of California, www.CQurtinfo.ca.Qov
Rev, January 1, 2005, Mandatory Form
Plaintiff's Claim and ORDER
Code of Civil PrOCedure, 116.110 at seq"
116.220(c), 116,340(g)
to Go to Small Claims Court
FORM CSCPC (Small Claims)
Case Number:

SC-100A Other Plaintiffs or Defendants 50/,! I rtf


IBlThis form is attached to Form SC-IOO, Item I or 2.
G) If more than one person is suing, give names of other Plaintiffs (people who are suing) below:
Other Plaintiffs name: Phone: _
Home address:
City: State: Zip: _
Mailing address (ifdifferent): _
City: State: Zip: _
Is this Plaintiffdoing business under a fictitious name? DYes 0 No
Ifyes, attach SC- I 03 and write Fictitious Business Statement number here:
Other Plaintiffs name: _ Phone: _
Home address:
City: State: Zip: _
Mailing address (ifdifferent):
City: State: Zip: _
Is this Plaintiffdoing business under a fictitious name? 0 Yes ['-J No
Ifyes, attach SC- I 03 and write Fictitious Business Statement number here:
Other Plaintiffs name: Phone:
Home address:
City: State: _ Zip: _
Mailing address (ifdifferent):
City: State: Zip: _
Is this Plaintiffdoing business under afictitious name? L.. .J Yes I J No
Ifyes, attach SC-103 and write Fictitious Business Statement number here: _
o If more than one person is being sued, give the names of other Defendants (people who are being
sued) below:
Other Defendant's name: Liquor License Specialists Phone: (310) 459-3685
Home address:
City: State: Zip: _
Mailing address (ifdifferent): 17383 Sunset Boulevard. #A310
City: Pacific Palisades Stare:CA Z~: ~9~0~2~7~2~_ _

Other Defendant's name: Phone: _


Home address:
City: State: _ Zip: _
Mailing address (ifdifferent): _
City: State: _ Zip: _
Other Defendant's name: Phone: _
Home address: _
City: State: _ Zip: _
Mailing address (ifdifferent): _
City: State: Zip:
Judidal Council of California SC-100A, Page _ of _
New January 1, 2005. Mandatory FClfI'n
Code of Civil Procedure, 116.110 el seq.
Other Plaintiffs or Defendants
(Small Claims)
Case NulTt>er:

Your name: Jim Rahman

Describe your claim:


CD The Plaintiff (the person who is suing) is:
Nanre:Jim Rahman, dba May-J, Inc. Phone: (760) 497-3795
Home address: 550 N. State Street
City: Hemet State:",C",A~ _ Zip: 92543
Mailing address (ifdijferent): _
City: State: _ Zip: _
Ifmore than one person is suing, attach Form SC-IOOA and check here: 0
Is this Plaintiffdoing business under a fictitious name? [_I Yes 0 No
Ifyes, attach Form SC-J03 and write Fictitious Business Statement number here: . _

o The Defendant (the person being sued) Is:


Name: Craig Block. President of Liquor License Specialists Phone: (310) 459-3688
Home address: "'U.un"'k~n"'o'"'w'_'n.!_ . _
City: State: _ Zip: _
Mailing address (ifdijferen(): 17383 Sunset Boulevard, #A310
City: Pacific Palisades State: ",C.uA~ Zip: 90272
Ifmore than one person is being sued, attach Form SC-IOOA and check here: I)';J
Ifany Defendant is on active military duty, write his or her name here: _

CD The Plaintiff claims the Defendant owes $ ",-SLo'0""0""0"-- (Explain below):


a. Why does the Defendant owe the Plaintiff money? Please see attached Declaration

b. When did this happen? (Date):


If no specific date, give the time period: Date started: ,,0"'4u.l-'0'-'7u/'-'0"'4"---____ Through: 1 0LI."'1."'1.LI-"0"'4'---- _
c. How did you calculate the money owed to you? .=I--"a",m......a..,s,-,k",l",n",o"-",f",o.=r--,<S",S,-",-,O,-,O",O"-o"-"f--,<t,,,h,,,e,---,S,-,E,,,i,,,,S,,,O,,-O,,-,,,f.=i.un,,,d,,,e,,,r,,,s,-
fee refunded
[X] Check here ifyou need more space. Attach one sheet ofpaper or Form MC-030 and write "SC-IOO, Item 3" at
the top.

o You must ask the Defendant (in person, in writing, or by phone) to pay you before you sue.
Have you done this? [XJ Yes 0 No
Ifno, explain why not:

Rev. January " 2005


Plaintiff's Claim and ORDER SC-100. Page 2 of 5
to Go to Small Claims Court -+
(Small Claims)
Yom~:Jim Rahman, dba May-J, Inc.

