Madera — Peremptory Challenge (CCP 170.6) (MAD-CIV-014)

Source: https://www.madera.courts.ca.gov/system/files/forms-and-filings/mad-civ-014-peremptory-challenge-ccp-ss1706-new-08-15-2020.pdf

MAD-CIV-014 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): SUPERIOR COURT OF CALIFORNIA, COUNTY OF MADERA 200 South G Street Madera, California 93637

PLAINTIFF/PETITIONER:

DEFENDANT/RESPONDENT: CASE NUMBER: PEREMPTORY CHALLENGE (CCP §170.6)

I, , am a party in the above-entitled action and declare that Judge

Commissioner before whom the action or proceeding is pending, or

to whom it is assigned, is prejudiced against the party or his or her attorney, or the interest of the

party or his or her attorney, so that the party or attorney cannot, or believes that he or she cannot,

have a fair and impartial trial or hearing before the judge or court commissioner.

WHEREFORE, pursuant to the provisions of Code of Civil Procedure §170.6, I respectfully

request that this court issue its order reassigning said case to another, and different, judge for all

further proceedings.

I declare under penalty of perjury under the laws of the State of California that the foregoing is

true and correct.

Date: Signature

Form Adopted for Optional Use PEREMPTORY CHALLENGE (CCP §170.6) Page 1 of 1 Madera Superior Court Local Form MAD-CIV-014 [New 08/15/2020]