Request Restraining OrderCal. Super. - 6th Dist.January 22, 2021Request for Civil Harassment9m Restraining Orders Read Can a Civil Harassment Restraining Order Help Me? 60m: CH-100- M0) before completing this form. Also fill out Confidential CLEIS Irformation Harm CLETS-OOI) with as much information as you know. Person Seeking Protection a. Your Full Name: Age:_9~I_ Your Lawyer (1fyou have onefor this case) Name:Wanted- State Bar No.2.- Firm Name:MW b. Your Address (Ifyou have a lawyer, give your lawyer 's information. Ifyou do not have a lawyer and want to keepyour home address private, you may give a dfirent mailing address instead. You do not have to give telephone, fa, or e-mail.) Address. 4< FWM s!- City:SML. State.Ch Zip:L Telephone. Fax E-Mail Address: ® Person From Whom Protection Is Sought Clerkstamps datohom whonlormlsfiiod. ILED JAN 2 2 ZRZNGUYEN Clerk t e Court Supe un o C ty 0t Santa Clara BY DEPUTY Flll in court name and shoot addmss: Superior Court of Califomla, County of Santa Clara 191 N. First Street 191 N. First Street San Jose, CA 95113 Civil Courthouse- DTS Court fills in case number when fwm ls fled. “ff“EFffio 98 21 FunName:Maigreta §I’Address (xfknown): 43 Floyd City: §an 3’05? Stateztd Age:_-? Zip: qgl l0 Additional Protected Persons a. Are you asking for protection for any other family or household members'28Yes DNO [fyes, list them: Full Name fl Ag; Lives with you? How are thev related to vou? Le‘hc (A ? cu. Yes DNo MOW?Mn E9? raJa' M _IL Yes D No BMW ' D Yes D No D Yes D No D Check here ifthere are more persons. Attach a sheet ofpaper and write "Attachment 3a-Additiona1 Protected Persons ”for a title. You may useform MC-025, Attachment. b. Why do these people need protection? (Explain below): D Check here ifthere is not enough spacefor your answer. Putyour complete answer on the attached sheet of paper orform MC-025 and write "Attachment 3b-Why Others Need Protection ”for a title Mv hroWr awL MY Wmfhmr mc:& Prof-ed-Ioa L legato“! Yoiqu &4rc-a (nhm “V1 NQRQ Ma.“ +0 Mm - This is not a Court Order. meMW“W Request for Civil Harassment Restraining Orders (IB Enema - CH-100, Page 1 of 6 (Civil Harassment Prevention) ROHCI [l pVERN9 “133...... Cu. Number: Q) <9 Relatlonshlp of Parties How do you know the person in®7 (Explain below). D Check here zfthere ts not enough spaceforyour answer. Pu!your complete answer on the attached sheet of paper orform MC-025 write "Attachment 4-Relationship ofParties "for a title. N enahbor Dumoc) Venue \ Why are you filing m this county? (Check all that apply): a. 8 The person in® lives m this county. b. m I was harassed by the person in® in this county. c. a Other (specifi): Mai-on c Other Court Cases a. Have you or any of the persons named in® been involved in another court case with the person in®7 D Yes B No (Ifyes, check each kind ofcase and indicate where and when each wasfiled.) Kind of Case Filed in (Coung/Statez Year Filed Case Number (ifknowrfl (l) D Civil Harassment (2) D Domestic Violence (3) D Divorce, Nullity, Legal Separation (4) D Paternity, Parentage, Child Custody (5) D Elder or Dependent Adult Abuse (6) D Eviction (7) D Guardianship (8) D Workplace Violence (9) D Small Claims ' (1mm Criminal (1DD Other (specifi): b. Are there now any protective or resu'aming orders m efi'ect relating to you or any of the persons in @and the person in®? mNo DYes (Ifyes, attach a copy tfyou have one.) Description of Harassment Harassment means violence or threats of violence against you, or a course of conduct that seriously alarmed, annoyed, or harassed you and caused you substantial emotional distress. A course of conduct is more than one act. a. Tell the court about the last time the person in ® harassed you. (l) When did it happen? @rovide date or estimated date).- (2) Who else was there? [See attached declaration for a Descripflon of Harrassment] This is not a Court Order. mm”: "”Il‘: Re uest for Civil Harassment Restrainln Orders cu-1oo,p 2°15GB l m q (Clvll Harassment Preventlon) g '9. 