@ Why are you filing your claim at this courthouse?


This courthouse covers the area (check all that apply):
a. [=:] (I) Where a contract (written or spoken) was made, signed, performed, or broken by the
Defendant or where the Defendant lived when the Defendant made the contract.
(2) Where the Defendant lives or does business.
(3) Where the Plaintiff's property was damaged.
(4) Where the Plaintiff was injmed.

b. DO Where the Plaintiff signed the contract or lives (or lived) if this claim is about an offer or contract
for personal, farnily, or household goods, services, or loans. (Code Civ. Proc., 395(b))

c. C~ Where the Plaintiff signed the contract or lives (or lived) if this claim is about a retail installment
contract (like a credit card). (Civil Code, 1812.19)

d. 0 Where the Plaintiff signed the contract or lives (or lived) if this claim is about a vehicle fmanco sale.
(Civil Code, 2984.4)

e. [~ Other (specify):

List the zip code of the place checked in 0 above (if you knoW):~9....2""54,,,3,,-- _

(j) Is your claim about an attorney-ellent fee dispute? [=:J Yes [X] No
If yes, and if you have had arbitration, fill out Form SC-101, attach it to this form and check here: ["~

o Are you suing a government agency?


If yes, you must file a written claim with the agency first.
DYes
D
[5[] No
A claim was filed on (date):
If the government agency denies your claim or does not answer within the time allowed by law, you can file this form.

o Have you filed more than 12 other small claims within the last 12 months in California?
'"J Yes UU No If yes, the filing fee for this case will be higher.

@ I understand that by filing a claim in small claims court:


I have no right to appeal this claim, and
I cannot file, and have not filed, more than one other small claim for more than $2,500 in California
dming this calendar year.

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

Jim Rahman, dba May-J, Inc.


Type or print yuur name Sign your name

Keep a copy of all your forms.

rj Requests for Accommodations


Assistive listening systems, computer-assisted real-time captioning, or sign langnage interpreter
services are available if you ask at least 5 days before the trial. Contact the clerk's office for Request
for Accommodations by Persons With Disabilities and Order (Form MC-410). (Civil Code, 54.8)

Rev. January 1, 2005


Plaintiff's Claim and ORDER SC100, Page 3 of 5
to Go to Small Claims Court
(Small Claims)
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): TELEPHONE NO.: FOR COURT USE ONLY

_ Jim Rahman - May-J, Inc.


550 N. State Street
Hemet, California 92543

ATTORNEY FOR rName): Pro Per


NAME OF COURT: Riverside Superior Court
STREET ADDRESS: 880 North State Street
MAILING ADDRESS: Same
CITY AND ZIP CODE: Hemet, California 92543
BRANCH NAME:
PLAINTIFF/PETITIONER: Jim Rahman

DEFENDANT/RESPONDENT: Craig Block, President, Liquor


License Specialists
CASE NUMBER:

DECLARATION

I was solicited by Craig Block, President of Liquor License Specialists who


told me that they could find me a Liquor License to purchase for a finder's
fee. I was notified that Liquor License Specialists had found a Liquor License
and I made an offer of $40,000. I deposited $12,000 into an escrow account
with ABC Escrow, $6,500 of which was the finder's fee to be paid to Liquor
License Specialists.

On October 11, 2004, I received a Cancellation Notice from ABC Escrow. Mr.
Block indicated to me that the seller was unable to complete the sale. Mr.
Block further informed me that I would not be receiving a refund of the
finder's fee, I would only receive a refund in the sum of $4,800.

I do not believe that Liquor License Specialists did the job that they were
retained to do and should not receive any compensation. I am asking that
$5,000 of the $6,500 be refunded to me by Craig Block, President of Liquor
License Specialists and Liquor License Specialists.

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

Date:

Jim Rahman
(TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT)

D PetitionerlPlaintiff 0 RespondenVDefendant 0 A"omey


CJ Other (specify):
(See reverse for a form to be used if this declaration will be attached to another court form before filing)
Form Approved by the
Judicial Council of california DECLARATION
MC-a30 [New January 1, 1987]
Optional Form
SC-100 Information for the Defendant (the person being sued)

"Small claims court" is a special court where claims Do I have options?


for $5,000 or less are decided. The process is quick and Yes. If you are being sued, you can:
cheap. The rules are simple and informal.
o Settle your case before the trial. If you and the
You are the Defendant-the person being sued. The Plaintiff agree on how to settle the case, you must both
person who sued you is the Plaintiff. notify the court. Ask the Small Claims Advisor for help.

