FOR COURT USE ONLY ATTORNEY OR PARTY WITHOUT ATTORNEY(Name, state bar number, and address): TELEPHONE NO.: FAX NO.: ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO *HALL OF JUSTICE, 330 W. BROADWAY, SAN DIEGO, CA 92101-3827 *NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA 92083-6643 *EAST COUNTY DIVISION, 250 E. MAIN ST., EL CAJON, CA 92020-3941 *RAMONA BRANCH, 1428 MONTECITO RD., RAMONA, CA 92065-5200 *SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, CA 91910-5649 APPLICATION OF EX PARTE APPLICATION FOR ORDER DECLARING INFORMATION ON AFFIDAVIT OF VOTER REGISTRATION CONFIDENTIAL; DECLARATION; POINTS AND AUTHORITIES; ORDER (Elections Code section 2166) CASE NUMBER Applicant applies for an order declaring the residence address, telephone number, and e-mail address listed on applicant’s affidavit of voter registration declared confidential and not a public record. DECLARATION I, of my household in that: , declare that a life threatening circumstance exists to me or a member I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: Signature POINTS AND AUTHORITIES Elections Code, section 2166 ORDER Good cause appearing, the San Diego County Registrar of Voters is ORDERED to keep confidential the residence address, telephone number, and e-mail address information appearing on the affidavit of voter registration of applicant, , pursuant to Elections Code section 2166. Date: Judge of the Superior Court EX PARTE APPLICATION FOR ORDER DECLARING INFORMATION ON AFFIDAVIT OF VOTER REGISTRATION CONFIDENTIAL; DECLARATION; POINTS AND AUTHORITIES; ORDER SUPCT CIV-52(Rev. 1-01) 2001 © American LegalNet, Inc.