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Plaintiff's Claim and ORDER Clerk stamps date here when form is filed.

sG-100 to Go to Small Claims Court


Notice to the person being sued:
' You are the defendant if your narne is listed in @ on puge 2 of this fornr.
Tlre person suing you is the plaintiff, listed in @ on page2.
' You and the plaintiff rnust go to court on the n'ial date listed below. If you
do not go to court, you may lose the case.
' lf you lose, the court can order that your wages. troncy, or property be
taken to pay this clairn.
' Bring witnesses, r'eceipts, and any evidence you need to prove your case. Fill in court name and streel address:

' Read tl.ris fornr and all pages attached to understand the clairn against you Superior Court of California, County of
Solano
and to protcct your rights.
580 Texas St.
Aviso al Demandado: Fairfield, CA 94533
' Usted es el Demandado si su nombre figura en @ a. tu prigina 2 de este
lbrmulario. La pcrsona que lo dcmanda es el Demandante, la que figura en
@ ae t, ptrgina2.
Court fills in case number when form is filed.
' Usted y el Denrandante tienen que presentarse en la corte en la fecha del Case Number:
juicio indicada a continuaci6n. Si no se presenta, puede perder el caso.
' Si picrde cl caso la cortc podria ordenar que [e quiten de su sueldo, dinero u Case Name:
otros bienes para pagar este reclarro. Carey V. Carbonite, lnc
' Llcve testigos, recibos y cualquicr otra prueba clue ncccsitc para probar su
CASO.
Lea cstc formulario v todas las pdginas adjuntas para entender la dcmanda cn su contra y para proteger sus derechos

The people in @ and @ must go to court: (Ctet.k /itts oLtt section betox,.)

E- Date Time Department Narne and address of court, if ditferent fi'om above
t,

J.

Date: Clerk, by , Deputy

lnstructions for the person suing:


. You are the plaintifl'. Thc person you are suing is the defendant.
. Be/ore you fill out this form. read fbm SC- 10O-INFO, Infbrnrution Jbr the Plainti//, to know your rights. Gct
SC- 100-INFO at any courthouse or county lau, Iibrary, or go to v)v,w.coLtrts.co.gov/smallclaims/fbrms.
. Fill outpages2and3ofthisfortr.Thentnakecopiesofall pagesofthisform.(Makconecopyforeachpartynamedin
this case and an extra copy for yourself.) Take or r.nail the original and these copies to the court clerk's office and pay
the filing fee. The clerk u,ill write the date of your trial in the box above.
. You tnust have someone at least l8 not you or anyone clsc listed in this casc-give each dcf-endant a court-stamped
copy of all five pages of this fornr and any pages this forrn tells you to attach. There are special rules for "serving," or
deliverirrg, this fornt to public entities, associations, and sorne businesses. See fbrms SC-104, SC-104B, and SC-104C
. Go to court on your trial date listed above. Bring witnesses, receipts, and any evidence you need to prove your case.

Judicral Counc of CaliFornia, www-caurls.ca.gav


Plaintiffs Claim and ORDER SC-100, Page 1 of 5
Rev sed Jan"ary 1. 2017. Mandatory Form
Code of Civil Procedure, SS 1 16 1 1 0 et seq.,
1 16.220\c). 1 1 6.340(9)
to Go to Small CIaims Court
(SmallClaims)
+
Plaintiff 1/i.st

ffr" plaintiff (the person, business,


@ Name: or public entity that is suing) is:
Al Carey Phorre
Street address: 1911 Douglas Blvd., Ste.85-'1 39 Roseville CA 95661
Street Crty zip
Mailing address (i/ dilJbrent):
Slree, City Slafe Zip

lf more than one plaintiff, !ist next plaintiff here:


Name: Phone
Street address
Slreef City Sfale Zip
Mailing address (i/ di/Jbrent)
Street City Slate ZiP

l) Check here i/'ntore than nt'o plaintif/is and attach.fbrm SC- 100A.
Z Check herc if cithcr ptainti// listed above is doing business undcr a.ficlitious nante. IJ so, attac'h./brm SC-103.
l) Chec'k here if any plainti//'is u "licensee" or "defbrred deposit originator" (payda.r, lender) wtder Financial
Cocle sat'tions 23000 et scq.

