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Declaration Re Ex Parte Notice SC-CV-1 - California
| Declaration Re Ex Parte Notice Form. This is a California form and can be used in Civil Siskiyou Local County . |
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NAME OF APPLICANT OR ATTORNEY FOR APPLICANT: (FOR COURT USE ONLY) ADDRESS: TELEPHONE: SISKIYOU COUNTY SUPERIOR COURT 311 FOURTH STREET P.O. BOX 1026 YREKA, CALIFORNIA 96097 IN THE MATTER OF: PETITIONER / PLAINTIFF: CASE NUMBER RESPONDENT / DEFENDANT: DECLARATION RE EX PARTE NOTICE I, the undersigned, declare under penalty of perjury that 1. I am: (1) (2) (3) 2. unrepresented Petitioner/Plaintiff the attorney for: other (explain): Yes No If you checked "yes", fill in attorney's name, address and telephone number: Petitioner/Plaintiff unrepresented Respondent/Defendant Respondent/Defendant The opposing party is represented by counsel: 3. The parties to this action have been involved in another Family Law, Domestic Violence, Family Support Div., Paternity, Criminal, Guardianship, or Juvenile Court case. YES NO If there has been another case, state the County in which it is pending and the case number (if you answered "No", skip #5 - #9 and complete the rest of the form.) on, (Date) at (Time) 4. 5. 6. 7. I have given notice of this ex parte application I gave notice to YES NO (Name) The notice included the information contained in Attachment 1 of this declaration. I gave notice to (am) (pm) on that I would present an application for these orders at at SUPERIOR COURT CHAMBERS, DEPT. 1. (UNREPRESENTED PARTIES MUST DELIVER THEIR APPLICATIONS TO THE CLERK]. 8. A copy of these pleadings was given to: to: by the following method: personal delivery other (explain): 9. I have received the following response: overnight letter or other overnight carrier fax transmission 10. I anticipate the other party will oppose this application. I anticipate that the other party will NOT oppose this application. American LegalNet, Inc. www.USCourtForms.com 11. I have NOT given notice of the present application for ex parte orders because: Notice would frustrate the purpose of the orders sought. Applicant would suffer immediate and irreparable harm before the orders could issue. No significant burden or inconvenience to the responding party will result. The orders requested are those permitted without notice by local rule. I made reasonable, good faith efforts to give notice, described as follows: Other: EXPLAIN WHY YOU CHECKED ANY BOX IN ITEM 11: 12. I believe that the other party's abuse of alcohol drugs is a major factor in his/her offensive behavior. 13. If you are asking that anyone else be protected, then his or her name, age relationship to you, and need for protection must be stated. Name & Age Relationship Why protection needed lives in my residence (CHECK YES OR NO) YES YES YES YES YES Are you in mediation? YES NO If so, have you notified the Court Mediator of this application? YES NO NO NO NO NO NO a. b. c. d. e 14. I declare under penalty of perjury, under the laws of the State of California, that the foregoing is true and correct, and that this declaration was signed at , California, on , 20 , at (am) (pm). Signature of Declarant Print Name: This form may be used to satisfy the requirements of ex parte, notice pursuant to Rule 3.03.B of the Local Rule of the Siskiyou Country Superior Court, if you provide an attachment which includes a statement of the notice you gave and of the exact temporary orders you are requesting from the Court. DECLARATION RE EX PARTE NOTICE (SC-CV-1), EFFECTIVE JULY 1, 2004 American LegalNet, Inc. www.USCourtForms.com
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