Request Restraining OrderCal. Super. - 6th Dist.March 4, 2021CH 100 RequeSt for CIVII Harassment Clerk stamps date here when form is filed. Restraining Orders Read ( 'uu u ('ivi/ Harassment Restraining ()rcler Help Me? (form ('H-100- INFO) before completing this form. Also fill out Confidential CLETS I L E lnfbrmution (form ("LETS-OUI) with as much information-as yoy know. MAR - 4 2021 Person Seeking Protection K“ NGUYEN = oun > a. Y FullName' fl . ~ ' supenogclgurrt‘ot t w Same Ciara“naywk Kwam Me .m .Agefi’g y DEPUTY Your Lawyer szyou have onefor this case) Fill in coun name and street address.- Name:S&ILRepLesenL State Bar No.:_- gupeiiorcclourt of California County of . . _ an a araFlrm Name.Wd 191 N First Street b. Your Address (Ifyou have a lawyer, giveyour lawyer 's 1891 g. Firséitggfig' 3. . , ‘ v V . V ' an 058 Information. lfyou d0 not lune a lawyer (md nan! Io keepymr Civil Courthouse_ DTS home address private, you may give a different mailing address instead. You d0 no-t have t0 give telephone, fax. 0r e-mail.) Cour? fills in case number when form is filed. Address: f’ O [7 {\X / O 7 2 Case Nfleé: cny ame mm-m H00 99 0 8 Telephone. (P 99 A M'éadax: E-MailAddress: Seky SanJ/a QCOOL a 3 Ma. LCOW ® Person From Whom Protection ls Sought Full Name: 3Q) MC. L“ ”\KW RI Uem Age: _L{L‘ Address (ifknon-n): \ 3 L5- M I:h (36L n Ag Q I City. A-I V/Jxo ‘ State: C 4 Zip: ill0k ® Additional Protected Persons a. Are you asking for protection for any other family 0r household members?mYes DNO [fyes list them Full Name Sex _A_g§ Lives with you? Hon are they related to you? PKUL C7! Médlm M IQ aYes DNO SOA/ Cfldll/ermn L RH/QMM éi EYesaNo [3&0 4‘th _ \ W7 . DYes 'No _ _J h _ D Yes No _. . y D Check here ifthere are more persons. Attach a sheet ofpaper and wrile "Attachment 3a-Additional Protected Persons "for a title. You may useform MC-025. Attachment. b. Why do these people need protection? (Explain below).- D Check here ifrhere is not enough space fbr vour answer. Put vour complete answer on the attached sheer of a er orm WC-025 anduritc ~1lluhmcm3b-W7n Others Nclwil’r lecnan orantle”p MWWWW _%Wu wfsm< vkkammax“vagé WWAW Md (51nd W+MBM£ M)m fl aha“? (Mu cw; newt yo m3 41km w wx gameM \ Mtw d KL This Is not a Court Order. M‘xgcg‘n’flgr'f’°z%"°'"'aa-53'§'§é”w°‘;§m;c:9” Request for Civil Harassment Restraining Orders CH-1oo, page 1 ore °°°°° N" '°°°°“’° 55 a" (Civil Harassment Prevention) ROHC, [l PVERN9(IBDW Case Number: G) CED © ® Relationship of Parties How do you know the person in ®? (Explain below): m Check here [filwre is no! enough spacefor your answer. Put your complete answer on Ihe alrached sheet Qf paper orfbrm MC-025 and wrire "Anachmem 4-Relarionsl1ip ofParries "for a title. [16,0IIW Venue g r - . ; 3 Why are you filing in this cofinty? (Check all Ihar apply): a. a The person in ® lives in this county. b. I was harassed by the person in® 1n this county. c. a Other (specifi). M ‘1. PMW D 9mm W9 WV 'H'V‘é CowM7 Vex; Other Court Cases a. Have you or any oflhe persons named in® been involved in another court case with the person in®? a Yes D N0 ([fyes, check each kind (gfc'usc and indicate where and when each wusfilcd.) Kind of Case Filed in (Counthrale) Year Filed Case Number (ifknown) (l) D Civil Harassment (2) D Domestic Violence (3) D Divorce. Nullity, Legal