Request Restraining OrderCal. Super. - 6th Dist.February 17, 2021i ems: mat CH 100 Request for Civil Harassment Restraining Orders Read Can a Civil Harassment Restraining Order Help Me? (form CH-100- INFO) before completing this form. Also flu out Confidential CLETS I L EInformation (form CLETS-001) with as much information as you know. Clerk stamps dale hora when form ls filed. ® Person Seeking Protection MAR 1 6 2021 a. Your FullNamc: = k the 0'82?“ ZEUYEN Clam Pubm A893 33 Efmw 0" _ DEPUTY Your La cr i ou have one or this casewy (fy f ) Fill in court nar‘fie and street address:Name: State Bar No.2 Firm Name. -‘-_ Superior Court of Callfomia, County of b ddr f h I I 6mm CLNQA . Your A ess (1 you ave a awyer, give your angler 's information. lfyou do not have a lawyer and want to keep your SUpenor poun- home address private, you may give a diflerent mailing address 191 N- FWSI Street instead. You do not have to give telephone, fax, or e-mail.) San Jose, CA 951 1 3 Address: Court fills in case number when form is fled. Case Number: Slim a3“ - - 2) Wooqxeq E-Mail Address: ® Person From Whom Protection ls Sought Full Name: (,(SQ Perrj Age; 8g Address(i/Imown): 4005 Muhm Ave 4‘ mi City: Sun 30K State: CA Zip: ‘I S l3} ® Additional Protected Persons a. Are you asking for protection for any other family or household members? D Yes D N0 Ifyes, list them: Name m Ag: MWwith ”HEW D Yes D No DYes DNo D Yes D No DYes DNo U Check here ifthere are more persons. Attach a sheet ofpaper and write “Attachment 3a-Additional Protected Persons "for a title. You may useform MC-025, Attachment. b. Why do these people need protection? (Explain below): Check here ifthere is not enough spaceforyour answer. Put your complete answer 0n the attached sheet of paper orform MC-025 and write “Attachment 3b-Why Others Need Protection ”for a title. AHer/wqu‘ 3% (?Hux KLQMJLR Q) This is not a Court Order. mmmmuflfiiffamfi“w Request for Civil Harassment Restraining Orders CH-1°°- P8901 0'6 °°" °'c“PW“ $5 527-“ "a 527-9 (Civil Harassment Prevention) 9 Case Nu be ' I'CH'ooqs M Relationship of Parties How do you know the person in ® ? (Explain below): U Check here ifthere is not enough spaceforyour answer. Put your complete answer on the attached sheet of paper orform MC-025 and write "Attachment 4-ReIationship ofParties ”for a title. E +-room PC Venue Why are you filing in this county? (Check all that apply): a. Q’ The person in® lives in this county. b. E/I was harassed by the person in® in this county. c. D Other (specifil): Other Court Cases a. Have you or any of the persons named in©been involved in another court case with the person in ®? D Yes Mo (Ifyes, check each kind ofcase and indicate where and when each wasfiled.) Kind of Casg Filed in (Qoungmfltatel Yea; Filgdgamma (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 (10) D Criminal (1 1) D Other (specifiz): b. Are there now any protectivg or restraining orders in efiect relating to you or any of the persons in® and the person in® ? D No D Yes (Ifyes, attach a copy ifyou 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): Y’C b r MUVCM ’2 o Z \ (2) Who else was there? vavwfi vodeokH [“qu Vflfld This is not a Court Order. wm‘wm“ Request for Civil Harassment Restraining Orders CH'100- P3902 °f3 (Civil Harassment Prevention) 9 “”"W‘lmoqm ® a. (3) How did the person in® harass you? (Explain below):B’ 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. meagre Sec Kan EQ/‘H (4) Did the person in® use or threaten to use a gun or any other weapon? D Yes E’No (Ifyes, explain below): D Check here ifthere is not enough spaceforyour answer. Put your complete answer on the attached sheet ofpaper orform MC-025 and write "Attachment 7a(4)--Use of Weapons ”for a title. (5) Were you harmed or injured because of the harassment? m/Yes D No (Ifyes, explain below): U Check here ifthere is not enough spaceforyour 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? B/Yes D No If yes, did they give you or the person in® an Emergency Protective Order? D Yes D’No If yes, the order protects (check all that apply): D Me D The person in® D The persons in® . (Attach a copy ofthe order ifyou have one.) b. Has the person in® harassed you at other times? D Yes B/No (Ifyes, describe prior incidents andprovide dates ofharassment below): D Check here t_‘fthere is not enough spaceforyour answer. Putyour complete answer on the attached sheet of paper orform MC-025 and write "Attachment 7b---Previous Harassment "for a title. This is not a Court Order. WW‘-’°" Request for Civil Harassment Restraining Orders CH4“. P6903 0'6 (Clvll Harassment Prevention) 9 CaseNumbéch’D Oqgeq Check the orders you want. D PersonalConduct Orders I ask the coun to order the person in® not to do any of the following things to me or to any person to be protected listed in® : a. g Harass, intimidate, molest, attack, strike, stalk, threaten, assault (sexually or otherwise), hit, abuse, destroy personal property of, or disturb the peace of the person. b. 