@ The defendant(the person, business, or public entity being sued) is:


Name: Carbonite, lnc. Phone: 877-665-4466
Stleet address: 2 Avenue De Lafayette Boston MA 02111
Slreet cny Sfate Zip
Maiting address (i/' dillbrent) ;

Street City Slale Zip

lf the defendant is a corporation, limited liability company, or public entity, list the person
or agent authorized for service of process here:
Nar-ne: CSC Lawyers lncorporating Service .Iob title. if known:
Address: 2710 Gateway Oaks Dr. Ste 150N Sacramento CA 9s833
Qr/aar City Stale Zip

tr Chec'k here iJ .vour case is againsl ntore lhan orrc de.fendant, and attach .fbrm SC-100A

tr Clrccli here if anv defendattt is on aclive ntilitaryt dut.1', 0,r7 Y'rite his or her name here:

@ fn" plaintiff claims the defendant owes $ 10,000 (Explain belou')


a. Why does the del-endant owc the plaintitf rnoney?
Negligence, loss of data, failure to provide contracted services

When did this happen? (Dote)


b. If no specific date , givc thc tirrre period: Dctte stcu'ted: 1ot2o11 Through: present
c. How did you calculate the money owed to yofl (Do not irtcltrde c'ourl cosls or.f ees Jbr service.)
loss of all personal and business data is worth well over the Court guideless for damages, but I will settle for the lesser
amount

l) Check here if vou neetl more .\pace. Attach one sheet oJ'paper orJitrm MC-031 and w,rite "SC-100, Iten't 3" at
the top.

Revised January 1 2017


Plaintiff's Claim and ORDER to Go to Small Claims Court SC-100, Page 2 of
+
5

(SmallClaims)
Plaintiff ( li.s t nom es ) :

sue. !f your claim is for possession of property, you must ask the defendant to give you
the property. Have you done this?
[] Yes E No If no, cxplain wl.ry not:

(| WnV are you filing your ctaim at this courthouse?


This courthouse covers the area (chec:k the one that applies);
a. tr (l ) Whcrc thc dcfendant lives or does business. (4) Where a contract (written or spoken) rvas madc.
(2) Where the plaintiff s property was damaged. signed, perfonned, or brokcn by the defendant or
(3) Where the plaintiff was injurcd. whcrc thc dcl'endant lived or did business whcn thc
defendant made the contract.
b. tr Whercthcbuyerorlesseesignedthecontract, livesnow,orlivedwhcnthecontractwasnradc.ifthisclaim.
is about an offer or contract for personal, farnily, or household goods, seruices, or loans. (Code Civ. Proc.,
t 3es(b).)
c. E Where the buyer signed the contract, livcs rrow, or lived when the sontract was made, if this claim is about a
retail installnrent contract (likc a credit card). (Cit, Code, $ 1812.10.)
d. E Where the buyer signed the contract, lives now, or lived when the contract was made, or where the vehicle is
permanently garaged, if this clainr is about a vehicle finance sale. (Civ Code, $ 2984.4.)
c. tr OLhcr (.\pe(il) ):

f-ist the zip code of the place checked in @ abov e (i/'you know);
@ 945'10

O ,. your claim about an attorney-client fee dispute? E Yes I No


l.f1'es,andi.fl,ouhovehadarbitration,JilloutJbrmSC-101,uttac'hittothis.fbrnt,andcheckhere: l
@ ere you suing a public entity? E El No Yes
U ),es, ),ou must file a written cktim v'ith the entitv.firsl. f] A clairn was filed on (date)
I/'tlte public entity denies .v-our claint or does not onsv'er v,ithin the time olloh,ed by lav,, you cctn.file this form.