Separation (4) D Patemity. Parentage. Child Custody _ _ 3 (5) a Elder or Denendent Adult Abuse __ . fl? ~ ‘ u -V"--_-’. I (6) m Eviction SNMLWK KC 2\ Z K(V31bzqq (7) D Guardianship (8) D Workplace Violence (9) D Small Claims (10D Criminal h (mp Other (specifl'LAAO M _l 7, b. Are there now any protective or restraining orders in effect relating to you or any of the persons in @and the person in@? a No DYes (lfyes, attach u copy Ifmu 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 vou 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? (firmeiie gice or L.unlulxd41% 59']}‘!‘fl 3L3: xpé'okz‘f 30‘ flihm c L io foun‘geslqigmn O’LHHggiryent] TM ?JLLQLLWV aoo:\:mln,H/J-vw~9 hm mks cause, . Thom t b\b 5104'ka Pnrcd‘w'w MMIQJ’U Thagi (2) Who else \\ as there? Ml Varw-l’s H’o’w (r56 WY Warwe “\5\§ Mgcmufi’m61.4»? This Is not a Court Order. w s v t5 é CA- mmmum m Request for Civil Harassment Restraining Orders CH-1oo, Pagez ore (I3Em (CIVII Harassment Prevention) 9 Case Number: Check here ifthere is n0! enough .s‘puccfbryour answer. Putyour complete answer (m the attached ® a. (3) How did the person in® harass you? (Explain below): C sheet ufpaper orform MC-025 and write “AIIuchmen! 7(l(3)--Describe Harassment fl); a title. d-h 8C CA, m.Mtg gAlma hfifi SMVQ‘AVOUAOL M}; grch+ a_ 44“ -m 3S PD amok mLULW-h Nuwk} mg . Cw r‘ 5V, 1' SPO 4% baé-«MQ. m-e Lw nolLCe ahand #mmdmw no @ra~+d'Md neLQKWJ‘ (4) Did the person in® use or threaten to use a gun or am other weapon? Yes D No (lfxes, explain heIan) Check here ifthere is n0! enough Spaccfbrgmur answer. Pu! your complete answer 0n the attached sheet ofpaper orform A ("-025 and u' “ite' 411m lnnentL27al4)-Lse 0 Weapons" f0 a lille \Nm ~e s v e pmopLQ WK éoQM Ii UQWL MM bu‘ LWUMM whagaufiwwk Opro/BLM £4me G. 0:0 i ShoavanQ‘ Po Myancm hmMW (5) Were you harmed gr injured because ofth‘e harassment? m);W3”W mes D No (Ifyes, explain below): Check here iflhere is n0! enough Spacefin' vuur uns‘wer Pu! vour complete answer 0n the attac hed shcetof aperorfbrmMC-025 andwrite 4rtuchn m 7a(5 -Harmor Injm fm II le i6 +- M8 L k/(‘mMM]wiiuvm t ” am" MA oi? Nwév‘b‘luiQJWoWWWWIi fwbwvrMmM (6) Did the police come? Yes D No lf yes did they give vou or the person in ®an Emergency Protective Order? mks EtNo lfyes the order protects (check all that applv.) DMe D The person in ® D The persons in ® (Attach a copy 0fthe order [fvou have one.) b. Has the person in ® harassed you at other times? mes D N0 (lfyes, describe prior incidents and provide dates ofharassment below): m Check here ifthere is nor enough spacefbr your ans.n'er Put your complete answer 0n the attached sheet 0f pa er 0r form WC-025 and write ”'Atrac hmen! 7h [fictions Harassmen 0r a title. \ , “, pfavt’ C’ox/I ngLS fif/ L/(r‘ MAAG/TQJQC fie” 12f c ahoul ”Le VOW V‘Uqé'lb m e 4”"de ()A/ /(7/\‘€f20€<‘-> Tq‘m-Q RlVr’z/ax FOL/~SC‘/L/ MOL‘DV'VQ‘J ‘14:) damp TA 1.2 bro/éogfn/om/ My wogbwwow Md, yumnq pvrwr ’Wt’w ‘h MMVR woman; Mew This is not a Court Order. R“““’"“°'Y"2°‘° Request for Civil Harassment Restraining Orders CH-1oo, Page sote (I3m (Civil Harassment Prevention) 9 Case Number: Check the orders you want. E E Personal Conduct Orders l ask the court to order the person in @not to do any of the following things to me or to any person to be protected listed m @2 