SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN JOAQUIN ) ) ) ) ) ) ) ____________________________________) No. DECLARATION RE: NOTICE OF EX-PARTE APPLICATION I, ___________________________________ declare: That I am: [ ] In Pro Per [ ] Counsel for [ ] Petitioner/Plaintiff, [ ] Respondent/Defendant, [ ] Claimant [ ] Other Pursuant to California Rules of Court, Rule 5.165, I have given notice of this ex-parte application to: [ ] Petitioner/Plaintiff [ ] Respondent/Defendant [ ] Claimant [ ] Other [ ] Counsel for ______________________________________. The purpose of this ex-parte application is to_______________________________________________ _____________________________________________________________________________________ _______________________________________________________________________________. Notice of the time, date, and place of the hearing and the specific order requested was given in the following [ ] by telephone call at________a.m./p.m. on ________________ 20_____. [ ] I spoke to _________________________________________________. [ ] by letter mailed on ____________________ 20______. [ ] I left a message on an answering machine. [ ] I faxed a notice on _________________,20_____ at _____________a.m./p.m. [ ] Other______________________________________________________. I have not given notice of this ex-parte application for the following reason: [ ] Notice of this application would frustrate the purpose of the orders sought. (Explain below) [ ] The applicant would suffer immediate and irreparable harm before the adverse party could be heard in opposition as set for in the Request for Order. [ ] I was unable to give notice after a good faith attempt and further efforts would be futile or unduly burdensome. The attempted efforts are as follows: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ I declare under penalty of perjury that the foregoing is true and correct. Executed on _____________________ 20______ at ____________________________________, CA. ________________________________________ Signature of Declarant Sup Crt 260 (Rev. 01/01/14) American LegalNet, Inc. www.FormsWorkFlow.com