`
`Clerk stamps date here whenformis filed.
`
`mS purgeRSE
`Superior Court ‘Of Cali
`“ut
`Of Calif
`pe
`i
`County of Los Angeles
`
`OCT 22 2024
`
`David W. Stayton, Executive OffcerCtork of Court
`By: K. O'Brien, Deputy
`
`Fill in court name and street address:
`Superior Court of California, County of
`
`
`
`oe
`
`.
`
`'\
`
`Authorization to Appear
`SC-109
`,
`This form is used to tell the court you are authorized to appearfora plaintiff
`or defendantin a small claims case. You mayalso use this form to ask the
`court for permissionto help a plaintiff or defendant who cannotproperly
`speak for himself or herself.
`
`You cannot appearfor a defendantorplaintiff if your only job is to represent
`him or herin small claimscourt. If you are a lawyer, you can appearonly as
`authorized by section 116.530 of the Code of Civil Procedure.
`Fill out @M-@ onthis page, then file it with the small claimsclerk at or
`before thetrial.
`
`
`(1) List the name, address,andposition of the person
`
`WORTH VALLEY DISTRICT
`appearing:
`HATSWORTH COURTHOUSE
`
`
`$425 Penfield Avenue. Room 1200
`
`Name:
`
`
`
`Chatsworth. CA 81TH
`
`Address:
`Jobtitle or relationship to the defendantorplaintiff you want to appear
`Fill in your case number and case namebelow:
`
`
`for:
`sn
`©
`WA,
`—Cowm
`.
`Case Number: QHC HSCOIOR6
`vecidintirer2_L
`.
` Case Name:
`(2) Who
`are you appearing for?
`A defendantin this case (name):
`
`(1)Aplaintiff in this case (name):
`
`morte
`
`Tell us about the defendantorplaintiff you are appearing for.
`I am appearing for a (check one):
`(J Corporation and | am an employee,officer, or director ofthat corporation.
`(] Partnership and I am an employee,officer, director, or partner of that partnership.
`[_] Other business (not a corporation, partnership, or sole proprietorship) and I am an employee, officer, or director
`of that business.
`Governmentagencyor other public entity and | am an employee,officer, or director of that agencyorentity.
`(J
`Won proprietorship and I am an employee ofthat business. | am qualified to testify about business records
`
`made in the regular course of businessat or near the time of the event. The content of the business recordsis the
`only issue in this case. (Evidence Code, § 1271).
`L] Plaintiff who was assigned to out-of-state active duty in the U.S. armed forces for more than 6 months
`afterfiling this claim. | am not being paid to appear. I have not appeared in small claims court for other people
`more than 4 times in this calendaryear.
`[_] Defendantorplaintiff whois in a jail, a prison, or another detention facility now. | am not being paid to
`appear. I have not appeared in small claims court for other people more than 4 timesin this calendaryear.
`(-] Owner ofrental property in California who employs meas a property agent. This claim is about the rental
`property | manage.
`L] Association created to manage a commoninterest developmentand I am an agent, management company
`representative, or bookkeeperfor that association.
`LJ Husbandorwife and my spouse and| are bothlisted on this claim and agree that either spouse can appearfor
`the other.
`L] Other(explain):
`
`
`
`I declare under penalty of perjury under California state law that the information aboveis true and correct.
`
`®
`
`
` Type or‘print your kame
`
` Judicial Council of California, www.courtinfo.ca.gov
`Authorization to Appear
`SC-109, Page 1 of 1
`Revised January 1, 2007, Optional Form
`Code of Civil Procedure, § 116.540
`(Small Claims)
`
`