a. E 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. Cont‘acflhe‘parson, 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. n A I ' ' WDOther (specifi'): ‘1 D Check here ifthere is n0! enough sfiaceforfi'o'zfr'fihWPut your complere answer on Ihe attached sheet ofpaper orform MC-025 and wrile ’Mrtachment 8c-01her Personal Conduct Orders, "for a title. gi 1., The person in ®will be ordered n0! t0 take any action Io get (he addresses 0r locations ofany protectedperson unless (he court finds" gpod cause not Io make the order. @a tay-Away orders '3. " ‘ ' " " ' ' l ask theMcourt to orderthe per‘son m ®‘to smyat léastw yarés‘away fi'om (check all 711a! apply): (l) . (8) MMy vehicle (2) Thee other persons listed in@. (9) D Other (specify): (3) mMy home. (Mm Myjoborworkplace ‘fu - a. ‘- .- " ' ~ ;“:‘L A (5) A M'ysch-ob'l'. ‘.~ ’1‘ "-".' -" 7‘ '9’ J'I- - '-'-'"..‘ ‘-‘; .' 7 _ ‘ WW (6) Q My children‘s schoo‘l. f “ 3 j‘ 1 ‘L " :6 ‘ 3‘“ 9" 1 v ‘ I ‘1 (7) D-Mychnd'rensplaneofchimaiv; :g'B'P-Fv .‘ -' u , . m o. .. ..'k-A .4 II , t 1-.,-V:m 11"}. t... 'I",. \,.-.‘,'zs b. lfthe court orders the person in ®to stay away from all the places listed above, will he or she still be able to get to his or her home, school. orjob? a Yes DNo (Ifm), explain below): D Check here iflhere is nor enough space for your ans“ er. Put your complete ansu er_ on the attached sheet of paper orfoun MC -025 and “rife “Agfacfllmen! 9b-S‘ay 4wa} Orégrsé, for a Lk: . _. , . Iv . . . I‘. o. . :., ~ ' :' I 7;) .5 fr I" ‘v . |,'r‘ ‘ ' '~ 3 I ‘ - ' 'vxr'i E -- .7‘ I Vt n \if _ .V-‘, ‘,‘3 f ‘lg ,gyz‘l‘r‘i\ '6'0 Guns or Othgr Firearm? qnd Ammunltlop. , ', _ _ v ' r Does the person in®an qr possess any guns or other flrpamu? Yes ?DNO”DI don 1 know ‘ _ , 5 1/ Ihejudge grants q proleclixp order the persqn [n ® Sill be prqhibilcdjrom'ou ning. posses'sulg purcEasing L receiving or unempting IoZpurchase or rec_eive d gun 0t u’r firearm and ammunition u [2i]? Ibeprotecm'e order is in effect. The passon in @H ill also be onlend Io (urn in In hm enforcement 0r sefl t0 0r store u iIh a " licensed gun dealer. any guns orfircurmx u iI/n'n his nr lur mum diutc possession 0r control. This is not a Court Order. Rewsed January 1, 2018 , Request for Civil Harassment Restraining Orders CH-1oo, page4 ore (IBW (Civil Harassment Prevention)M ’JFom 9 Case Nuwtch 00 99 0 8 ® m Temporary Restraining Order l request that a ‘Temporary Restraining Order (TRO) be issued against the pe_rson in ® to last until the hearing. l am presenting torm CH-l 10, Temporan' Restraining Order. tor the courtIs 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/h¢r? DYes We (”you answered n0, explain why below): D Check here ifllwre is not enough spacefor your answer. l’ul your complete answef 0n (he ulluc'hed sheer 0f paper 0r form .\I('-()25 and write "Atluchmem IliTemporwjv Restraining Order "for a title. J. didn/«l' k1! 941mg elv’Ckk MAJ .I a/Yl undullnql' ' ' wflu ® ntRequest to Give Less Than Five Days' Notice of Hearing 'You mus! have your papers personalb‘ served on the person in® u! leustfive days before the hearing, unless the court orders u shorter (ime/br service. (Form ('H-20()-1.VF() explains What ls "Proof of Personal Service"? Form CH-200. Proof of Personal Service, may he used t0 show (he Cour! I/zu! the papers have been served.) lfyou want there to be fewer than five days between service and the hearing. explain why below: D Check here {fllwre is no! enough spacefur your answer: Pu! your complete answer 0n the attached sheet of paper orform .