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 interoffice mail, by e-mail, by text message, by fax, or by other electronic means. C- D Other (specifi): U Check here ifthere is not enough spaceforyour answer. Putyour complete answer on the attached sheet ofpaper orform MC-025 and write "Attachment 8c-0ther Personal Conduct Orders, "for a title. Ute person in ® will be ordered not to take any action to get the addresses or locations ofanyprotectedperson unless the courtfinds good cause not to make the order. D Stay-Away Orders a. I ask the coun to order the person in® to stay at least ’L 00 yards away fiom (check all that apply): (l) B’Me. (8) E My vehicle. (2) D The other persons listed in ©. (9) D Other (specifil): (3) B/My home. (4) Q/My job or workplace. (5) D My school. (6) D My children’s school. (7) D My children’s place of child care. b. If the court orders the person in® to stay away fiom all the places listed above, will he or she still be able to get to his or her home, school, orjob? mes D N0 (If'w: explain below}: D Check here ifthere is not enough spaceforyour answer. Put your complete answer on the attached sheet 0f paper orform MC-025 and write "Attachment 9b-Stay-Away Orders, "for a title. Guns or Other Firearms and Ammunition Does the person in® own or possess any guns or other firearms? D Yes D No a l don’t know Ifthejudge grants a protective order, the person in® will be prohibitedfrom owning, possessing, purchasing, receiving, or attempting to purchase or receive a gun, otherfirearm, and ammunition while the protective order is in eflect. The person in ® will also be ordered to turn in to law enforcement, or sell to or store with a licensed gun dealer, any guns orfirearms within his or her immediate possession or control. This is not a Court Order. WWW" Request for Civil Harassment Restraining Orders CH-Wo- P8904 0' 5 (Civil Harassment Prevention) '9 Case Number: uwgongq ® B’Temporary Restraining Order I request that a Temporary Restraining Order (TRO) be issued against the person in® to last until the hearing. I am presenting form CH-l 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? D Yes Mo (Ifyou answered no, explain why below): U Check here ifthere is not enough spaceforyour answer. Put your complete answer on the attached sheet of paper orform MC-025 and write "Attachment 1I-Temporary Restraining Order ”for a title. ® D Request to Give Less Than Five Days' Notice of Hearing You must have yourpapers personally served on the person in® at leastfive days before the hearing, unless the court orders a shorter timefor service. (Form CH-200-INFO explains What Is “Proof of Personal Service”? Form CH-200, Proof of Personal Service, may be used to show the court that the papers have been served.) If you 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. Put your complete answer on the attached sheet of paper orform MC-025 and write "Attachment 12-Request to Give Less Than Five Days ' Notice "for a title. ® D No Fee for Filing or Service a. E/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 free because my request for orders is 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 flee because I am entitled to a fee waiver. (You must complete andfileform FW-001, Application for Waiver of Court Fees and Costs .) D Lawyer's Fees and Costs I ask the court to order payment ofmy D lawyer’s fees D Court costs. The amounts requested are: 119m Amman: It_6m Amsmm $ S $ S $ S D Check here ifthere 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. Wm “2°" Request for Civil Harassment Restraining Orders CH-100- P890 5M6 (Civil Harassment Prevention) '9 Case Number: zttHoomq ® D Possession and Protection of Animals 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 reside in my household. (Identtfi animals by, e.g., type, 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 sheet ofpaper orform MC-025 and write “Attachment 15a-Possession ofAnimaIs "for a title. b. D That the person in ®must stay at least yards away from, and not take, sell, transfer, encumber, conceal, molest, attack, su'ike, threaten, harm, or otherwise dispose of, the animals listed above. D Additional Orders Requested I ask the court to make the following additional orders (specifi): D Check here ifthere is not enough spaceforyour answer. Put your complete answer on the attached sheet of paper orform MC-025 and write "Attachment 16-Additional Orders Requested, ”for a title. ® Number ofpages attached to this form, if any: E Date: b Lawyer 's name (ifany) Lawyer 's signature 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: ;//./Z{ Clara Paow p (7W FM Twe orpn'ntyour name Sign your name This is not a Court Order. Request for Civil Harassment Restraining Orders CH-100. Pageants (Civil Harassment Prevention) WMLNfl Request for a Restraining Order on Lisa Perry - There is a pending charge on Lisa Perry and an anonymous man for breaking in my property with the anonymous man pushing me down - Will provide the report #. The DA is in the process of charging - Lisa Perry has continued to harass my roommate Mark and myself. Mark told me that our neighbor Maya said Lisa Perry kept pressuring her to get Mark to speak with her - Lisa Perry continues to make racist remarks and false accusation about me. She told a neighbor who will show up to testify ”Hey can you make up stories about Ciara”, this neighbor said Lisa has called and left voicemails totaling 12 attempts. - Lisa Perry has sent random people to my house around 1:00am, 2:00am to bang on my door, doorbell ditch. l have my ring camera to prove it - Lisa Perry was removed from the lease; she continues to attempt to enter my property. I will provide documents - | have a video of the cops saying ”Lisa said she is all finish and done” - when | called for a civil stand by for her to remove her belongings. The next day she was back at my property banging loudly on the door - Sabrina, our old roommate moved out of our place because of Lisa Perry. l will provide documents of Lisa Perry behavior and her testimony - l have a video of Lisa Perry on March 2nd, 2021 near my front door