Professional Documents
Culture Documents
6
STATE OF CALIFORNIA, Case No. 0108-XXXX
7
Plaintiff, AFFIDAVIT OF ORIGINAL ISSUE;
8
v. NOTICE OF ALLEGED
9 DEFENDANT'S ACCEPTANCE OF
JOHN H. DOE©, CLAIM;
10
Alleged Defendant. NOTICE OF COURT'S
11 ABANDONMENT OF CLAIM;
12 MOTION AND ORDER TO DISMISS
13 [Change all to the particulars of your case,
14 i.e., the plaintiff, defendant, and your
15 document name, case number, etc.]
16
17 State of CALIFORNIA )
) ss.
18
County of ORANGE )
19
5 5. Alleged Defendant JOHN H. DOE© is the "Original Issuer" of the credit on the debt
8 COUNTY OF ORANGE.
14 OCEANSIDE, CA 86851.
15
16 7. The Original Issue price of $20,289.92 for Claim or Case No. 0108-XXXX was
19 Service Form 1099-OID (attached hereto and stated herein as alleged Defendant's
20 "Exhibit A").
21
22 8. Creditor JOHN H. DOE© accepted the Claim or Case No. 0108-XXXX on the
23 attached Internal Revenue Service Form 1099-OID (please see "Exhibit A") for the
25
2 not have subject matter jurisdiction and must vacate any order(s) or judgment(s)
3 made.
6 CALIFORNIA has abandoned the claim (attached hereto and stated herein as alleged
11 and 1099-A (attached hereto and stated herein as alleged Defendant's "Exhibits A &
12 B") for the abandonment of the Tax in this Claim or Case No. 0108-XXXX.
13
18
19 Wherefore the undersigned hereby moves the Court to dismiss the Plaintiff’s
21
23
25
3 JURAT
4 County of ORANGE )
) ss.
5
State of CALIFORNIA )
6
7 Signed and sworn to (or affirmed) before me on this, the ______ day of June, A.D. 2008,
9
___________________________________________
10 Notary for the State of CALIFORNIA
My commission expires: ____________________
11
12
13
14 ORDER
15 IT IS HEREBY ORDERED that the above captioned case, and the Complaint of the
16 Plaintiff be dismissed with prejudice and any Notice(s) of Lis Pendens be removed from record.
17
19
20
21 __________________________________________
Presiding Judge
22
23
24
25
26