Do I need a lawyer? o Prove this is the wrong court. Send a letter to the
You may talk to a lawyer before or after the case. But you court before your trial, explaining why you think this
may not have a lawyer represent you in court (unless this is is the wrong court. Ask the court to dismiss the claim.
an appeal). You nrust serve (give) a copy of your letter (by mail
or in person) to all parties. (Your letter to the court
How do I get ready for court? must say you have done this.)
Read "Get Ready for Court" at: o Go to the trial and try to win your case. Bring
www.courtinfo.ca.gov/selfhelp/smallclaims/getready.htm witnesses, receipts, and any evidence you need to
prove your case. To make sure the witnesses go to the
What if I need an accommodation?
trial, fill out Form SC- I 07 and the clerk will subpoena
If you have a disability or are hearing impaired, fill out (order) them to go.
Form MC-4 I 0, Requestfor Accommodations. Give the form
to the court clerk or the ADA/Access Coordinator for your o Sue the person who sued you. File Form SC-120,
court. Defendant's Claim. There are strict liling deadlines
you nrust follow.
What if I don't speak English well?
Bring someone-like a relative or friend-who can o Agree with the Plaintiff's claim and pay the money.
interpret for you in court. The court cannot give you an Or, if you can't pay the money now, go to your trial
interpreter. But the clerk can give you a list of interpreters. and say you want to make payments.
(Interpreters usually charge a fee.) o Let the case "default." If you don't settle and do not
go to the trial (default), the judge may give the
Where can I get the court forms I need? Plaintiffwhat he or she is asking for and court costs. If
this happens, the Plaintiff can legally take your
Go to any courthouse or your county law library, or print money, wages, and property to pay the judgment.
fonns at: www.courtinfo.ca.gov/forms
What if I need more time?
What happens at the trial? You can change the trial date if:
o You cannot go to court on the scheduled date (you
The judge will listen to both sides. The judge may make a
will have to pay a fee to continue the trial), or
decision at your trial or mail the decision to you later.
o You did not get served (receive this order to go to
What if lose the case? court) at least 15 days before the trial (or 20 days if
you live outside the county), or
If you lose, you can appeal. You'll have to pay a fee. (The
Plaintiff cannot appeal.) o You need more time to get an interpreter. One
postponement is allowed, and you will not have to pay
o If you were at the trial, file Form SC-140, Notice of a fee to delay the trial.
Appeal. You must file within 30 days after the
Write to the court before the trial and explain why you
judge's decision.
want a postponement. Enclose a check if you have to pay
o If you were not at the trial, fill out and file Form a fee, unless a waiver was granted.
SC- 135, Notice ofMotion to Vacate Judgment and
Need help?
Declaration, to ask the judge to cancel the judgment
(decision). If the judge does not give you a new Your county's Small Claims Advisor can help for
trial, you have 10 days to appeal the decision. File free. Go to "County-Specific Court Information"
at: www.courtinfo.ca.gov/selfhelp/smallclaims
Form SC-140.

For more information on appeals, see: County Information Here


www.courtinfo.ca.gov/selfhelp/smallclaims/appeal.htm
L
Rev. January 1, 2005 Plaintiffs Claim and ORDER SC-1 DO, Page 4 of 5
to Go to Small Claims Court ~
(Small Claims)
SC-100 Informaci6n para el demandado (Ia persona que se esta demandando)

La "Corte de reclamos menores" es una corte especial l.Tengo otras opciones?


donde se deciden casos pOl' $5.000 6 menos. EI proceso SI. Si 10 estan demandando. puede:
es rapido y barato. Las reglas son sencillas e informales.
Resolver su caso antes del juicio. Si usted yel
Usted es el Demandado - la persona que se esta Demandante se ponen de acuerdo en resolver el
demandando. La persona que 10 esta demandando es el caso. ambos tienen que notificar a la corte. Pidale al
Demandante. Asesor de Reclamos Menores que 10 ayude.

