Placer — Request for Elisor Form

Source: https://www.placer.courts.ca.gov/sites/default/files/pl-fl021.pdf

SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY OF PLACER

ATTACHMENT 8 TO FL300: Other Orders Requested See Information Sheet for Further Instructions

REQUEST FOR ELISOR (Local Rule 10.22) Case Name: Case Number:

ORDERS REQUESTED
1. I request the Clerk of the Court, or the Clerk’s authorized representative or designee, be appointed as an
Elisor to sign the documents listed in (2) below on behalf of the other party,
2. I request the court appoint the Elisor to sign the following listed documents (each document shall be clearly
identified by the exact title of the document, and a copy of the document shall be attached to this request
with a cover sheet identifying the document by the Roman numeral listed below.) I have highlighted the
signature space on each document attached.
I.

II.

III.

IV.

V.

VI.

VII.

VIII.

IX.

X.

3. I understand that if my order is granted, it is my responsibility to contact Court Administration to arrange
for a time for the actual signing of the documents, and that I must make any arrangements for a notary
public to be present, if one is required. I request that the court order me to do the same, per the local rule.
4. With my request, I am submitting an additional (or extra) true and correct copy of the documents I am
requesting an Elisor sign. I understand that if my request is granted, the original documents that I will
present to the appointed Elisor will match exactly the true and correct copies that are attached to this
request, and the documents will match exactly the additional true and correct copy of the documents I am
submitting to the court. I request the extra copy be attached to the order requested.

Form Adopted for Optional Use www.placer.courts.ca.gov Superior Court of California, County of Placer Placer County Local Rule 10.22 Form No. PL-FL021 Effective 11-16-2018

SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY OF PLACER

5. In asking for the above orders I understand the following:
I. That if my request is granted it is my responsibility to ensure the original documents presented to
the Elisor exactly match the true and correct copies that are attached to this request.
II. I understand that if I am asking the Elisor to sign paperwork related to a bank, brokerage, or other
account that I have listed the account number in parenthesis after the document title of each of the
documents listed above. I understand that I must include this information above for all documents
associated with any account (s).
III. I understand that if I am asking the Elisor to sign a property deed or loan documents associated
with a parcel of real property, I have listed the property’s Assessor’s Parcel Number (APN) and
physical address in parenthesis after the document title above. I understand that I must include this
information above for all documents associated with the transfer of real property.

REASONS WHY I AM REQUESTING THE ORDER

Please explain the specific facts and reasons establishing the necessity for the appointment of an Elisor.

I declare under penalty of perjury the foregoing is true and correct:
Date: _____________________

_________________________ _____________________________________________
Print Name Signature of Requesting Party

Form Adopted for Optional Use www.placer.courts.ca.gov Superior Court of California, County of Placer Placer County Local Rule 10.22 Form No. PL-FL021 Effective 11-16-2018