9at. E..- °“°"2“1"t,"H oo 98 21 ® a. (3) How did the person in® harass you? (Explain below):D Check here ifthere is not enough spaceforyour answer. Putyour complete answer on the attached sheet ofpaper orform MC-025 and write "Attachment 7a(3)-Describe Harassment "for a title. (4) Did the person in® use or threaten to use a gun or any other weapon? DYes a No (Ifyes, explain below): D Check here zfthere is not enough spaceforyour answer. Putyour complete answer on the attached sheet ofpaper orform MC-025 and write “Attachment 7a(4)-Use ofWeapons ”for a title. (5) Were you harmed or injured because of the harassment? D Yes ENG (Ifyes, explain below): D Check here zfthere is not enough spacefor your answer. Putyour complete answer on the attached sheet ofpaper orform MC-025 and write “Attachment 7a(5)-Harm or Injury “for a title. (6) Did the police come? mYes D No If yes, did they give you or the person in ®an Emergency Protective Order?D Yes No If yes, the order protects (check all that apply). D The person in ® D The persons in @. (Attach a copy ofthe order ifyou have one.) DMe b. Has the person in ® harassed you at other times? m Yes D No (Ifyes, describe prior incidents andprovide dates ofharassment below):D Check here ifthere 1s not enough spaceforyour answer. Putyour complete answer on the attached shéet of paper orform MC-025 and write "Attachment 7b-Previous Harassment”for a title. "RM.“JMLNW This is not a Court Order. Request for Civil Harassment Restraining Orders (Civil Harassment Prevention) CH-100. Page 3 of 6 9 Cue Number: Check the orders you want. M E Personal Conduct Orders _ . ' ‘ _ I ask the court to order the person in ®not to do any of the following things to me or to any person to be protected listed 1n@: a. EHarass, intimidate, molest, attack, strike, stalk, threaten, assault (sexually or otherwise), hit, abuse, destroy personal property of, or disturb the peace of the person. b. a Contact the person, either directly or indirectly, in any way, including, but not limited to, in person,‘by telephone, in writing, by public or private mail, by interoflice mail, by e-mail, by text message, by fax, or by other electronic means. c. D Other (specifii): D Check here ifthere is not enough spaceforyour answer. Putyour complete answer on the attached sheet ofpaper orform MC-025 and write "Attachment 8c-Other Personal Conduct Orders, "fora title.. The person in ®will be ordered not to take any action to get the addresses or locations ofanyprotectedperson unless the courtfindv good cause not to make the order. mStay-Away Orders a. I ask the court to order the person in® to stay at leastM yards away fiom (check aII that apply): (l) a Me. ‘ " ‘ (8)a My vehicle. (2) aThe other persons listed in® . (9) m 091a (specifil). , (3)E My home. L7“ MN .m \Vou rkws’f 4/“ H g ”14$ (4) Q My job or workplace. Mg (5) My school. (6) My children’s school. (7) D My children’s place of child care. ibi If tie Ebim'tiorders the person in ®to stay away fiom all the places listed above, will he 0r she still be able to get to his or her home, school, orjob? aYes DNo (Ifno, explain below): -7 D Check here ifthere is not enough spaceforyour answer. Putyour complete answer on the attached sheet of paper orform MC-025 and write "Attachment 9b-Stay-Away Orders, "for a title. 0 Guns or Other Firearms and Ammunition Does the person in ®own or possess any guns or other firearms? DYes DNo 8‘1 don’tknow Ifthejudge grants a protective order, the person in ® will be prohibitedfiom owning, possessing, purchasing, receiving, or attempting topurchase or receive a gun, otherfirearm, and ammunition while the protective order is in eflect. 