Solano — 1030 ad request refund

Source: https://solano.courts.ca.gov/system/files/form/1030-ad-request-refund-rev-2026-07.pdf

NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NUMBER Reserved for Clerk’s File Stamp

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SOLANO

COURTHOUSE ADDRESS:

CASE NAME:

REQUEST FOR REFUND OF COURT FILING FEES CASE NUMBER:
(Matters Submitted Electronically)

NOTE: THIS FORM IS NOT TO BE USED FOR REFUND OF JURY FEES.

I am requesting a refund in the amount of $ for the following reasons:

Date of payment/deposit: Amount Paid: $_____________ Receipt #:

Depositor: Printed Name

Address: Number, Street, City, State, Zip

Date: Signature:

TO BE COMPLETED BY THE COURT:

Request for Refund: Requires Judicial Approval Requires Manager's Approval Only

Refund: Approved Denied By: _________________________________________ Dated: Judicial Offlcer/Managers Signature

Printed Name

1030-AD
Revised 7-1-2026 (For Optional Use) REQUEST FOR REFUND