Name, Address, Phone # & State Bar # of Attorney or Party without Attorney FOR COURT USE ONLY Attorney for: SUPERIOR COURT, STATE OF CALIFORNIA YOLO COUNTY 725 Court Street, #103 Woodland California 95695 530/406-6704 Plaintiff(s): Case Number: Defendant(s): DECLARATION RE NOTIFICATION OF EX PARTE HEARING I, __________________________________, declare as follows: I am the ___________________________________ in the above-entitled matter. I contacted _____________________________ on _____________ at approximately _____ a.m/p.m., to advise him/her that I was setting an ex parte hearing in this matter. I notified the party that the hearing would be held at ___________ a.m./p.m. on _____________________ at 725 Court Street, Woodland in Department ______. I declare under penalty of perjury that the foregoing is true and correct. Executed on __________________ at __________________________ California ______________________________________ Declarant Rev. 10/04/04 CV 0112 DECLARATION RE NOTIFICATION OF EX PARTE HEARING American LegalNet, Inc. www.FormsWorkflow.com