SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES

Transcription

SUPERIORCOURT OF CALIFORNIA, COUNTY OF LOS ANGELES
11-15-07
Date
Dept:NCB3
Honorable
nrcnered
1-rrr Q.
based on notes
Honorable
DENNIS SHANKLIN
)
S.
8: 30
am
DeputyClerk
C. V A L E NZ UE L A (min t u e s
W i l kefS On
b y c l-e rk )
Judge Pro Tem
Deputy Sheriff
TURNER
L . HI NE S
E'Q0 0 4799
CounselFor
S . Nye (X )
Wi l l i am
peritioner:Andrew
(X)
Sal-ter
\/c
Bl- a ir
Tlnda1
(N/A )
CounselFor
Respondent:
NaTunnoF PRocEEDTNGS:
OSC AND TEMPORARYRESTRATNTNGORDER
M a tte r
is
De p a r tment
is
si gned
contj-nued
NCB 3.
and filed
to
Order
this
DE CE MB E R2 0 ,
for
2007 at
re -is s u a n c e
of
8:30
a . m.
t e mp o ra ry
in
o rd e rs
date.
MINUTES ENTERED
DEPT:
NCB3
11-15- 07
CoUNTYCLERX
Reissue
TemporaryRestraining
Order
Clerk stampsbelow when form is filed.
FII,EI}
protectedperson):
LOSANGELESSUPERIOR
COURT
(Ifyouwant
Protectedperson'saddress(shipthis;fyoLhaaea [zuryer):
o NOv
15zoo7
your addres to bepriaate, giue a mailing addressinstead):
ciry:
State:-
:ruWW:::
Zip:
Phone# (optional):(_-)
phone
#'and
Bar#):
addrest
swte
""t"^'--r"^X::A[:t's#ff
Court nameand streetaddress:
of
SuperiorCourtof Californi4:County
QSth lnsq
Restrainedpersont
CaseNumber:
'€Q.
ooul 1qq
I askthejudgeto reissue
theTemporary
$strainingQrder,FormDV-l10.
a. Thelist hearingdatewasia"rtl,' QCl ?Si Z*t
b. The orderhasbeenreissued Z
times.
.-,
ffi
^4,
G!
{r
I askthejudgeto reissuethe order because:
a. D I could not get the orderservedbeforethe hearingdate.
b. tr The dateof the hearinswas
t to mediatorsor other familv court services.
UerA 'fi-,
{" ,{*"nbJ
.. E Oth., (sp*'91, OfPh,
I declare
underpenaltyof perjuw underthelawsof theStateof Californiathat the informationaboveis trueand
correct.
Date: 15 ltov 2e?
=
S. Ngo
brltrc^
Tjpeorpintyurnamc
|
4r- 4 o* S. , C',
Sigtlourrrdmc
O
Clerk will fill out sectionbelow.
The orderlisted in 0 is reissuedand resetfor hearingin this court on the date and time below.Unlessa judge
extendsthe time, the order will end on the dateand time below.
D^t, I L-LO'{r7
3
ri^r,b'Fnw
Name & addressof court if different from above:
All other ordersin the TemporaryRestrainingOrder stayin effectunless;b.isorder changesthem.
Date:ffif-{-{-!ggf
f udiciaf Councif of California, wcourtinfo.a.gov
Rev.July l, 2003, Mandatory Form
Code of Civil Procedure, 9 527(b). Approved by DOJ
ReissueTemporaryRestraining
Order
(DomesticViolencePrevention)
DV-125, Page1 of 1
LegalNet, Inc.
www.USCoudForms.com
1
FILED
2
LOgANGELUS
SUpmRJoR
couRT
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NOv
1s?007-J
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JOHttlA.q4flKE,
CLERK
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o".dli.W,,,*
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IN THE SUPERIORCOURTOF STATEOF CALIFORNIA
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FORTHE COTINTYOF LOS ANGELES
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WILLIAM S. NYE.
CaseNo. EQ004799
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EX PARTE APPLICATION FOR
ADMISSION PROHAC WCE OF
ANDREW H. SALTE& AND
MEMORANDUM OF POINTS AND
AUTHORITIES IN SUPPORT
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DECLARATION OF ANDREW II.
