Complaint Of Judicial Misconduct Or Page 2

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__________________________________________________
__________________________________________________
__________________________________________________
4.
Have you filed any lawsuits against the judge?
[
] Yes
[
] No
If yes, give the following information about each such lawsuit:
Court:
______________________________________________
Case Number: ______________________________________________
Present status of lawsuit:
__________________________________
Name, address, and telephone number of your lawyer for the lawsuit against the judge:
__________________________________________________________
__________________________________________________________
__________________________________________________________
Court to which any appeal has been taken in the lawsuit against the judge:
__________________________________________________________
Docket number of the appeal: _________________________________
Present status of the appeal:
_________________________________
5.
Brief Statement of Facts. Attach a brief statement of the specific facts on which the claim
of judicial misconduct or disability is based. Include what happened, when and where it
happened, and any information that would help an investigator check the facts. If the
complaint alleges judicial disability, also include any additional facts that form the basis of
that allegation.
6.
Declaration and Signature: I declare under penalty of perjury that the statements made in
this complaint are true and correct to the best of my knowledge.
(Signature)_____________________________
(Date)_______________________

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