ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Address, Telephone No.) FOR COURT USE ONLY (Name) (Address) (City) ATTORNEY FOR ((Name) (State) (Zip code) SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE JUSTICE CENTER: Central-700 Civic Center Dr. West, Santa Ana, CA 92701 Harbor-Newport Beach-4601 Jamboree Rd., Newport Beach, CA 92660 North-1275 N. Berkeley Ave., P. O. Box 5000, Fullerton, CA 92838-0500 People of the State of California vs. DEFENDANT: Petition to Modify or Order Victim Restitution and Notice of Hearing Check one he defendant, ______________________ the , hereby requests a hearing to seek modification of Case Number: The People of the State of California hereby request a hearing to seek modification of the sentence or probation order on The following information is offered for the Court's consideration (attach a separate page if necessary): I declare under the penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:___________________________ _________________________________ (Signature of Petitioner) _________________________________ ( Attorney for Petitioner) ____________________________ (Type or print name) Petition to Modify or Order Victim Restitution and Notice of Hearing L-0338 PC 1202.4 American LegalNet, Inc. www.FormsWorkFlow.com For Clerk's Office Use Only CLERK'S CERTIFICATE OF SERVICE 1. 2. I certify that I am not a party to this action. I further certify that I placed a copy of this notice in an area specially designated for Personal delivery within the Central Justice Center to the following parties, 3. I am readily familiar with the local practice for the collection of in house mail and that this notice was delivered on the date reflected below. This notice was delivered on (date): ____________ , Clerk of the Court By ________________________________ Deputy Clerk CLERK'S CERTIFICATE OF MAILING I certify that I am not a party to this action. This Petition to Modify or Order Victim Restitution and Notice of Hearing was mailed first class, postage prepaid, in a sealed envelope addressed as shown below. Name: Address: City / State: Zip Code: The mailing and this certification occurred at (place) , Clerk of the Court By ________________________________ Deputy Clerk Petition to Modify or Order Victim Restitution and Notice of Hearing L-0338 PC 1202.4 American LegalNet, Inc. www.FormsWorkFlow.com