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Reserved for Clerk’s File Stamp
SUPERIOR COURT OF CALIFORNIA
COUNTY OF LOS ANGELES
COURTHOUSE ADDRESS:
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
CASE NUMBER:
REQUEST FOR COPIES
I request copies of the following document(s):
DATE
COPIES
# PGS.
CERT
DUP.
TOTAL
PAYMENT: Check
#_______________
Register Page
Dissolution
Money Order
#______________
Support Order
Complaint/Answer
Cash
; Exempt
Judgments
Dismissal
Fee Waiver:
Plaintiff
Defendant
Will
Letters
Date Fee Waiver Granted: ______________
Decree
Records Search
Minute Order
SPECIAL INSTRUCTIONS:
Order
Order
___________________________________
Order
Entire File
___________________________________
TOTAL
___________________________________
DATE: _________________________
SIGNATURE: _____________________________________
NAME: _____________________________________
ADDRESS: _____________________________________
_____________________________________
: _________________________________
PHONE
Fee Waiver (check one):
Gov. Code, § 6103.4
Gov. Code, § 68511.3 / Cal. Rules of Court, rules 3.50-3.63
Date Received: ____________________
Received by: ____________________________________
(signature)
Print
Clear
Save
REQUEST FOR COPIES
LACIV 033 (Rev. 08/08)
LASC Approved 01-05
CUSTOMER COPY / WORK COPY / CONTROL COPY

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