77w person in ®will also be ordered to turn in to law enforcement, or sell to or store with a licensedgun dealer, any guns orfirearms within his 0r her immediate possession or control. This is not a Court Order. “WWW" Re uest for Civil Harassment Restrainln Orders cn-1oo,P 4am (I3 ‘m q (Civil Harassment Preventlon) g m 9 Case Number: ® mTemporary Restraining Order I request that a Temporary Restraining Order (TRO) be issued against the pe_rson in ® to last until the hearing. I am presenting form CH- 1 10, Temporary Restraining Order, for the court’s signature together with this Request Has the person in ® been told that you were going to go to court to seek a TRO against him/her? DYes DNO (Ifyou answered no, explain why below): D Check here ifthere is not enough spacefor your answer. Putyour complete answer on the attached sheet of paper orform MC-025 and write "Attachment II-Temporary Restraining Order "for a title. ® D Request to Give Less Than Flve Days' Notice of Hearing You must have yourpapers personally served on the person in® at Ieastfive days before the hearing, unless the court orders a shorter timefor service. (Form CH-200-HVFO explains What Is “Proof of Personal Service”? Form CH-200, Proof of Persona] Service, may be used to show the court that the papers have been served.) Ifyou want there to be fewer than five days between service and the hearing, explain why below: D Check here ifthere is not enough spacefor your answer. Putyour complete answer on the attached sheet of paper orfonn MC-025 and write “Attachment IZ-Request to Give Less Than Five Days’ Notice ”for a title. D No Fee for Filing or Service a. a There should be no filing fee because the person in®has used or threatened to use violence against me, has stalked me, or has acted or spoken in some other way that makes me reasonably fear violence. b. D The sheriff or marshal should serve (notify) the person in ®about the orders for fi'ee because my request for orders ls based on unlawful violence, a credible threat of violence, or stalking. c. D There should be no filing fee and the sheriff or marshal should serve the person in ®for fi'ee because I am entitled to a fee waiver. (You must complete andfileform FW-001, Application for Waiver of Court Fees and Costs ) E Lawyer's Fees and Costs I ask the court to order payment ofmy D iawyer's fees E Court costs. The amounts requested are: Itfl ' Amount m Amount Eillng.Ean $ 435 $ . s $ $ $ D Check here {fthere are more items. Put the items and amounts on the attached sheet ofpaper orform MC-025 and write "Attachment 14-Lawyer ’s Fees and Costs"for a title. - _ ‘ This is not a Court Order. h ~ """'“". “"'2°" Re uest for Civil Harassment Restrainin Orders CH-1oo,P sofaw [ m'“ q (Civil Harassment Prevention) g . age , Cue Number: 7 .7 D Poséesslon and Protectign of Anlmals I ask the court to order the following. a. D That I be given the sole possession, care, and control of the animals listed below, which I own, possess, ‘ ’" " ' lease, keep, or hold, or which rcside'1n my household. {Identifl animals by, e.g., 0pc, breed, name, color, sex.) I request sole possession of _the animals because (specifil good causefor granting order): D Check here ifthere is not enough spaceforyour answer. Put your complete answer on .the attached rshee_t ofpaper orform MC-025 and write "Attachment I5a-Possession ofAnimals "for a title. b. DThat the person in C2) must stay at least _ yards away fiom, and not take, sell, transfer, encumber, conceal, molest, attack, strike, threaten, harm, or otherwise dispose of, the animals listed above. a Additional Orders Requested I ask the court to make the following additional orders (specifi): ‘D Check here ifthere is not enough spaceforyour answer. Putyour complete answer on the attached sheet of paper orform MC-025 and write “Attachment 16-Addifionql Orders Requested, "for a title. ® Number of pages attached to this form, if any: Date: SamBapmanmd- +Snfl=finpmsanmi salL-Bepmggnmd 9 Lawyer 's name (ifany) ’ Lawyer 's signatwe I - I declare under penalty of perjury under the laws of the State of California that the information above and on all attachments is true and correct. Date; 0| Jogng-l Manuel Fs+vada fl J g Ijlpe 6rprintyaw- name gfiyow' nwne This is not a Court Order. Rmm-vm“ R uest for Civil Harassment Restralnln Orders CH-1oo. P 60M (IB' Euomfl sq (Civil Harassment Preventlon) g .9. 