Form 107 - County Of Contra Costa

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SUPERIOR COURT OF THE STATE OF CALIFORNIA
IN AND FOR THE COUNTY OF CONTRA COSTA
Petitioner:
)
Case No:
)
vs.
)
Declaration Re Notice
)
Upon Ex Parte Application
Respondent:
)
For Orders
)
Other Parent/Claimant:
)
________________________________________ )
I, ________________________________________, declare:
1.
That I am (Counsel for) (Petitioner) (Respondent) (Other: ___________________) in the
within action. The application for ex parte orders will be submitted to the Family Law Department in Martinez,
(751 Pine Street, Martinez, CA) on __________________ (date) at ___________ (time.)
2.
That pursuant to local rules of court, I have given notice of this Ex Parte request by having copies
of the Declaration and all supporting documentation along with the proposed order delivered to the
opposing party(ies) in the following manner:
Notice was sent to: _____________________________________ (name of party)
____
(a)
By personal service on (date) ________________, 201___ at
(location) ___________________________________, California at _______ a.m. /p.m.
____
(b)
By mail on ________________________, 201___; addressed as follows:
___________________________________________ (provide mailing address.)
____ (c)
By facsimile (fax) on ____________________, 201__, at ________ a.m. /p.m., sent to
fax number (
) ___________________.
3.
The opposing party has responded to my notice in the following manner:
____________________________________________________________________________________
4.
I have not given notice of the present application for Ex Parte Orders for the following reason(s)
indicated:
____ (a)
Notice of this application would frustrate the purpose of the order sought herein.
EXPLAIN: _____________________________________________________________
____ (b)
The applicant would suffer immediate and irreparable harm before the other party could be
heard in opposition. EXPLAIN: ____________________________________________
____ (c)
No significant direct burden or inconvenience to the other party is likely to result from the
orders sought. EXPLAIN: ________________________________________________
____ (d)
I made the following reasonable and good faith effort to notify the other party and further
efforts
to
give
notice
would
probably
be
futile
or
unduly
burdensome.
EXPLAIN: _____________________________________________________________
____ Other:
I declare under penalty of perjury that the foregoing is true and correct.
Dated: __________________
Sign: ____________________________________
Local Court Form – Mandatory
FamLaw-107 Rev 11/18/13

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