Court of Appeal, Fifth Appellate District Appellate Court Writ Petition Information Sheet Petitioner: Respondent: Lower Court Case # ___________________________________________________________________________________ 1. Trial is set for (date): a. Title and location of court (specify): b. Date of each order (specify): 3. Reason for delay in filing this petition (specify): 2. The trial court order asserted to be erroneous was entered as follows: 4. The record filed or lodged in support of this petition includes a copy of the lower court: a. Order b. Pleadings c. Motion with supporting and opposition papers d. Reporter transcripts e. Other (specify): 5. The following record was not filed or lodged in support of this petition: a. Record (specify): b. Reason (specify): c. Will be filed or lodged on (date): 6. A petition concerning the subject of this petition was previously filed as follows: a. Title and location of court: b. Case number: c. Disposition: American LegalNet, Inc. www.FormsWorkFlow.com 7. A temporary stay order is requested pending the determination of the petition, and a court reporter's transcript will not be filed or lodged with the court before the stay order is decided. a. Real parties in interest Have received actual notice of the request for a stay order Have not received actual notice of the request for a stay order b. A summary of all evidence concerning the matter of this petition and in support of the stay order is set forth (include any testimony adverse to your petition) In attachment 7b As follows: 8. The petition seeks review of an order denying a motion to a. suppress evidence b. set aside an information AND c. defendant was arraigned on (date) d. the trial court motion was Made within 60 days following the date of the arraignment. Not made within 60 days following the date of the arraignment for the reason set forth (specify facts showing why defendant was unaware of any issues or had no opportunity to raise the issue of the motion) In attachment 8d. As follows: 9. This petition seeks review of an order a. granting or denying a motion for change of venue b. denying a motion to quash service of summons c. granting or denying a motion to expunge notice of lis pendens AND d. written notice of the lower court order was served on (date): e. the lower court extended time to file this petition and a copy of the order is attached. f. other (specify): 10. I understand that the court must be advised of any matters affecting this petition which happen after the filing of this petition. American LegalNet, Inc. www.FormsWorkFlow.com