10 11 12 13 14 15 16 17 18 19 20 21 23 24 25 21cH009821 CASE NAME: €6+rd§g and {gm g CASE #:am CH-1 00, Item 7a(3) - DESCRIBE HARASSMENT: a) How do you know the person you want to restrain? Nefi dgoc uglfifiam; b) Are you living With the person? D YES {NO c) Has the person El physically abuse you, Q/physically or verbally threatened you and/or fl harassed you many times? (Please check all that apply.) d) ln the past three months, what did the person do or say that made you afraid (please start with the most recent event and explain exactly what happened in detail, include dates an>d times): “M, Q‘H’ICV mm was mmvmg. bombUMW her wag Wmugh m3 momsmm mna mg emf. 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PORTHTLE ‘ casemfaimcHoo 98 21egfmd m and hmvm m 10 11 12 13 14 ’WK f hm 15 16 17 18 19 20 21 26 (Requimd for ven'fied pleading) The items on this page stated on information and belief are (specify item numbers, not line ‘llast Name Last Name W M‘WV PUMM omssrd hmuah rm mrfrim 01nd Inn!- L’r 1.9% m mshbaa hum ugah cams MA ice?Was 11 1131mm 1PM (vxdio) M DO ' ~ An .n ' . t _ m‘ mg”; Qua I hmrd +14}; wmu rommg ou+MW. Ihm. 9mAPPNMMWW “Do muv 14mm (A Problem wv-Hq m7” And MIL; M a him] Ma Imus 101Whm Mt bMe 11/211;qu 12:40PM. (3mm) WM} 1’0 4C) +0 0!an mmhbors hovuu 01nd QM. lama rm rm cw unanow “I 53PM (\ndro) ’WL OWN Pam d([AM/J +0 row 00+ when WM thds mud L waft pgflmgng . [pficfimggmmnm 3g: 01am mom and smmd mmvmq m Awwmhn flag m us 4am no came ogtll (MM) 5 LMPM (mdfo) numbers): 27 This page may be used with any Judicial Council form or any other paper filed with the mutt P... mewggy‘m ADDITIONAL PAGE V 7 ‘ CR6 201. 501 H0020 January 1. 19871 Athch to Judlclal Council Fonn or Other Court Paper 1O n 12 13 14 15 16 17 18 19 20 21 23 24 25 2 1 C H 00 9 8 21 CASE NAME: Bmljmnd é”{C ’4 CASE #: “Last Name Last Name e) Were any guns or other weapons used or threatened to be used during any abuse In the past three months? D YES E NO If 'YES', describe: f) Were there any injuries during abuse In the past three months? D YES fl NO If “YES', describe: g) Did the police come to any of these recent events? D YES fl NO H) Did they giQe you an Emergency Protective Order for abuse In the past three months? El YES fl NO If "YES", please attach a copy. i) Is the person you want to restrain in jail right now for violence against you? D YES fl NO If “YES”, where: j) Has the persbn you want restrained ever been in jail fqr violence against you or your children? DYES fl NO If “YES”,when: Describe what the person did to you or your children that caused them to go to jail: CH-100, Item 78(3) - DESCRIBE HARASSMENT P399- 10 11 12 13 14 15 16 17 18 19 20 21 23 24 25 ZICH009821 CASE NAME: {SVao'a and 6-duma CASE #: Last Name Last Name k) Do you have a criminal protective order (restraining order from criminal court)? D YES E NO If “YES", please attach a copy. l) Describe the worst abuse and when it happened: ?The most recent abuse jg the worst abuse OR D The worst abuse was (appmnmau dam) and the person I want a restraining order against (mmmmuny aid m you):mam A a 60m MS mm bogMm d v, QKVL, :rhrmlcm [A ‘rb bm-r up Mk3 meHJ W401 I. H-t mm smd mMSW Lam 4 mu \nu firimds h» help Wm WM uc up. MU, \loimnd A Minimal T’D c m4 tmmimnm'oh um Mj mum hr ban 4 m 94+ \omm" and fl r nukflDQI/Vg \nuw +0 ?&Y‘furl’b} s?tamfiikh m) Descn’be any other previous (past) violence or threats of violence that you haven't already written about here (Include dates or estimates as to when It happened): CH-1 00, Item 78(3) - DESCRIBE HARASSMENT P399- 12127 u ‘a‘ ‘- Done 20 of 20 Paul N Sandra ngnojoz Stab there tires and break windows. 12m Like Reply 13 a Zackary Noel Ramirez Paul N Sandra Hignojoz hahahahahh y: 5m Like Reply o©
