Declaration In SupportCal. Super. - 6th Dist.February 8, 2021' . . . ATTACHMENTCV-5014 [ NAME AND ADDRESS OF PARTY OR ATTORNEY FOR PARTY TELEPHONE NUMBER FOR COURT USE ONLY Amwfi‘bx mar‘m D3 Loch-{flq \HSH CQOTVOV‘: Aver an T032 CA ag'm ATTORNEY€OR We've? k) F ‘ 11c ()r‘( $V1M SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F SANTA CLARA I L ESTREET ADDRESS: 191 North First Street. San Jose, CA 95113 MAILING ADDRESS: 191 North First Street ,_ 1 CITY AND ZIP CODE; San Jose'. CA 95113 FEB 8 203A BRANCH NAME: Downtown Courthouse f the Coufl Person/Entity Seeking Protection:AWAM r nan e D‘ k oc’ ta” Bumf‘O' A coumy 0' sanggpaézv BY Person From Whom Protecfion is Sought: Hf (,‘\’o/ g\kn L O K NGUYEN DECLARATION IN SUPPORT 0F EX PARTE APPLICATION FOR CASE “WEB? H 0 8 5 DEF” CIVIL RESTRAINING ORDERS C 0 9 2 l. the undersigned, declare: 1. | am (choose one): D attorney for Person or Entity Seeking Protection self-represented Person or Entity Seeking Protection D other (explain): 2. The opposing party is represented by an attorney: D Yes E No (If you checked “yes". fill in the attorney's name. address. and telephone number. If you checked “no", fill in the other party’s name address, and telephone number. Party/Attorney name: “QCVW 6‘RHCD . Address/Telephone number: _(9H\ e- O\\\’Q Ave: a \v .SD {WKAJXWJAQ (A qqogb10$M&qm‘ _ 3. OTHER CASES: Have the parties to this case been involved in litigation with each other in another Civil, Family, Probate Juvenile. or Criminal Court Case? m Yes D No If “yes". case(s) number(s): 103C. D%L‘} $0\ h )0 3H 1 0%‘1 4. NOTICE J a. I 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: | have received confirmation that the other party has received my papers as follows: (describe) b. 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: c. Explanation: D A hearing between the parties is already set | 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 I fear for my physical safety (and that of others, if applicable). D Other: I declare under penalty of perjury that the forgoing is true and correct.gm Amaem ID; Lomw awnmew Print Name Declarant‘s Signature CV-5014 REV 09/13/15 DECLARATION IN SUPPORT OF EX PARTE APPLICATION FOR P3991 0'2 CIVIL RESTRAINING ORDERS