Declaration In SupportCal. Super. - 6th Dist.February 1, 2021ATTACHMENT CV-5014 NAME AND ADDRESS OF PARbTY OR ATTORNEY FOR PARTY: TELEPHONE NUMBERS MEIR 33Wu(u( +-b5? SawdwmuLA.9$HZ ATTORNEY FOR (Nam) SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREET ADDRessr ' MAILING ADDRESSJ Syperipf Court CITY AND ZIP CODE ‘ CW" DIVISlon - v-191N. HrstSt.BRANCH NAME.---- m»? 95113 Person/Entity Seeking Protection Adel L afe% Person From Whom Protection Is Sought: Cu” o) Elmbh) (hx;claf FOR COURT USE ONLY FILED FEB ' l 2021 DECLARATION IN SUPPORT OF EX PARTE APPLICATION FOR CIVIL RESTRAINING ORDERS CASE NUMBER: Tfi: 216H009839EP I, the undersigned, declare: 1. I am (choose one): D attorney for Person or Entity Seeking Protection g seIf-represented Person or Entity Seeking Protection other (explain): 2. Tho opposing party is represented by an attorney: D Yes m No (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: 3. OTHER CASES: Have the parties to this case been involved in litigation with each other in another Civil. Family. Probate Juvenile.or CriminalCourt Case? DYes w No If “yes",case(s)number(s): 4. NOTICE a. l HAVE given notice to the opposing party and/or their attorney by the following method: D Personal delivery D Overnight Carrier D First Class Mail D Other: Date: Time: I 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 (Chock all that apply. You must explain below): 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: D Great or irreparable injury will result before the matter can be heard on notice. m 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 I am asking that this motion be heard at the same time. | am unable to serve the other party in the time required 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. l Ada R. Tait!» Da Pnnt Name e arant's Signature CV50“ REV 09"”‘5 DECLARATION IN SUPPORT OF EX PARTE APPLICATION FOR “9° 1 °‘2 CIVIL RESTRAINING ORDERS
