ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: ATTORNEY FOR (Name): NAME OF COURT: STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: FAX NO.: UNITED STATES DISTRICT COURT, CENTRAL DISTRICT OF CALIFORNIA (Insert the address of the division where the magistrate judge who will be reviewing the application is located.) PLAINTIFF: DEFENDANT: APPLICATION FOR TEMPORARY PROTECTIVE ORDER RIGHT TO ATTACH ORDER ORDER FOR ISSUANCE OF WRIT OF ATTACHMENT ORDER FOR ISSUANCE OF ADDITIONAL WRIT OF ATTACHMENT After Hearing Ex Parte Against Property of Nonresident CASE NUMBER: 1. Plaintiff (name): ex parte for applies a. a right to attach order and writ of attachment. b. an additional writ of attachment. c. a temporary protective order. d. an order directing the defendant to transfer to the levying officer possession of (1) property in defendant's possession. documentary evidence in defendant's possession of title to property. (2) documentary evidence in defendant's possession of debt owed to defendant. (3) 2. Defendant (name): a. is a natural person who resides in California. (1) does not reside in California. (2) is a corporation b. (1) qualified to do business in California. not qualified to do business in California. (2) is a California partnership or other unincorporated association. c. d. is a foreign partnership that (1) has filed a designation under Corporations Code section 15800. (2) has not filed a designation under Corporations Code section 15800. is other (specify): e. 3. Attachment is sought to secure recovery on a claim upon which attachment may issue under Code of Civil Procedure section 483.010. 4. Attachment is not sought for a purpose other than the recovery on a claim upon which the attachment is based. 5. Plaintiff has no information or belief that the claim is discharged or the prosecution of the action is stayed in a proceeding under Title 11 of the United States Code (Bankruptcy). Page one of three CV-04F (05/18) (AT-105 [Rev. January 1, 2000]) APPLICATION FOR RIGHT TO ATTACH ORDER, TEMPORARY PROTECTIVE ORDER, ETC. (Attachment) Code of Civil Procedure, §§ 482.030, 484.010 et seq. American LegalNet, Inc. www.FormsWorkFlow.com SHORT TITLE: CASE NUMBER: 6. Plaintiff's claim or claims arise out of conduct by the defendant who is a natural person of a trade, business, or profession. The claim or claims are not based on the sale or lease of property, a license to use property, the furnishing of services, or the loan of money where any of the foregoing was used by the defendant primarily for personal, family, or household purposes. 7. The facts showing plaintiff is entitled to a judgment on the claim on which the attachment is based are set forth with particularity in the a. verified complaint. attached affidavit or declaration. b. c. following facts (specify): 8. The amount to be secured by the attachment is: $ a. which includes estimated costs of: $ b. which includes estimated allowable attorney fees of: $ 9. Plaintiff is informed and believes that the following property sought to be attached for which a method of levy is provided is subject to attachment: a. Any property of a defendant who is not a natural person. b. Any property of a nonresident defendant. c. Property of a defendant who is a natural person that is subject to attachment under Code of Civil Procedure section 487.010 described as follows (specify): d. Property covered by a bulk sales notice with respect to a bulk transfer by defendant on the proceeds of the sale of such property (describe): e. Plaintiff's pro rata share of proceeds from an escrow in which defendant's liquor license is sold (specify license number): 10. 11. Plaintiff is informed and believes that the property sought to be attached is not exempt from attachment. The court issued a Right to Attach Order on (date): (Attach a copy.) Nonresident defendant has not filed a general appearance. 12. CV-04F (05/18) APPLICATION FOR RIGHT TO ATTACH ORDER, TEMPORARY PROTECTIVE ORDER, ETC. (Attachment) Page two of three American LegalNet, Inc. www.FormsWorkFlow.com SHORT TITLE: CASE NUMBER: 13. a. Plaintiff alleges on ex parte application for order for writ of attachment is informed and believes on application for temporary protective order that plaintiff will suffer great or irreparable injury if the order is not issued before the matter can be heard on notice because (1) it may be inferred that there is a danger that the property sought to be attached will be (a) concealed. (b) substantially impaired in value. (c) made unavailable to levy by other than concealment or impairment in value. defendant has failed to pay the debt underlying the requested attachment and is insolvent as defined in Code of Civil (2) Procedure section 485.010, subdivision (b)(2). (3) a bulk sales notice was recorded and published pursuant to Division 6 of the Commercial Code with respect to a bulk transfer by the defendant. (4) an escrow has been opened under the provisions of Business and Professions Code section 24074 with respect to the sale by the defendant. (5) other circumstances (specify): b. The statements in item 13a are established by the following facts (specify): the attached affidavit or declaration 14. Plaintiff requests the following relief by temporary protective order (specify): 15. Plaintiff a. has filed an undertaking in the amount of: $ b. has not filed an undertaking. Date: ............................................. (TYPE OR PRINT NAME OF PLAINTIFF OR PLAINTIFF'S ATTORNEY) (SIGNATURE OF PLAINTIFF OR PLAINTIFF'S ATTORNEY) DECLARATION I declare under penalty of perjury that the foregoing is true and correct. Date: ............................................. (TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT) 16. Number of pages attached: _____ CV-04F (05/18) APPLICATION FOR RIGHT TO ATTACH ORDER, TEMPORARY PROTECTIVE ORDER, ETC. (Attachment) Page three of three American LegalNet, Inc. www.FormsWorkFlow.com