CD nave you filed more than 12 other small claims within the Iast 12 months in California?
E Ycs 8 No l/'),e,s, the /iling.fbe /br this cuse will be higher.
@ ,r your claim for more than $2,500? E Yes E No
I./'),es, I have not filecl, ortd understand that I c'annot.file, ntore than two small claims cases.for more than $2,500 in
C'aIifonriu Itrritrg this tuItttJut' 1't'ar.
(, I understand that by filing a claim in small claims court, I have no right to appeal this
claim.
I dcclare, under penalty of perjury under California State law, that the infbr bove and on any attachrnents to this
fbrm is true and correct.
Datc: EttZttg at Qarey
Plaintiff 4,pes or prints name here
Datc
Second plainti// 4tpe,s or prints nome here Second plainti// signs here
Requests for Accommodations
Assistive listening systerns, colnputcr-assisted real-tinre captioning, or sign language interpreter
services are available if you ask at least five days before the trial. Contact the clerk's office for form
MC-410, Request./br Ac'conunodations by Persons lhth Disctbilities and Response. (Civ. Code, S\ 54.8.)
Revised January '1, 201 7
Plaintiff's Claim and ORDER to Go to Small Claims Court sc-100, page 3 of 5
(Smallclaims) ->
sc-100 lnformation for the defendant (the person being sued)
"Small claims court" is a special court where claims for . Prove this is the wrong court. Send a letter to the court
$10,000 or less are decided. lndividuals, including "natural before your trial explaining why you think this is the wrong court.
persons" and sole proprietors, may claim up to $10,000. Ask the court to dismiss the claim. You must serve (give) a copy
Corporations, partnerships, public entities, and other businesses of your letter (by mail or in person) to all parties. (Your letter to
are limited to claims of $5,000. (See below for exceptions.") The the court must say you have done so.)
process is quick and cheap. The rules are simple and informal. . Go to the trial and try to win your case. Bring
You are Ihe defendant-the person being sued. The person who is witnesses, receipts, and any evidence you need to prove your
suing you islhe plaintiff .
case. To have the court order a witness to go to the trial, fill out
Do I need a lawyer? You may talk to a lawyer before or after form SC-107 (Small Claims Subpoena) and have it served on
the case. But you may not have a lawyer represent you in court the witness.
(unless this is an appeal from a small claims case). . Sue the person who is suing you. lf you have a claim
How do I get ready for court? You don't have to file any against the plaintiff, and the claim is appropriate for small claims
papers before your trial, unless you think this is the wrong court court as described on this form, you may file Defendant's Claim
for your case. But bring to your trial any witnesses, receipts, and (form SC-120) and bring the claim in this action. lf your claim is
evidence that supports your case. And read "Be Prepared for Your for more than allowed in small claims court, you may still file it in
Trial" at www.co u r7s. ca. gov/sm al lcl a i m s/p re pare. small claims court if you give up the amount over the small
claims value amount, or you may file a claim for the full value of
What if I need an accommodation? lf you have a the claim in the appropriate court. lf your claim is for more than
disability or are hearing impaired, fill out form MC-410, Request for allowed in small claims court and relates to the same contract,
Accommodations. Give the form to your court clerk or the ADA/ transaction, matter, or event that is the subject of the plaintiffs
Access Coordinator. claim, you may file your claim in the appropriate court and file a
What if I don't speak English well? Ask the court cterk motion to transfer the plaintiffs 's claim to that court to resolve
as soon as possible if your court has a court-provided interpreter both matters together. You can see a description of the amounts
available and how to request one. A court-provided interpreter may allowed in the paragraph above titled "Small Claims Court."
not be available. Alternatively, you may bring an adult who is not a . Agree with the plaintiffs claim and pay the
witness or an attorney to interpret for you or ask the court for a list money. Or, if you can't pay the money now, go to your trial
of interpreters for hire.
and say you want to make payments.
Where can I get the court forms I need? Go to any . Let the case "default." lf you don't settle and do not go to
courthouse or your county law library, or print forms alwww. the trial (default), the judge may give the plaintiff what he or she
co u r1s. c a. g ov/s m a IIc Ia im s/f o rm s. is asking for plus court costs. lf this happens, the plaintiff can
What happens at the trial? The judge will Iisten to both legally take your money, wages, and property to pay the
sides. The judge may make a decision at your trial or mail the judgment.
decision to you later. What if I need more time?
What if I lose the case? lf you lose, you may appeal. You'll You can change the trial date if:
have to pay a fee. (Plaintiffs cannot appeal their own claims.) . You cannot go to court on the scheduled date (you will have to
pay a fee to postpone the trial), or
. lf you were at the trial, file form SC-'140, Notice of Appeal. You
must file within 30 days after the clerk hands or mails you the . You did not get served (receive this order to go to court) at least
judge's decision (udgment) on form SC-200 or form SC-130, 15 days before the trial (or 20 days if you live outside the
Notice of Entry of Judgment. county), or
. lf you were nol at the trial, fill out and file form SC-135, Notice of . You need more time to get an interpreter. One postponement is
Motion to Vacate Judgment and Declaration, to ask the judge to allowed, and you will not have to pay a fee to delay the trial.
cancel the judgment (decision). lf the judge does not give you a Ask the Small Claims Clerk about the rules and fees for
new trial, you have 10 days to appeal the decision. File form postponing a trial. Or fill out form SC-150 (or write a letter) and
sc-140. mail it to the court and to all other people listed on your court
For more information on appeals, see www.courls.ca.gov/ papers before the deadline. Enclose a check for your court fees,
smallclaims/appeals. unless a fee waiver was granted.

