ATTORNEY OR UNREPRESENTED PARTY (NAME AND ADDRESS): TELEPHONE NO.: FOR COURT USE ONLY ATTORNEY(S) FOR: SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO Plaintiff(s)/Petitioner: Defendant(s)/Respondent: REQUEST TO SET UNCONTESTED MATTER CASE NUMBER: NOTE: Counsel shall file this form with the Clerk of the Court at least 10 days prior to the desired date. TO THE CLERK OF THE COURT: Request is hereby made that the within matter for (check appropriate block) Dissolution Nullity Legal Separation Adoption Change of Name Free From Custody Compromise of Minor's Disputed Claim Declaration and Order for Appearance of Judgment Debtor Other: ____________________________________________________________________________________________________ which is uncontested and ready for hearing to be set on the uncontested matters calendar for hearing on: Date: Address: Time: Dept.: This may be heard as an uncontested matter because: Petition/Complaint and Summons were served on _______________________________________________ Default of _________________________________ was entered on _________________________________ Appearance and Waiver was filed by ________________________________ on ______________________ Response and Waiver was filed by __________________________________ on ______________________ Other __________________________________________________________________________________ _________________________________________________________________________________________ Please note your suggested hearing date(s). ______________________________________________________ Signature and date: __________________________________________________________________________ 13-15148-360 Rev. 4/2013 REQUEST TO SET UNCONTESTED MATTER SB-15148 American LegalNet, Inc. www.FormsWorkFlow.com