PARTY WITHOUT ATTORNEY (Name, state bar number, and address) __ TELEPHONE NO.: FOR COURT USE ONLY IN PRO PER: SUPERIOR COURT OF CALIFORNIA , COUNTY OF SACRAMENTO STREET ADDRESS: 3341 Power Inn Rd MAILING ADDRESS: 3341 Power Inn Rd CITY AND ZIP CODE: Sacramento, CA 95826 BRANCH NAME: William R. Ridgeway, Family Relations Courthouse PEITIONER: RESPONDENT: AUTHORIZATION FOR NON-ATTORNEY COURT DOCUMENT PREPARER CASE NUMBER: 1. I am the __________________________ in the above-entitled action. (Petitioner/Respondent/Claimant) 2. I hereby authorize _____________________________________ to: (Name of Preparer) act as a courier to submit court documents on my behalf for processing. pick up endorsed copies of court documents on my behalf from the courthouse. Date: Signature of Petitioner/Respondent/Claimant PR-E-LP-021 Authorization for Non-Attorney Court Document Preparer revised 06/09/08 American LegalNet, Inc. www.FormsWorkflow.com