l.Necesito un abogado? Probar que es la corte equlvocada. Envie una carta a


Puede hablar con un abogado antes 0 despues del caso. la corte antes del juicio explicando pOl' que cree que es
Pero no puede tener a un abogado que 10 represente ante la corte equivocada. Pidale a la corte que despida el
la corte (a menos que se trate de una apelaci6n). reclamo. Tiene que entregar (dar) una copia de su carta
(pOl' correo 0 en persona) a todas las partes. (Su carta a
l.C6mo me preparo para ir a la corte? la corte tiene que decir que hizo la entrega.)
Lea "Preparese para la corte" en:
www.courtinfo.ca.gov/selfhelp/espanol/reclamosmenores/ Ir al juicio y tratar de ganar el caso. L1eve testigos.
prepararse.htm recibos y cualquier prueba que necesite para probar
su caso. Para asegurarse que los testigos vayan al
l.Que hago si necesito una adaptaci6n? juicio. Ilene el formulario SC-1 07 Y el secretario emitira
Si tiene una discapacidad 0 tiene impedimentos de una orden de comparecencia ordenandoles que se
audici6n. Ilene el formulario MC-41 O. Request for hagan presentes.
Accomodations. Entregue el formulario al secretario de la Demandar a la persona que 10 demand6. Presente
corte 0 al Coordinador de Acceso/ADA de su corte. el formulario SC-120. Rec/amo del demandado. Hay
fechas limite estrictas que debe seguir.
l.Que pasa si no hablo bien ingles?
L1eve consigo a alguien. ya sea un pariente 0 amigo. que Aceptar el reclamo del Demandante y pagar el
pueda servirle de interprete en la corte. La corte no Ie dinero. O. si no puede pagar en ese momento, vaya
puede dar un interprete. Pero el secretario Ie puede al juicio y diga que quiere hacer los pagos.
entregar una Iista de interpretes. (Los interpretes en
No ir al juicio y aceptar el fallo pol' falta de
general cobran un honorario.) comparecencia. Si no lIega a un acuerdo con el
Demandante y no va al juicio (fallo POl' falta de
l.D6nde puedo obtener los formularios de la corte que comparecencia). el juez Ie puede otorgar al Demandante
necesito? 10 que esta reclamando mas los costas de la corte. En
Vaya a cualquier edificio de la corte. la biblioteca legal de ese caso. el Demandante legalmente puede tomar su
su condado 0 imprima los formularios en: dinero. su sueldo 0 sus bienes para cobraI' el fallo.
www.courtinfo.ca.gov/forms l.Que hago si necesito mas tiempo?
l.Que pasa en el juicio? Puede cambial' la fecha del juicio si:
EI juez escuchara a ambas partes. EI juez puede tomar su No puede ir a la corte en la fecha programada
decisi6n durante la audiencia 0 enviarsela pOI' correo (Tendra que pagar una cuota para aplazar el juicio). 0
depues. No Ie entregaron los documentos legalmente (no
recibi6 la orden para ir a la corte) pOl' 10 menos 15
l.Que pasa si pierdo el caso? dias antes del juicio (6 20 dias si vive fuera del
condado),o
Si pierde. puede apelar. Tendra que pagar una cuota. (EI
Demandante no puede apelar.) Necesita mas tiempo para conseguir interprete. (Se
permite un solo aplazamiento sin tener que pagar
Si estuvo presente en el juicio. Ilene el formulario cuota para aplazar el juicio).
SC-140. Aviso de ape/aci6n. Tiene que presentarlo
dentro de 30 dias depues de la decisi6n del juez. Escriba a la corte antes del juicio y explique POl' que quiere
aplazar el juicio. Si tiene que pagar una cuota. adjunte un
Si no estuvo en el juicio. Ilene y presente el cheque. a menos que Ie hayan dado una exenci6n.
formulario SC-135. Aviso de petici6n para anu/ar e/
fallo y Dec/araci6n para pedirle al juez que anule el
fallo (decisi6n). Si la corte no Ie otorga un nuevo
(i)
l.Necesita ayuda? EI Asesor de Reclamos
Menores de su condado Ie puede ayudar sin
cargo. Vea "Informaci6n pOl' condado" en:
juicio. tiene 10 dlas para apelar la decisi6n. Presente www.courtinfo.ca.gov/selfhelp/espanol/reclamosmenores
el formulario SC-140.
I I
Para obtener mas informaci6n sobre las apelaciones. yea: County Information Here
www.courtinfo.ca.gov/selfhelp/espanol/reclamosmenores/
apelar.htm L
Rev. January 1, 2005
Reclamo del demandante y ORDEN SC-100. Page 5 of 5
para ir a la Corte de reclamos menores
(de reclamos menores)

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