Madera — Demographical Information (MAD-CIV-023)

Source: https://www.madera.courts.ca.gov/system/files/forms-and-filings/mad-civ-023-demographical-information-new-09-25-2025.pdf

MAD-CIV-023 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address): FOR COURT USE ONLY CONFIDENTIAL Place in confidential part of the court file. TELEPHONE NO: FAX NO.: E-MAIL ADDRESS (optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF MADERA 200 South G Street Madera, California 93637 Civil Division PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

OTHER CASE TITLE (IF APPLICABLE):

DEMOGRAPHICAL INFORMATION CASE NUMBER:

Please provide all known requested information to allow the Court to issue the ordered Warrant or Attachment for Defaulter. This form will be kept in a confidential part of the court file and may not be disclosed without good cause shown to the court.

Please note any required fee must be submitted with this form made payable to the appropriate agency prior to issuing of the document.

Name of party document is to be issued as to:

Sex: Height: Weight:

Alia (if any): Social Security Number:

Date of Birth: Driver’s License State & #: Age: (state) (license number)

Hair Color: Eye Color: Race:

Last known address:

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date:

SIGN

(TYPE OR PRINT NAME) (SIGNATURE)

Form Adopted for Mandatory Use DEMOGRAPHICAL INFORMATION Page 1 of 1 Madera Superior Court Form Local Form MAD-CIV-023 [New 09/25/2025]