Yuba — FL14075

Source: https://www.yuba.courts.ca.gov/system/files/forms-and-filings/fl14075revised-8252023.pdf

(This document must be filed by noon prior to the day of the ex parte hearing) NAME, ADDRESS & TELEPHONE NUMBER FOR COURT USE ONLY

TELEPHONE NO: FAX NO: ATTORNEY FOR (NAME): SUPERIOR COURT OF CALIFORNIA COUNTY OF YUBA 215 5TH STREET, SUITE 200 MARYSVILLE, CA 95901-5737 (530) 740-1800 PLAINTIFF/PETITIONER:

Vs.

DEFENDANT/RESPONDENT:

PROOF OF SERVICE OF NOTICE OF EX-PARTE APPLICATION FOR CASE NUMBER: CIVIL HARASSMENT ELDER ABUSE TEMPORARY RESTRAINING ORDERS

I, ____________________________________residing at _______________________________________: Person giving notice (cannot be party) mailing address

1. Gave notice to ________________________ on _________________at _____________________ by person notified date time (select manner of notification): In Writing In Person By Telephone at number __________________ left Voicemail By facsimile at number _____________________ By text message at number __________________ By e-mail at address _______________________ By Social Media ___________________________

2. I stated that _________________________ is seeking temporary ex parte orders for ______________________ party’s name civil harassment/elder ex parte order

   3. I also gave the date, time and place of the ex parte hearing.

   4. I asked whether the opposing party would appear or file responsive pleadings and was advised that _______________________________________________________________________________.

   5. I thereafter served the papers at the first reasonable opportunity before the hearing.

   6. Exceptional circumstances justify that shorter notice given as follows____________________________ _______________________________________________________________________________________. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date:

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Printed Name Signature of Declarant

Form Adopted for Mandatory Use PROOF OF SERVICE OF NOTICE OF EX-PARTE FL14075 Yuba County Superior Court APPLICATION FOR Page 1 of 1 Effective 3/1/14, Rev. 8/24/23 CIVIL HARASSMENT ELDER ABUSE TEMPORARY RESTRAINING ORDERS