Breach Of Contract Small Claims Page 2

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G other (specify):
G other (specify):
G Except plaintiff (nam e):
who is:
G a Tribal governm ent
G a corporation qualified to do business in California.
G an unincorporated entity (describe):
G a public entity (describe):
G a m inor
G an adult
G for whom a guardian or conservator of the estate or a guardian ad litem
has been appointed; or
G other (specify):
G other (specify):
b. G Plaintiff (nam e):
G has com plied with the fictitious business nam e laws and is doing business under the
fictitious nam e of (specify):
G has com plied with all licensing requirem ents as a licensed (specify):
c. G Inform ation about additional plaintiffs who are not com petent adults is shown in Com -
plaint--Attachm ent 2c.
3. a. Each defendant nam ed above is a natural person
(check the appropriate box if applicable)
G Except defendant (nam e):
who is:
G a Tribal governm ent
G a business organization, form unknown
G a corporation
G an unincorporated entity (describe):
G a public entity (describe):
G other (specify):
Mandatory Small Claims Form BC-110
2

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