Declaration In Support

Cal. Super. - 6th Dist.January 27, 2021

ATTACHMENT CV-5014 NAMEAN mfiwfion mm; %mam35gig: Foacounruseomy x09 g S 20% 69 ATTORNEY FORmamfielk-Rg‘IQQQWIV2 H gm E E , W SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREET ADDRESS: 191 North Fust Street, San Jose. CA 95113 ‘ MAILING ADDRESS: 191 Nonh First Street CITY ANDZIP CODE: San José, CA 95113 JAN 2 7 Zfl BRANCH NAME: Downtown Courthouse erk of t PersonlEntity Seeking Protection: M/Co LP #Vimdg‘dr‘ Bysup¥§ 1m 0’ CA ogwgggfigfi Person From Whom Prolectlon Is Sought ‘Qj-fy‘f m@knW/B DECLARATION IN SUPPORT 0F EX PARTE APPLICATION FOR CASE “UMBER DEW“ cwu. RESTRAINING ORDERS ’) 263' 6.25 EL, mu. L!l, the undersigned. declare: 0:: 1. | am (choose one): D attorney for Person or Entity Seeking Protection m self-represented Person or Entity Seeking Protection D other (explain): 2. The opposing party ls represented by an attorney: Yes #No (lfyou checked"yes". fill'1n the attorney's name address and telephone number. lfyou checked“ no”, fill In 1he other vzéparty’s name address and telephon nu$er ) l /44/ flawPartylAttorney name: ‘3 6d m URF an @Jr/jzg Addresszelephone number. g NM/Xm LngLJIE 3y I 3. OTHER CASES. Have the parties to this case been involved 1n litigation with each other Inmanfil“£3 ipaxroba5 Juvenile. or Criminal Court Case? EYes D No If “”yes . case(s) number(s): v 4. NOTICE a. IHAVE given notice to the opposing party andlor their attorney by the following method: D Personal delivery D Overnight Carrier D First Class Mail D Other: Date: Time: l have received confirmation that the other party has received my papers as follows: (describe) b. l 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, ElderAbuse. 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: c. Explanation: D A hearing between the parties is already set | am asking that this motion be heard at the same time. D l am unable to serve the other party in the time required by law. m Ifear for my physical safety (and that of others, if applicable). D Other: Ideclare under penalty of peljury that the forgoing isfiand correct. x Made ‘rwdSon K097 Da e PrinflNamek’ Declaran 0V-5014 REVOSHSMG DECLARATION IN SUPPORT 0F EX PARTE APPLICATION FORM Page 1 0'2 cwu. RESTRAINING ORDERS ATTACHMENT CV-5014 INSTRUCTIONS Please refer to Santa Clara Cdunty Local Civil Rules for more information. This form is not for use in restraining order applications filed at Family Court. This form is required in Santa Clara County. if you are asking the Judge to make immediate orders without the other party being present for a hearing. These orders are called ex parie orders. This form must be completed in any case where ex parfe orders are requested. If you have given notice to the other side 0f your case, you must state the form of notice given. Notice means providing the other side ofthe case, either the attorney or a self-represented party. with copies of any papers that you want the Judge to review and any orders that you are requesting. If you have not given notice, you must explain why you have not given notice. There are some circumstances when notice may be waived, such as cases involving allegations of domestic violence where the safety of a party or a child might be at risk if notice is given. It is up to the Judge 1n your case to determine whether notice will be required or not. SECTION #1 State whether you are the Petitione‘r 0r the Respondent in the case. Once a case is filed, the parties keep the same status in the case. You d0 not change from the Respondent to the Petitioner by filing a new motion in the case. [f you do not have an attorney, you are considered seIf-represented. SECTION #2 lf the other party is represented by an attorney, you must provide the Court with the attorney‘s name and address. If the other party is not represented by an attorney. you must provide the Court with the other party's address. SECTION #3 It is very important to list all other cases in which you and the other party have been involved with the courts. This would include other Family Law, Probate, Juvenile. Restraining Order, Child Support, Civil, or Criminal ' matters. If you do not have the case number. please put unknown and list the county and the year of thé filing, if possible. SECTION #4A Unless notice is excused by the Court, you must provide notice of this motion to the other party before you deliver a copy to the Court. When you give such notice, specify how you did It (by courier or personally, for example) and at what time and date. Also, please explain how you know that the other side received copies of your papers and what response you Were given. SECTION #48 If you did not give notice of this application, explain why in this section. Check as many boxes as apply. You may also write out any further explanation of your reasons for not giving notice. After this form is completed, attach it to your restraining order application and submit them as follows: o If Civil Harassment, Workplace Violence, Private Postsecondary School Violence, or Transitional Housing Misconduct; to the Civil Division Clerk’s Office at 191 North First Street. San José, CA 951 13 o If Elder or Dependant Adult Abuse; t0 the Family Division Clerk's Office at 201 North First Street, San José, CA 95113 CV60” REVWHBHB DECLARATION IN SUPPORT 0F EX PARTE APPLICATION FOR Pasewz CIVIL RESTRAINING ORDERS