Affidavit Of Prejudice Peremptory Challenge To Judicial Officer Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Affidavit Of Prejudice Peremptory Challenge To Judicial Officer Form. This is a California form and can be use in Los Angeles Local County.
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Tags: Affidavit Of Prejudice Peremptory Challenge To Judicial Officer, LACIV 015, California Local County, Los Angeles
NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY:
Reserved for Clerk’s File Stamp
STATE BAR NUMBER
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES
COURTHOUSE ADDRESS:
PLAINTIFF:
DEFENDANT:
CASE NUMBER:
AFFIDAVIT OF PREJUDICE
PEREMPTORY CHALLENGE TO JUDICIAL OFFICER
(Code Civ. Proc., § 170.6)
Name of Judicial Officer
Judge
Dept./Div. Number
Commissioner
Referee
I am a party (or attorney for a party) to this action or special proceeding. The judicial
officer named above, before whom the trial of, or a hearing in, this case is pending, or to
whom it has been assigned, is prejudiced against the party (or his or her attorney) or the
interest of the party (or his or her attorney), so that declarant cannot, or believes that he
or she cannot, have a fair and impartial trial or hearing before the judicial officer.
I declare under penalty of perjury, under the laws of the State of California
that the foregoing is true and correct.
Date:
Signature of Declarant
________________________
(Name of Party)
Plaintiff
Defendant
LACIV 015 (Rev. 01/07)
LASC Approved 04-04
Cross Complainant
Cross Defendant
AFFIDAVIT OF PREJUDICE
PEREMPTORY CHALLENGE TO JUDICIAL OFFICER
Code Civ. Proc., § 170.6
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