\I('-025 and wrire "Atluchmen! IJ-Reques! Io Give Less Than Five Days' Notice "for a title. |' ‘I" ‘.‘: ~ z . . 4 ... A .,. ‘ K - \ " A ’: :3 " g V. 1‘5 ,l‘ h i v ¥ r.‘ '. _. 'q f , 1‘ -' .‘tlh‘. V v O 4-. v » . ' -' ‘9 '14 .; ‘ ‘3’!” :4". '2 'A,.‘..JI‘ . -',I » "c- \L, I I‘ tv“ ‘ .‘>. A: A I...‘ . ‘ .4 .( ': " .I . ,4 . ' v A I ®fl No Fee for Filing or Service a. a 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. a The sheriff 0r 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 ofviolence. or stalking. c. D There should be no filing fee and the sheriff or marshal should serve the person in ®for free because l am entitled to a fee waiver. (You mus! complete andfilcfiu'm FW-OO], Application for Waiver of Court Fees and Costs.) m Lawyer's Fees and Costs l ask the court to order payment of my D lawyer's fees a Court costs. The amounts requested are:m Amount ltL Amount Eiungfiea s 415 s $ $ $ $ D Check here iflhere are more items. Pu! Iln' [mm and ummmls (m (lie attached sheet ofpaper orform MC-025 and write “Attachment 1-! Law_wr 's Fu-x um! ( 'nsl.v”_/i)r a title. This is not a Court Order. ""m’m‘ 2°” Request for Ciyi_| Harassment Restraining Orders CH-1oo. Page 5°16(m {Erm'fl (CIVII Harassment Prevention) 9 Case Number: @ D Possession and Protection of Animals l ask the court to order the following: a. DThar l 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. (Identifi' animals by, e.g., type. breed, name. color, sex.) I request sole possession of the animals because (specifv good causefor granting order): D Check here iflhere is not enough spaceforyour answer. Put your complete answer on (he attached sheet ofpaper orform MC-025 and write “Attachment 15a-Possession ofAnimals "for a tille. b. D That the person in ® must stay at least yards away from. and not take. sell. transfer. encumber, conceal. molest. attack. strike. threaten. harm. or otherwise dispose of. the animals listed above. @Additional Orders Requested . l ask the court to make the following additional orders (specifi): ' -D Check here ifIIwre is not enough spacefbryour answer. Pm your compleie answer 0n Ihe allaclled sheet Qf pfir 0rf m M -025 and write "AI! zclmzenl 16-.4dditional Orders Requested," 0r c1 ille.mum WMWW «JJWPW Mam v'bffirkvmmmw andMMEQWWQHQ 444/6Number of pages attached to this form, if any: ___ W Date: SelfiBepLesgnteL - d } self-Bepzesented-Lawyer 's name (ifww Lawyer 's signature l deplare under penalty of perj ury under the laws of the State of California that the information above and on all attachments is true and correct. Date: 3 '1 34w RIVERA Me’D/NA CM g Mek}. Type 0r prim your name ’Sign ) our name This is not a Court Order. Request for Civil Harassment Restraining Orders CH-1oo, pageeore (Civil Harassment Prevention) Rewsed January 1, 2018 Esunud “(m.m, 3i} Forms- 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 aa-MLJWK gnaw“ 21CH00990 CASE NAME 3"“ CASE #:9mm ates:NW CH-100, Item 7a(3) - DESCRIBE HARASSMENT: a) How do you know the person you want to restrain? 