Declaration In SupportCal. Super. - 6th Dist.January 21, 2021ATTACHMENT CV-5014 NAME AND ADDRESS OF PARTY OR ATTORNEY FOR PARTY Mama Swan: m ATTORNEY FOR (Name) TELEPHONE NUMBER Q&Ot/rwag, FOR COURT USE ONLY Z40N 2nd 5+$l H 0‘4 Sorvcgc (/4 67;”: SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: ILE JAN 21 2021 Clerk of the Court Superior Co of C ounty o! Santa Ciara 191 North First Street. San Jose, CA 951 13 191 North First Street San Jose'. CA 95113 BRANCH NAME: Downtown Courthouse Person/Entity Seeking Protection: MQ}C1 Vfl 5-14.)“ HIV0 Person From Whom Protection is Sought:f/u/én/ C m cixnm 634/ DECLARATION IN SUPPORT OF EX PARTE APPLICATION FOR CASE NUMBER: 210H009818 DEPT x: CIVIL RESTRAINING ORDERS I, the undersigned. declare: 1. 2. 4. | am (choose one): The opposing party is represented by an attorney: D Yes U attorney for Person or Entity Seeking Protection seIf-represented Person or Entity Seeking Protection D other (explain): , dNo (If you checked “yes". fill in the attorney's name, address. and telephone number. If you checked “no". fill in the other party's name address. and telephone number. Party/Attomey name: Address/Telephone number: OTHER CASES: Have the parties to this case been involved in litigation with each other in another Civil. Family, Probate Juvenile. or Criminal Coufi Case? D Yes No If “yes", case(s) number(s): NOTICE a. | HAVE given notice to the opposing party and/or their attorney by the following method: D Personal delivery D Overnight Carrier D FirstClass Mail D Other: Date: Time: I have received confirmation that the other party has received my papers as follows: (describe) I HAVE NOT given notice of the request for orders because (Check all that apply. You must explain below): m This is an application for Civil Harassment Prevention Act. Elder Abuse, Private Postsecondary School Violence. Transitional Housing Misconduct. or Workplace Violence Act restraining orders and: m Great or irreparable injury will result before the matter can be heard on notice. D It is impossible to give notice. D The other party agrees to the orders requested. D Other: Explanation: D A hearing between the parties is already set I am asking that this motion be heard at the same time. D | am unable to serve the other party in the time required by law. m | fear for my physical safety (and that of others, if applicable). D Other: | declare under penalty of perjury that the forgoing is true and correct. [[LI [202/ ggiem £ng [an Date Pnnt Name Declarant's Signature CV-5014 REV 09/1 8/16 DECLARATION IN SUPPORT OF EX PARTE APPLICATION FOR CIVIL RESTRAINING ORDERS Page 1 of 2