Fill and Sign the Defendants Small Claims Form

Case Number: SC-100A Other Plaintiffs or Defendants ––––– This form is attached to Form SC-100, item 1 or 2. 1 If more than 2 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 2 Defendants (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: ––––– Other Defendant’s name: ––––– Street address: ––––– Phone: ( ––––– ) ––––– City: ––––– State: ––––– Zip: ––––– Mailing address (if different): ––––– City: ––––– State: ––––– Zip: ––––– Check here if more than 4 Defendants and fill out and attach another Form SC-100A. 3 I understand that by filing a claim in small claims court: I have no right to appeal this claim. 4 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. I declare, under penalty of perjury under California State law, that the information above and all information in the court forms and attachments that I have filed for this case are 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, SC-100A, Page 1 of Revised January 1, 2007, Mandatory Form Code of Civil Procedure, §116.110 et seq. Other Plaintiffs or Defendants (Small Claims) electronic form ã 2005-7 WWW.LawCA.co m Law Publishers