ATTORNEY OR PARTY WITHOUT AN ATTORNEY (Name, State Bar number, and address): NAME: STREET ADDRESS: CITY, STATE, ZIP: TELEPHONE NO: FAX NO. (Optional): EMAIL ADDRESS (Optional): AT TORNEY FOR (Name): FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CRUZ Santa Cruz Watsonville Branch 701 Ocean Street, Room 110 1 Second Street, Room 300 Santa Cruz, CA 95060 Watsonville, CA 95076 PLAINTIFF/PETITIONER : vs. DEFENDANT/RESPONDENT : DECLARATION RE: NOTICE FOR EX PARTE APPLICATION FOR ORDERS CASE NUMBER: Form Adopted for MANDATORY USE Superior Court of Santa Cruz County SUPCV 420 03 / 2 0 / 1 9 DECLARATION RE: NOTICE FOR EX PARTE APPLICATION Page 1 of 1 California Rule s of Court 3.1200 3.1207, 5.151 SUPCV 420 I, (name): declare as follows: 1 . I am the attorney for Plaintiff/Petitioner Defendant/Respondent Other (explain): in the within action. 2. Pursuant to California Rules of Court, Rule 3.1200 3.1207, or Rule 5.151 for Family Law, I have given advance notice no later than 10:00 a.m. the court day before the ex parte appearance to all relevant or opposing parties i n this action in the following manner: a. Person(s) to whom notice was given (name): b. By telephone call/fax on (date) : , at (time) c. By letter mailed personally delivered on (date): d. Other (describe) e. I received the following response (describe): f. The other party indicated the following regarding whether opposition is expected: 3. Notice cannot or should not be given for the following reasons (if you check any box in parts 3a - 3e, you must explain in detail under part 3e): a. Notice of this ex parte application would frustrate the purposes of the orders sought herein (explain below). b. The applicant would suffer immediate and irreparable harm before the adverse party could be heard in opposition (explain below). c. No significant direct burden or inconvenience to the adverse party will likely result from the or ders sought herein (explain below). d. I made the following reasonable and good faith efforts, detailed below, to notify the adverse party and further efforts to give notice would probably be futile or unduly burdensome (explain below). e. Other (explain or describe in detail) : 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 OF DECLARANT) American LegalNet, Inc. www.FormsWorkFlow.com