Declaration In SupportCal. Super. - 6th Dist.February 1, 2021ATTACHMENT CV-5014 WE AND ADDRESS PARTY OR ATTORNEY FOR PARTY TELEPHONE NUMBER FOR COURT USE ONLY IC $4.5 r605 47x ”q; k'KV/QJ (wk 903‘ gunfifw/{rCA 7¥0f€ STREET ADDRESS i 1] ATTORNEY FOR (Name; Sci P Roaruh+m+hlt | L ESUPERIOR COURT OF CALW Raft“COUETYEFfiJSANf CLARA F MAILINGADDRESS (a/ U94 F.r_5+ {mt CITYANDZIPCODE 5‘4 jqrVcA 1g”; BRANCHNAME fig; Dlm-ho,‘ Person/Entity Seeking Protection: Alexd DKCO 3 +0; Person From Whom Protection Is Sought: kf z ,5L+°F £1 “AA“ DECLARATION IN SUPPORT 0F EX PARTE APPLICATION FOR CASE ”UMBER CIVIL RESTRAINING ORDERS 2 1 C H 00 98 3 7 DEPT #1 l. the undersngned. declare: 1. I am (choose one): D attorney for Person or Entity Seeking Protection fl seIf-represented Person or Entity Seeking Protection D other (exp/a/n): 2. The opposing party is represented by an attorney: D Yes E No (If you checked “yes". fIII 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/Attorney name: Address/Telephone number 3. OTHER CASES Have the panies to thus case been involved in litigation wnth each other in another Civnl, Family, Probate Juvenile or Criminal Court Case? D Yes m No If "yes". case(s) number(s) 4 NOTICE a, I HAVE given notice to the opposing party andlor their attorney by the following method: D Personal delivery D Overnight Carrier D First Class Mall D Other: Date Time: l have received confirmation that the other party has received my papers as follows (describe) b, | HAVE NOT given notice of the request for orders because (Check all that apply. You must explain below): Thus is an application for le Harassment Prevention Act. Elder Abuse. Private Postsecondary School Violence, Tr nsmonal Housing Misconduct. or Workplace Violence Act restrainlng orders and' fl Great or Irreparable injury will result before the matter can be heard on notice. E] It is impossuble to give notice. D The other party agrees to the orders requested. D Other' c. Explanation: D A hearing between the partles 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 reqwred by law % | fear for my physical safety (and that of others. If applicable)Other: I declare under penalty of perjury that the forgoing is true and correct 1/20/91 A’ua 956d? Ifié’é g 4/ D'ate Print Name D'ecl5rant’s Signature CV60” REV 09/15/15 DECLARATION IN SUPPORT OF EX PARTE APPLICATION FOR CIVIL RESTRAINING ORDERS Page 1 of 2