Riverside — Acknowledgement of Receipt and Waiver of Notice (RI-PR066)

Source: https://www.riverside.courts.ca.gov/system/files/ri-pr066.pdf

SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE

MURRIETA 30755-D Auld Rd., Murrieta, CA 92563 RIVERSIDE 4050 Main St., Riverside, CA 92501

PALM SPRINGS 3255 E. Tahquitz Canyon Wy., Palm Springs, CA 92262 RI-PR066 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) FOR COURT USE ONLY

TELEPHONE NO.: FAX NO. (Optional):

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

IN THE MATTER OF:

CASE NUMBER:

Hearing Date: Time: Department:

ACKNOWLEDGMENT OF RECEIPT AND WAIVER OF NOTICE

To (insert name of party being served): NOTICE If you are receiving this on behalf of a corporation, an unincorporated association (including a partnership), or other entity, this form must be signed by you in the name of the entity or by a person authorized to receive service of process on behalf of the entity. In all other cases, this form must be signed by you personally or by a person authorized by you to acknowledge receipt of this document and waive notice. If you return this form to the sender, you will not receive further notice of this hearing.

(to be completed by sender):

This acknowledges that (name): has filed the following document with the court:

A hearing on the matter will be held on (date): , at (time): , in department:

The address of the court is noted above is (specify):

(to be completed by recipient):

I am aware that I am entitled, under the law, to receive notice of hearing a certain number of days prior to the hearing. By signing this document, I acknowledge receipt of the filed document and waive the requirement that I receive notice of this hearing. I understand that I am free not to sign this document.

Date this form is signed:

(TYPE OR PRINT YOUR NAME AND NAME OF ENTITY, IF ANY, ON WHOSE BEHALF (SIGNATURE OF PERSON ACKNOWLEDGING RECEIPT, WITH TITLE IF SIGNED ON THIS FORM IS SIGNED) BEHALF OF ANOTHER PERSON OR ENTITY)

Approved for Optional Use ACKNOWLEDGMENT OF RECEIPT AND WAIVER OF NOTICE riverside.courts.ca.govRiverside Superior Court RI-PR066 [Rev. 06/16/15] (Reformatted 12/23/24)