ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME, AND ADDRESS): FOR COURT USE ONLY BAR NO: ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE Street Address: Mailing Address: City & zip code: Plaintiff: CASE NUMBER: Defendant: DECLARATION REGARDING NOTICE OF EX PARTE APPLICATION 1. I informed the other party(ies) in this action that an ex parte order would be sought as follows: Person Informed: (name) Date: and Time Informed: Relationship to Party: By telephone How Informed: Fax Transmission By leaving a message on the voicemail of the party at (Telephone No.) Note: If Notice was not served, then Declaration regarding exceptional circumstance has to be filed (CRC 3.1204(c)) 2. A copy of the Application and Declaration for Ex-Parte Hearing and the Proposed Order was served on: Person served: (name): Date: Time served: Relationship to other party: HOW: Personal delivery (Address): Fax Transmission (number) Overnight mail or other overnight carrier (Address): Other 3. At the time of the notice, I informed him/her that the application for ex-parte orders contained requests for the following orders: AND THAT THE OTHER PARTY(ies) WERE ADVISED TO APPEAR ON: Date: Time: Department Number: AT THE FOLLOWING COURT LOCATION: 4050 Main Street, Riverside, CA 135 N. Alessandro Rd. Banning, CA 46-200 Oasis St., Indio, CA 30755-D Auld Rd., Ste. 1226, Murrieta, CA 265 N. Broadway, Blythe CA 4. I received the following response I declare under penalty of perjury under the laws of the State of California the foregoing is true and correct. DATE SIGNATURE OF DECLARANT DECLARATION REGARDING NOTICE OF EX PARTE APPLICATION California Rules of Court 3.1201 Optional Form (06/01/08) RI-046 American LegalNet, Inc. www.FormsWorkflow.com