RequestCal. Super. - 6th Dist.January 7, 20215‘ Re uest to M0d if Term i"ate Clerk stamps date here when form is filed. CH-eoo .9' [a V C'- CIVII Harassment Restraining Order ® Party Seeking Modificatioanermination a. Your Full Name: Mg {65M PD { as b. m Protected person D Restrained person c. Your Lawyer (ifyou have onefor this case) Name: State Bar No.: Firm Name: Fill in court name and street address: d. Your Address (Ifyou have a lauyer, grve your lawyer S Superior Court of California] County of information. Ifyou d0 not have a lawyer and want t0 keep your Samhl a home address private, you may give a difl‘erent mailing address C [UH D - ”£24 l instead. You d0 not have t0 give teleplzone,fax, 0r e-mail.) f LU o Address; F30 - ?)th 13/ 8 SQ N 0L3: gig’jsfimi City: €536 MI WVVI 4’0 State: CA Zip: ”§?FL M I 3 Fill m casé number. Telephone: Fax: E-Mail Address: ® Other Party a. FullName: (Sofielbim HUVH' b Address fAmwn) mot § Mow 3mg #Ro% City: fl? ‘3 State: (\A Zip: K07»? ® Current Order a. The current order is a/an: Elk Civil Harassment Restraining Order After Hearing (form CH-l 30) m Order Renewing Civil Harassment Restraining Order (form CH-730) b. The Current order expires 0n (date): 3' 02' 2 Z c. D A copy of the current order is attached. Case Number: Zicflooafiofi ® m Request to Modify Restraining Order a. Iask the court to modify the current order as follows (speafl requested changes referring t0 the item number in order that you want t0 change 0r delete): D Check here ift/Iere is n0! enough spacefor your answer Attach a sheet ofpaper and write “Attachment 4a -Siuested Changes ’fozéatitle. Youmayus foszC- 0.75 At achment. . ’TLL {‘9 WIIWJ ”iv Md VW/Hfl)“ mfimfiiéi bu 4w; Maw {m .6?on 45w“ am ’HAL micrwr 0r 5mg 300M! med '51 P(¢{+nGJ/ms. ix‘é‘if'aa‘n‘igLr‘f““Ca“fié‘fihaatmgwm“9°“ Request to Modify/Terminate CH-eoo, Page 1 or3 CDdeofCi Procedure §527 (j) I _ _ _ 5959mm CIVII Harassment Restraining Order 9 gm” BFO-m (Civil Harassment Prevention) Q "\ Case Number: 2109004205 b. I ask the court t0 modify the order because (explain below: D Check here ifrlzere is not enough spacefor your answer. Attach a sheet ofpaper and write "Attachhwnt 4b -Reasonsf0r Requested Changes "for a title. You ma useform A/IC-025, Att Chment. “rim W91 (51,2440! {MS {Mmfl 74> WVWSI, H: i aw/ vé/Lrézqém Iv/y‘n @0120! W602! - © D Request to Terminate Restraining Order I ask the court to terminate the current order because (give reasons below.- D Check lrere tfthere is not enough spacefor your answer. Attach a sheet ofpaper and write "Attachment 5- Reasons t0 Terminate Order”f0r a title. You may usefomz MC-025, Attachment. nguaggsgzal Request to Modifleerminate oH-soo, Page 2 of 3 mm. Elm‘ Civil Harassment Restraining Order 9 (Civil Harassment Prevention) ‘3 Case Number: ® D Lawyer's Fees and Costs I ask the court to order payment ofmy: a. D Lawyer's fees b. a Court costs The amounts requested are: kin Amount Itfl Amount $ $ $ $ $ $ D Check here ifthere are more items. Put the items and amounts 0n the attached sheet ofpaper orform M0025 and write "Attachment 6-Lawyer's Fees and Costs”f0r a title. Date: # DLawyer’s name (zfrmy) Lawyer's signature I declare under penalty 0f perjury under the laws of the State of California that the information above is true and correct. Date: {202 2 Wm @m , M/ Type 0r print your mmf’e Sign your name nguaggsfiial Request to Modifleerminate CH-soo, Page 3 of 3 mum EFLHE Civil Harassment Restraining Order (Civil Harassment Prevention)
