Declaration In SupportCal. Super. - 6th Dist.February 22, 2021ATTACHMENT CV-5014 NAME AND AQDRESS OF PARTY OR ATTORNEY FOR PARTY TELEPHONE NUMBER FOR COURT USE ONLY Known Bmwazéx AW11 fliww ‘0 §Amda£ C ¢¢fl3£ ATTORNEY FOR (Name) SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA F I L ESTREET ADDRESS: 191 Nonh First Street, San Jose, CA 95113MAILING ADDRESS: 191 North First Street CITY AND ZIP CODE: San José. CA 95113 FEB 2 2 2021 BRANCH NAME: Downtown Courthouse . ~ CI ot the CofirlNGU EN Person/Entity Seeking Protection:P \b’c \Lfl gnwaz A Squaw c County d Sam auraDEPUN Person From Whom Protection is Sought: Wfla Sytlazaf BY DECLARANON1NSUPPORTOFEXPARTEAPPUCAHONFOR cmEMMBW 03”” CIVIL RESTRAINING ORDERS ?1runnog7fi- - V VVV I I 'q I. 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 XNO (If you checked “yes", fill in the attorney's name. address. and telephone number. lfyou 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 Criminal Court Case? D Yes MNO If “yes". case(s) number(s): 4. NOTICE 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: I 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 l am asking that this motion be heard at the same time. D I am unable to serve the other party in the time required by law. I fear for my physical safety (and that of others. if applicable). D Other: | declare under penalty of perjury that the forgoing is true and correct. Rb) \2\ “(Prxsc/M wa/x Daté ' flint Name W Signature CV50“ REV 09/15/16 DECLARATION IN SUPPORT 0F EX PARTE APPLICATION FOR Page 1 0'2 CIVIL RESTRAINING ORDERS