Do I have options? Need help?


Yes. lf you are being sued, you can: Your county's Small Claims Advlsor can help for free
. Settle your case before the trial. tf you and the
plaintiff agree on how to settle the case, the plaintiff must file
form CIV-1 10, Request for Dismlssa/, with the clerk. Ask the
Small Claims Advisor for help.
r
L
Or go to www. co urls. ca. g ov/s m a ll claim s/adviso r.
* Exceptions: Different limits apply in
an action against a defendant who is a guarantor. (See Code Civ. Proc., $ 116.220(c).)
Revised January 1,2017
Plaintiff's Claim and ORDER to Go to Small Claims Court
(SmallClaims) +
SC-100, Page 4 of 5
lnformacion para el demandado (la persona demandada)
La "Corte de reclamos menores" es una corte especial donde se . Probar que es la corte equivocada. Envle una carta a la corte
deciden casos por $10,000 o menos. Los individuos, o sea las antes del juicio explicando por qu6 cree que es la corte
"personas fisicas" y los propietarios por cuenta propia, pueden equivocada. Pidale a la corte que despida el reclamo.Tiene que
reclamar hasta $10,000. Las corporaciones, asociaciones, entidades entregar (dar) una copia de su carta (por correo o en persona) a
p0blicas y otras empresas solo pueden reclamar hasta $5,000. (Vea todas las partes. (Su cafta a la corte tiene que decir que hizo la
abajo para las excepciones.*) El proceso es r6pido y barato. Las entrega.)
reglas son sencillas e informales. Usted es el Demandado-la . lr al juicio y tratar de ganar el caso. Lleve testigos, recibos y
persona que se estd demandando. La persona que lo est5 cualquier prueba que necesite para probar su caso. Si desea que
demandando es el Demandante. la corte emita una orden de comparecencia para que los testigos
vayan al juicio, llene el formulario SC-107, Citatorio de reclamos
aNecesito un abogado? Puede hablar con un abogado antes o
despu6s del caso. Pero no puede tener a un abogado que lo menores (Small Claims Subpoena) y entr6gueselo legalmente al
represente ante la corte (a menos que se trate de una apelacion de un testigo.
caso de reclamos menores). . Demandar a la persona que lo demand6. Si tiene un reclamo
contra el Demandante, y el reclamo se puede presentar en la
;Como me preparo para ir a la corte? No tiene que presentar corte de reclamos menores, tal como se describe en este
ningunos papeles antes del juicio, a menos que piense que 6sta es la
corte equivocada para su caso. Pero lleve al juicio cualquier testigos,
formulario, puede presentar el formulario SC-120, Reclamo del
recibos y pruebas que apoyan su caso. Y lea "Est6 preparado para su demandado (Defendant's Claim) y presentarlo en este mismo
juicio" en www.courts.ca.gov/reclamosmenores/preparese. caso. Si su reclamo excede el limite permitido en la corte de
reclamos menores, puede igualmente presentarlo en la corte de
;Qu6 hago si necesito una adaptaci6n? Si tiene una discapacidad reclamos menores si est6 dispuesto a limitar su reclamo al
o tiene impedimentos de audicion, llene el formulario MC-410,
m6ximo permitido, o puede presentar un reclamo por el monto
Request for Accomodations. Entregue el formulario al secretario de la
total en la corte apropiada. Si su reclamo excede el limite
corte o al Coordinador de Acceso/ADA de su corte. permrtido en Ia corte de reclamos menores y est5 relacionado con
;Qu6 pasa si no hablo bien ingl6s? Pregfntele al secretario de la el mismo contrato, transaccion, asunto o acontecimiento que el
corte lo m5s pronto posible si en el juzgado habr6 un interprete reclamo del Demandante, puede presentar su reclamo en la co(e
disponible y como solicitarlo. No siempre estdn disponibles los apropiada y presentar una mocion para transferir el reclamo del
