ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) TELEPHONE NO: ATTORNEY FOR (NAME): FOR COURT USE ONLY FAX NO: SUPERIOR COURT OF CALIFORNIA COUNTY OF YUBA 215 FIFTH STREET, SUITE 200 MARYSVILLE, CA 95901 (530) 749-7600 PLAINTIFF/PETITIONER: vs. DEFENDANT/RESPONDENT: CASE NUMBER: DECLARATION IN SUPPORT OF APPLICATION FOR TEMPORARY ORDERS I, ___________________________, am the party seeking the attached temporary orders. The order for which I am applying would restrain the conduct of, or affect the rights of, ______________ ________________. To the best of my knowledge, proposed restrained party ________ represented by an attorney. ________________________ is not (YOU MUST COMPLETE ONLY ONE SECTION BELOW) I notified the proposed restrained party that I intend to request a temporary order at an ex-parte hearing conducted by Yuba County Superior Court on ___________________, 20__, at ___________ __.m. by [ ] telephone [ ] in person. The proposed restrained party was at the following location when notice was provided (as required by Rule 3.1203 of the California Rules of Court): _________________________________________________________________________________ _________________________________________________________________________________. I have made a reasonable and good faith effort to notify the proposed restrained party of my intent to apply for temporary orders, but have been unsuccessful. My attempts to notify the proposed restrained party have consisted of: _____ _______________________________________________ __________________________________________________________________________________ _________________________________________________________________________________. I have not attempted to notify the proposed restrained party of my intention to present this application for temporary orders to the Court because I believe that such notice would be inappropriate or impractical, or would result in irreparable injury. My reasons for not giving notice of these temporary orders to proposed restrained party are: __________________________________________________ __________________________________________________________________________________ _________________________________________________________________________________. I declare under penalty of perjury that the foregoing is true and correct, and that this declaration was executed on _____________________, 20____, in the County of Yuba, State of California. _________________________________________ Signature of Declarant Form Adopted for Mandatory Use Yuba County Superior Court December 18, 2002; Rev. 6/18/07 DECLARATION IN SUPPORT OF APPLICATION FOR TEMPORARY ORDERS FL03003 American LegalNet, Inc. www.FormsWorkflow.com