SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN JOAQUIN

)))) No.) DECLARATION RE: NOTICE OF) EX-PARTE APPLICATION)

____________________________________)

I, ___________________________________ declare:

That I am:[ ] In Pro Per[ ] Counsel for [ ] Petitioner/Plaintiff, [ ] Respondent/Defendant, [ ] Claimant [ ] Other:

Pursuant to California Rules of Court, Rule 5.165, I have given notice of this ex-parte application to: [ ] Petitioner/Plaintiff [ ] Respondent/Defendant [ ] Claimant [ ] Other:____________________

The purpose of this ex-parte application is to:______________________________________________________________________________________________________________________________________________________________________________.

The reason emergency orders are necessary is:

Notice of the time, date, and place of the hearing and the specific order requested was given in the following [ ] by telephone call at________a.m./p.m. on ________________ 20_____.[ ] I spoke to _________________________________________________.[ ] by letter mailed on ____________________ 20______.[ ] I faxed a notice on ________________________ at _____________a.m./p.m.[ ] Other______________________________________________________.

I have not given notice of this ex-parte application for the following reason:[ ] Notice of this application would frustrate the purpose of the orders sought. (Explain below)[ ] The applicant would suffer immediate and irreparable harm before the adverse party could be heard in opposition as set for in the Request for Order.[ ] I was unable to give notice after a good faith attempt and further efforts would be futile or

unduly burdensome. The attempted efforts are as follows:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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

Executed on _____________________ 20______ at ____________________________________, CA.

________________________________________Signature of Declarant

Sup Crt 260 (Rev. 01/01/14)FL - Mandatory for Domestic Violence