int6rpretes de la corte. Otra opcion es llevar a un adulto que pueda Demandante a dicha corte, para poder resolver los dos reclamos
interpretar para usted siempre que esa persona no sea un testigo ni juntos. Puede ver una descripcion de los montos permitidos en el
un abogado. O puede pedir a la corte una lista de int6rpretes p6rrafo anlerior titulado "Corte de reclamos menores".
particulares disponibles para contratar.
. Aeptar el reclamo del Demandante y pagar el dinero. O, si no
iD6nde puedo obtener los formularios de la colte que necesito? puede pagar en ese momento, vaya al juicio y diga que quiere
Vaya a cualquier edificio de la corte, la biblioteca legal de su condado, hacer los pagos.
o imprima los formularios en www.courts.ca.gov/ smallclaims/forms . No ir al juicio y aceptar el fallo por falta de comparecencia. Si
(p6gina est6 en ingl6s). no llega a un acuerdo con el Demandante y no va al juicio (fallo
;Qu6 pasa en el juicio? El juez escuchara a ambas partes. El juez por falta de comparecencia), el juez le puede otorgar al
puede tomar su decision durante la audiencia o enviSrsela por correo Demandante lo que estd reclamando mds los coslos de Ia corte.
despu6s. En ese caso, el Demandante Iegalmente puede tomar su dinero,
;Qu6 pasa si pierdo el caso? Si pierde, puede apelar. Tendr6 que su sueldo o sus bienes para cobrar el fallo.
pagar una cuota. (El Demandante no puede apelar su propio reclamo.) 2Qu6 hago si necesito m6s tiempo? Puede cambiar la fecha del
. Si estuvo presente en el juicio, llene el formulario SC-140, Aviso de juicio si:
apelacion (Notice of Appeal). Tiene que presentarlo dentro de 30 . No puede ir a la corte en la fecha programada (tend16 que pagar
dias despu6s de que el secretario le entregue o envie la decisi6n una cuota para aplazar el juicio), o
(fallo) del juez en el formulario SC-200 o SC-130, Aviso de . No le entregaron los documentos legalmente (no recibio la orden
publicacion del fallo (Notice of Entry of Judgment). para ir a la corte) por lo menos 15 dias antes del juicio (o 20 dias
. Si no estuvo en el juicio, llene y presente el formulario SC-135, si vive fuera del condado), o
. Necesita m6s tiempo para conseguir int6rprete. (Se permite un
Aviso de peticion para anular el fallo y Declaraci6n para pedirle al
juez que anule el fallo (decision). Si la corte no le otorga un nuevo solo aplazamiento sin tener que pagar cuota para aplazar el
juicio, tiene 10 dias para apelar la decision. Presente el formulario iuicio).
sc-140. Pregrintele al secretario de reclamos menores sobre las reglas y las
cuotas para aplazar un juicio. O llene el formulario SC-150 (o escriba
Para obtener m5s informacion sobre las apelaciones,vea www.
una carta) y envielo antes del plazo a la corte y a todas las otras
cou rts. c a. gov/re cl a mosme n ore s/a pe I acion e s.
personas que figuran en sus papeles de la corte. Adjunte un cheque
;Tengo otras opciones? Si. Si lo estin demandando, puede: para pagar los costos de la corte, a menos que le hayan dado una
. Resolver su caso antes del juicio. Si usted y el Demandante se exenci6n.
ponen de acuerdo en como resolver el caso, el Demandante tiene 1@\ ;ruecesita ayuda? El Asesor de Reclamos Menores de su
que presentar el formulario CIV-1 10, Solicitud de desestimacion \7 le puede ayudar sin cargo.
(Request for Dismissal) ante el secretario de la corte. Pidale al
Asesor de Reclamos Menores que lo ayude. I "ondrdo -_]

L
O visite www. cou ris. ca. gov/rec lamosmenoreslasesores.
*Excepciones:Exstendiferenleslimitesenunreclamocontraungarante.(Veael C6digodeProcedimentoCivil,secci6nll6.220(c))
__.1

Revised January 1.2017


Reclamo del Demandante y ORDEN SC-100, Page 5 of 5

Para lr a la Corte de Reclamos Menores


(Reclamos Menores)

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