PR-E-LP-036 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number, and Address) State Bar No. FOR COURT ROOM ONLY TELEPHONE NO. EMAIL ADDRESS (optional) ATTORNEY FOR (name) FAX NO. (OPTIONAL) SUPERIOR COURT OF CALIFORNIA, COUNTY OF SACRAMENTO STREET ADDRESS: 3341 Power Inn Road, Room 214 MAILING ADDRESS: 3341 Power Inn Road, Room 214 CITY AND ZIP CODE: Sacramento, CA 95826 BRANCH NAME: William R. Ridgeway, Family Relations Courthouse CASE NAME: DECLARATION OF NOTICE OF EX PARTE APPLICATION case number Name all persons legally entitled to notice of this proceeding: INSTRUCTIONS: COMPLETE FOR EACH PERSON SERVED I, 1. I am counsel for Petitioner/Plaintiff , declare: Respondent/Defendant Other: 2. Pursuant to Rule 3.1204 of the California Rules of Court, I informed Name of person you notified of this ex parte request by: [Complete either (a), (b), (c) or (d)] (a) Telephone call on (b) In person on (c) Facsimile on (d) Other (Describe): 3. I informed Name of person notified at at at (a.m.)(p.m.) (a.m.)(p.m.) (a.m.)(p.m.) I would be appearing in court to make this ex parte request on _______________ at ____________(a.m./p.m.) in Department ___________ and that he/she will have to appear in court at that Date Time time if he/she objects to this ex parte request. Adopted for Mandatory Use Local Form PR/E-LP-036 Revised ­ 4/18/14 DECLARATION OF NOTICE OF EX PARTE APPLICATION www.saccourt.ca.gov Page 1 of 2 Cal. Rules of Court, rules 3.1204 and 7.1062 American LegalNet, Inc. www.FormsWorkFlow.com PR-E-LP-036 4. He/she has / has not filed a request for special notice in this proceeding 5. I received the following response to the above notice: No opposition Opposed Will Will not appear Other (Explain) 6. I have not been able to give notice of this ex parte hearing to all parties entitled to notice because: (specify the efforts made to inform the opposing party) 7. Notice of opposing party should be dispensed with because Giving notice would be contrary to the interest of justice (specify reason) 8. Notice was provided later than 10:00 a.m. the court day prior to the ex parte appearance. The exceptional circumstances that justify the shorter notice are (specify reason) I declare under penalty of perjury under law of the State of California that the forgoing is true and correct. DATE TYPE OR PRINT NAME SIGNATURE OF DECLARANT Adopted for Mandatory Use Local Form PR/E-LP-036 Revised ­ 4/18/14 DECLARATION OF NOTICE OF EX PARTE APPLICATION www.saccourt.ca.gov Page 2 of 2 Cal. Rules of Court, rules 3.1204 and 7.1062 American LegalNet, Inc. www.FormsWorkFlow.com