SUPERIOR COURT OF CALIFORNIA COUNTY OF LOS ANGELES COURTHOUSE ADDRESS: Reserved for Clerk's File Stamp PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: CASE NUMBER: REQUEST FOR COPIES I request copies of the following document(s): DATE COPIES Register Page Dissolution Support Order Complaint/Answer Judgments Dismissal Will Letters Decree Records Search Minute Order Order Order Order Entire File TOTAL # PGS. CERT DUP. TOTAL PAYMENT: Check Money Order Cash ; Exempt #_______________ #______________ Fee Waiver: Plaintiff Defendant Date Fee Waiver Granted: ______________ SPECIAL INSTRUCTIONS: ___________________________________ ___________________________________ ___________________________________ DATE: _________________________ SIGNATURE: _____________________________________ NAME: _____________________________________ ADDRESS: _____________________________________ _____________________________________ PHONE: _________________________________ Fee Waiver (check one): Gov. Code, § 6103.4 Gov. Code, § 68511.3 / Cal. Rules of Court, rules 3.50-3.63 Date Received: ____________________ Received by: ____________________________________ (signature) LACIV 033 (Rev. 08/08) LASC Approved 01-05 REQUEST FOR COPIES CUSTOMER COPY / WORK COPY / CONTROL COPY American LegalNet, Inc. www.FormsWorkflow.com