Opt-Out Form

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OPT-OUT FORM
Antonio Ocegueda, et al. v. Ken Nathanson et al.
Superior Court of California, County of Santa Clara
Case No. 1-11- CV-202525
This is NOT a Claim Form. It EXCLUDES you from this Class Action.
DO NOT use this Form if you wish to remain IN this Class Action.
Name of Class Member: _____________________________________________________________
Address: _________________________________________________________________________
Street
City
State
Postal Code
Telephone: _________________________________
Area Code/Phone No. (Ext. if applicable)
I understand that by opting out of this Class Action, I will not be eligible to receive any money that
may result from any trial or settlement of this lawsuit, if there is one. I do not wish to receive
compensation under the terms of any judgment or settlement or to otherwise participate in this
Class Action. I further understand that by opting out, all personal representatives, spouses and
relatives who on account of a personal relationship to me might assert a derivative claim for
money will be deemed to have opted out as well.
If you wish to opt out of this Class Action, please check the box below.
By checking this box, I affirm that I wish to be excluded from this Class Action.
___________________
______________________________________________________
Date Signed
Signature of Class Member or Executor, Administrator or Personal
Representative
This form must be postmarked to Plaintiffs’ and Defendant’s counsel NO LATER THAN
August 8, 2014, at the addresses below, or else you will lose your right to opt out.
COUNSEL FOR THE PLAINTIFFS
COUNSEL FOR DEFENDANT ADEEL
AMIN
Kyra Kazantzis
Gary S. Brown
James Zahradka
The Law Office of Gary S. Brown
Public Interest Law Firm
1 South Fair Oaks Ave., Ste. 301
Law Foundation of Silicon Valley
Pasadena, CA 91105-1945
152 N. Third St., Third Floor
(818) 293-0979 ext. 223 (phone)
San Jose, CA 95112
(818) 293-0760 (fax)
(408) 502-6073 (phone)
(408) 293-0106 (fax)

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