APPELLANT (NAME AND ADDRESS): TELEPHONE NO.: FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA BARBARA STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: ISSUING AGENCY (NAME AND ADDRESS): NOTICE OF APPEAL - PARKING CASE NUMBER: As appellant in the above entitled action, I hereby appeal the final administrative decision of the issuing agency, to the Superior Court of California, County of Santa Barbara. · · · · · 1. 2. 3. 4. Parking citation number: ______________________ Date the citation was issued by the above issuing agency: _______________________ The agency administrative hearing was: Date of mailing of final decision: Date of personal delivery of final decision: [ ] Personal Conference [ ] Decision rendered by Mail , OR; . I understand that: This Notice of Appeal must be filed within 30 days after the mailing or the personal delivery of the final decision by the issuing agency; This Notice of Appeal must be served on the issuing agency, at the above address; Proof of Service must be filed with the Court at least 10 days prior to the hearing date or the Court will not proceed on this appeal. The issuing agency is NOT required to appear. They must submit their case in writing within 15 days of this request. I declare under penalty of perjury under the laws of the State of California that the forgoing is true and correct. Date: ____________________________________________________ (TYPE OR PRINT NAME) ____________________________________________________________________ (SIGNATURE OF APPELLANT OR ATTORNEY FOR APPELLANT) NOTICE TO AGENCY You are hereby notified to submit your case in writing to the above listed Court within 15 days of this date. A hearing will be conducted at the above listed Court on the date and time LAST SHOWN IN THE BOX BELOW. 1. 2. 3. DATE DAY TIME PLACE C/U Darrel E. Parker, Executive Officer Filed on (date): ____________________________ SC-7012 [Rev. July 1, 2013] By ______________________________________________, Deputy NOTICE OF APPEAL - PARKING VC 40230 American LegalNet, Inc. www.FormsWorkFlow.com