VN180 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) Telephone Number FOR COURT USE ONLY E-MAIL ADDRESS ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA 800 SOUTH VICTORIA AVE. VENTURA, CA 93009 PLAINTIFF/PETITIONER DEFENDANT/RESPONDENT DEFENDANT'S/APPELLANT'S REQUEST FOR RELIEF FROM DEFAULT, EXTENSION OF CASE NUMBER: TIME TO FILE STATEMENT ON APPEAL; DECLARATION AND ORDER Defendant/Appellant hereby applies to the above entitled court for an order, pursuant to California Rules of Court Rule 8.810, and 8.812 for Relief from Default and Extension of time to serve and file Appellant's Statement on Appeal until and including (date requested) ________________________________. DECLARATION 1. 2. 3. 4. I am the defendant in this matter and I am appearing in Pro per. This is a Request for Relief from Default and Extension of Time for serving and filing of Appellant's Statement on Appeal. In the absence of an order, defendant would be unable to reasonably file his/her statement in a timely manner. Defendant/Appellant's Statement on Appeal was due on or about ______________________ at which time Defendant/Appellant was unaware that the time had elapsed. Previous extensions have these extentions: ________ have not been granted. If previous extensions have been granted, provide the length of 5. 6. Reason for extension ________________________________________________________________________________ I declare under penalty of perjury, under the laws of the State of California, that the foregoing is true and correct. Dated: ___________________________ ______________________________________ Defendant/Appellant in pro per ORDER A Request for Relief from Default, and an Extension of Time having been requested for the serving and filing of the Defendant/Appellant's Statement on Appeal, the Court now finds that there is good cause appearing, and orders that the Request for Relief is granted and time for the filing of the Statement on Appeal is extended to and including ____________________. Dated: ____________________________ _____________________________________________ Judicial Officer Optional Form VN180 Rev 7/09 REQUEST FOR RELIEF FROM DEFAULT, EXTENSION OF TIME TO FILE STATEMENT American LegalNet, Inc. www.FormsWorkFlow.com