ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) FOR COURT USE ONLY TELEPHONE NO.: ATTORNEY FOR (NAME): EMAIL: AMADOR COUNTY SUPERIOR COURT 500 ARGONAUT LANE JACKSON, CA 95642 (209) 257-2603 PLAINTIFF: DEFENDANT: EX PARTE APPLICATION FOR STAY OF EXECUTION OF JUDGMENT CASE NUMBER: Defendant(s) respectfully requests ________ days stay of execution of judgment (i.e., from _____________ ___________________to _________________________, 20___ through _______________________, 20___) pursuant to Code of Civil Procedure Section 918. It is necessary to make this application ex parte because the Amador County Sheriff's Office has notified me that I am scheduled to be evicted on ______________________________, 20___. I do not have sufficient time to bring a regularly scheduled noticed motion. I will suffer irreparable harm if this eviction takes place because I have no place to live. Please consider the following Declaration in support of this application. Declaration of Defendant(s) 1. I have personal knowledge of the facts stated below and could and would competently testify to those facts, except for those facts stated on information and belief and as to those facts I believe them to be true. 2. My rent is $___________ per month. The alleged/estimated fair rental value is $__________ per day. 3. I can deposit $____________ with the clerk of the court to pay for the duration of the stay, so the plaintiff will not be prejudiced if this stay is granted. Approved for mandatory use Date: _____________ [New-03/29/2016] EX PARTE APPLICATION FOR STAY www.amadorcourt.org OF EXECUTION OF ______________________________________ JUDGMENT CIV-133 Signature LegalNet, Inc. American www.FormsWorkFlow.com CASE NAME: CASE NUMBER 4. I have have not previously sought a stay. 5. Hardship to Defendant: Family/Medical circumstances (Physical and/or mental disabilities): ______ children live with me. Their ages are 6. Attempts to find new housing: Approved for mandatory use [New-03/29/2016] EX PARTE APPLICATION FOR STAY OF EXECUTION OF JUDGMENT American LegalNet, Inc. www.FormsWorkFlow.com www.amadorcourt.org CIV-133 CASE NAME: CASE NUMBER 7. Pending Motions / Legal Challenges to the Judgment 8. Tenant's History / Other I declare under penalty of perjury that the foregoing is true and correct. Executed on _______________________, 20___ at ____________________________, California. ____________________________________ Declarant (print name) ____________________________________________ Declarant (signature) Approved for mandatory use [New-03/29/2016] EX PARTE APPLICATION FOR STAY OF EXECUTION OF JUDGMENT American LegalNet, Inc. www.FormsWorkFlow.com www.amadorcourt.org CIV-133 CASE NAME: CASE NUMBER DECLARATION REGARDING NOTICE OF EX PARTE APPLICATION I, the undersigned, declare that: On ___________________________, 20___, at approximately ________________ I informed the Plaintiff Plaintiff's attorney by: a.m. p.m., Placing a telephone call to the Plaintiff's attorney Leaving a telephone message with Plaintiff's attorney's assistant. Leaving a telephone message on Plaintiff's attorney's voice mail. Placing a telephone call to the Plaintiff's landlord. Leaving a telephone message on Plaintiff landlord's voice mail. Leaving a telephone message with Plaintiff's landlord's assistant. Other notice __________________________________________________________________ I declare under penalty of perjury that the foregoing is true and correct and that this declaration is executed at __________________________________, California, on ______________________, 20___ ___________________________________ DECLARANT (print name) ________________________________________ DECLARANT (signature) Approved for mandatory use [New-03/29/2016] EX PARTE APPLICATION FOR STAY OF EXECUTION OF JUDGMENT American LegalNet, Inc. www.FormsWorkFlow.com www.amadorcourt.org CIV-133