15a \ vx c L Kl ({C‘yq‘ \S Null Magma] b) Are you living with the person? D YES fiNO c) Has the person D physically abuse you§fi physically or verbally threatened you and/or Xharassed you many times? (Please check all that apply.) d) In the past three months, what did the person do or say that made you afraid (please stan with the most recent event and explain exactly what happened in detail, include dates and times): OM \o[w>\;ow jmqu (2 mom hobs CdleLW Scw\_\nL<.PQ\~c€/ME Mtg Mawfl‘e Ly“! @Ccvxgouiroro éficborhlMI broke l Y1 41) (Wu Mm‘hru xsxvamwMMAWWA" ‘° C“ / Norma, 0n “mud 3"”7 Mypmrewl qavob/ra Lo me lfl 50ml“; M31151 a/VLJ Hi l/ brOUjIJ mz #omtelao Lima} HHS Midktjakqfl'ue WQ’U/SoG-fioq M/I AMA Zrorjavé¢fus W525 fag; bir-S 0” w/ly/golo Lg‘J/{hl‘ILL SJ WSatJJbro/Cpnh‘s‘o mum’s hm é I 50AM J was AMCUWGJ dulqme [A GLPo/toe W$f$m¢me, TheanLcSJ-M opmeJ 41¢ Jouv’anJLSQ.,( 41M Wanda 60%] £0@De£qlnm} mé Th1»; 661M! 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Rtfinlééfy4f§w R 4%4A-awmewlx 1W 7,7,4, MW :fi;wfifijmflmwm - gcmtflmfiwc WW J, A W _@HMMKM‘WWEW.§ {3 W aw iv: th~€! 5 \1 (mm,wP J/ofimfiflaskwiawEg. me, 1W; Wa%%W j 1" l MWA. 7_.__ P_éQ-i,_i¥ mt, gy/fl/Wfinv pm @Mfi_& a x mMmfifiwQ’WWjg: WW“? ., 5;)” I )g / LNW E‘y/‘Aydfl/ v)! X3”! M g‘g M Jul. gw_pg’V-AQL‘JN mfiL5M \I/LL WMMMM- i4 ._V.__ ___QWDL~W&WWI NMW w mu T _ 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 .N NW Mend k 21cuoo9908 CASE NAME: CASE #z Last me LastName 5"”“xKR-wmm‘Jnuv e) Were any guns or other weapons used or threatened to be used during any abuse in the past three months? fives U No IWES". describeflavmp/ Amcfl wWWW gamma as 3V” {nWW Hum». MA. bhwéy‘vppf/ya dmdbw f) Were there any injuries\during abuse in the past three ?{Onthflfi YES U NO |f“YES", describezmrélé’“ (buy twwn 30 $94909. m9M mLA/hmn 0V6“ 5 Mvutw deKms \n pmoP'rJ-q +poxq m h) Did they give you an Emergency Protective Order for abuse in the past three months? U YES K NO If “YES". please attach a copy. i) ls the person you want to restrain in jail right now for violence against you? (EYES mo If“YES".where: j) Has the person you want restrained ever been in jail for violence against you or your children? DYES flNO |f"YES",when: momr us n/o Lanfiufi WM“ us 0nd +hcm J‘U‘Mehbw ~2H “7 b}DWWHO|$ L-Qfik btpvq “,5 NbQ‘K c: ,9r‘JOPAM g) Did the police come to any of these recent events? YES D NO 0'” U5. Describe what the person did to you or your children that caused them to go to jail: CH-100, Item 73(3) - DESCRIBE HARASSMENT Page_ 10 11 12 13 14 15 16 o A \A“ x UWL. CASE NAME: Y“ and (L CASE #z 2 1 CHOU 99 0 8 _ La tName LastName 5‘5”“ “ RN“ mum: k) Do you have a criminal protective order (restraining order from criminal court)? D YES HNO If “YES", please attach a copy. l) Describe the worst abuse and when it happened: D The most recent abuse i_s the worst abuse OR HThe worst abuse was (appromate daze) 5’ IX l Lo and the person | want a restraining order against (gcmey ma to you))zLQ a4 “S KcM (h OM.“-W \ro hospM Mom»: 3M suvLi-o M&KA 3w “Mn. \Mw so'mw1 Wwwwte’w psludt- aw #ma’ *0 B f D\o-wWo\ LNWMSPVH “Mi ‘>/Kfigmykbiwr manta go Wwwfiwotuoy3M voqumw’ bWW 7nd w~>~H~rA, MAMA. Le. thew 0014 ho WMQ/W‘ WMA ,l 504mg, J J wmymoyy‘w.’¥ha~( wavMN¢M w M1“M«NW 64w", «Mo mm L'xsw vrvgw; M94- awe, PMS 1"va vMu srfiwn ho Win»?! 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