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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?
If yes, attach Form SC-103.
Yes
No
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?
If yes, attach Form SC-103.
Yes
No
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.
I have not filed, and understand that I cannot file, more than two small claims cases for more than $2,500 in
4
California during this calendar year.
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
Other Plaintiffs or Defendants
SC-100A,
Page __ of __
Judicial Council of California,
Revised January 1, 2007, Mandatory Form
Code of Civil Procedure, § 116.110 et seq.
(Attachment to Plaintiff's Claim and ORDER to Go to Small Claims Court)
American LegalNet, Inc.
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