ATTORNEY OR PARTY WITHOUT AN 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 SANTA CRUZ Santa Cruz Branch 701 Ocean Street, Room 120 Santa Cruz, CA 95060 A PPELLANT : vs. RESPONDENT : NOTICE OF PARKING APPEAL (California Vehicle Code 247 40230) CASE NUMBER: Form Adopted for MANDATORY USE Superior Court of Santa Cruz County SUP TMV 041 5 / 0 9 / 1 9 NOTICE OF PARKING APPEAL Page 1 of 1 Vehicle Code 247 40230 SUP TMV 041 Notice is hereby given that appeals the hearing examiner222s decision with regard to Respondent agency222s parking citation No. . The citation was issued on . A copy of the agency222s final decision is attached. 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) American LegalNet, Inc. www.FormsWorkFlow.com