Nevada — FL4

Source: https://www.nevada.courts.ca.gov/system/files/forms-and-filings/fl4-declaration-re-notice-upon-ex-parte-application-orders_0.pdf

SUPERIOR COURT OF CALIFORNIA COUNTY OF NEVADA

ATTORNEY OR PARTY WITHOUT AND ATTORNEY FOR COURT USE ONLY (NAME AND ADDRESS):

TELEPHONE NUMBER:

ATTORNEY FOR (Name): SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY OF NEVADA 201 Church Street, Nevada City, CA 95959 (530) 362-4309 10075 Levon Avenue, Truckee, CA 96161 (530) 362-4309 Petitioner/Plaintiff:

Respondent/Defendant: CASE NUMBER: DECLARATION RE: NOTICE UPON EX PARTE APPLICATION FOR ORDERS

I, the undersigned declare:

1. I am counsel for petitioner respondent other (explain): ________________________________

2. Pursuant to California Rules of Court I have given notice of this application for ex parte orders to

______________________________ , who is the _____________________________ in this action,
(Opposing party)

In the following manner:
a. By telephone/text at ( ___ ) _____ - _____ AM PM on ______________, 20 _____
(date)
b. By letter mailed hand-delivered at ___________________________ , ______
(city) (state)
I notified the party of following orders I am requesting: ______________________________________________

___________________________________________________________________________________________

______________________________________________________________ to be heard on _________________
(date)
3. I have received the following response: ___________________________________________________________

___________________________________________________________________________________________

4. I have not given notice of the present application for ex parte orders for the following reason(s):______________

___________________________________________________________________________________________

___________________________________________________________________________________________

5. I made reasonable, good faith efforts to give notice as follows: ________________________________________

___________________________________________________________________________________________

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

______________________________, California on _________, at _______ AM PM (city) (date) (time) __________________________________________SIGN Signature

DECLARATION RE: NOTICE UPON EX PARTE APPLICATION FOR ORDERS LOCAL FL4 (REVISED 7/1/2025) – OPTIONAL FORM PAGE 1 of 1