SDSC SC - 054 ( Rev 11/17 ) EX PARTE APPLICATION AND ORDER Mandatory Form ( SMALL CLAIMS ) ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): TELEPHONE NO.: FAX NO.(Optional): EMAIL ADDRESS (Optional): ATTORNEY FOR (Name): FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, CIVIL, 330 W. BROADWAY, SAN DIEGO, CA 92101 CENTRAL DIVISION, SMALL CLAIMS , 330 W. BROADWAY, SAN DIEGO, CA 92101 PLAINTIFF (S) DEFENDANT (S) JUDGE/DEPT EX PARTE APPLICATION AND ORDER ( SMALL CLAIMS ) CASE NUMBER Hearing Date: Time: a.m. p.m. Opposed Unopposed 1. Type of relief requested : Ex p arte relief is necessary because: 2. Name of opposing attorney/party: 3. Did the opposing attorney/party receive notice? Yes No Date: If notice was not given, state reason(s): 4. Have supporting decl arations been submitted ? Yes No Attached * * DO NOT ATTACH ORIGINAL DOCUMENTS. THEY WILL NOT BE RETURNED * . 5. Have you made this ex parte request before for the same relief? Yes No If yes, relief was granted denied I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct Date: Type or print name Signature ORDER The requested relief is DENIED GRANTED as follows: Requesting party to mail a copy of this Order to all other parties in the case. Exception: If a party has not yet been served with the claim, there is no need to serve a copy on that party. . IT IS SO ORDERED . Date: Judge/Commissioner of the Superior Court American LegalNet, Inc. www.FormsWorkFlow.com