SALTER FILED CONCURRENTLY
HEREWITH
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PROPOSEDORDER SUBMITTED
CONCURRENTLY IIEREWITII
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Date:
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Time:
Dept:
20
November 1512007
8:30 AM
TBD
DEFENDANT BLAIR TINDALL AND HER ATTORNEYS OF RECORD:
TO:
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PLEASETAKE NOTICE that on Thursday,November15, 2007,at 8:30 a.m.,or as
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soonthereafteras counselmay be heard,in the above-entitledcourt locatedat 300 EastOlive
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Avenue,Burbank,Califomia 91502,plaintiff William S. Nye ("Nye") will apply exparte for
24
an orderadmittingattorneyAndrew H. Salterpro hac vice inthis matter.
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T1nisexparte applicationis madeon the groundsthat plaintiffhas retainedMr. Salter
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as counselin the above-captioned
matter. Mr. Salterhas servedas counselfor Nye for over
I
EX PARTE APPLICATION FOR ADMISSION PRO HAC VICE OF ANDREW H. SALTER
1001001di100102
I
20 yeus on a variefyof matters.The natureof this litigationrequires
Mr. Salter'spro hac
2
Nye hasobtained
vice admission.
a ternporary
restraining
dcfcndarrt
orderagainst
exparte,
3
and hasrequested
that Mr. Salterarguethe motion{br preliminaryiniunction,noticedfor
4
November15,2007,ll.hisapplication
is basedon thisnotice,theattachod
memorandum
o.f
5
pointsand aUthorities,
the verifiedapplication
of AndrewH. Salter.and suchoral and
6
evidence
documentary
asmaybepresented
at thehearing
of thisapplication.
7
I
Thisapplication,
aswell asa l'eeof $50,hasbeenserved
on theStatcBarof California
with thisfiling.
concurrently
Respectfully
submitted,
I
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Dated: Novembert 2- . 2007
Williarn
Plaintiff
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z
EXP. R?'EAPPLICATION FOR ADMISSION /'I?O HAC VIC.EOFANDREW I.I. SALTER
1001001di100102
I
MEMORANDUMOF POINTSAND AUTHORITIES
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PlaintiffWilliamS. Nye ("Nye")respcctfully
submitsthisrnsmorandum
to support
I
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pro hacviceof AndrewH. Saltcr,a partnerwith theSeattle,Washington
the admission
law
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firm of SalterJoyceZiker,PL.LC-l-his court is authorized
to admitcounselpro hac vice.
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Pursuant
to California
Rulesof Court,Rule983:
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A personwho is not a memberof The StateBar of Californiabut who is a
memberin goodstandingof and eligibleto practicebefbrethe bar of any
UnitedStatescourt or of the highest-court
iri any statc,tenitory or insuldrpossession
of the United States,and who hasbeenretainedto appearin a
particUlar
cause
pendingin a courtof thisstate,mayin thediscretion
of such
courtbe-permitted
uponwrifienapplication
to appeirascounselpro hacvice,
providedthatan activememberof the StateBai bf Catiforniais hssociated
as
attorney
ollrecord.
As described
in the attached
verifiedapplication
of AndrewH. Salter,Mr. Salterhas
fulfilled aff requirements
setforth in Rulc983 ol'the CaliforniaRulesof Court for pro hac
viceadmission.
Thegranting
ofthisapplication
is necessary
giventhatplaintifTrcquircs
Mr. Salter,his
fong-timecounsel,to appearat the November15, 2007 hearingon Nye's motion for
preliminary
lniunction
andrequires
Mr. Salterto arguethepreliminary
injunction
motion.
For thesereasons,
plaintitftespectfullyrequests
thatthisCounlssuean orderallowing
AndrewH. Salterto appeupro hacvicein rhisaction.
Respectfu
Ily submifted,
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Dated:NovelnberF..2007
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3
ILYPTIRTI|
APPLICATION
FORADMJSSION
PIII HACnCDoF ANDREWH. sALTDR
1001001dir00r02
1
VERIFIED APPLICATION OF ANDREW H. SALTER
2
I, Andrew H. Salter,attomey for plaintiff William S. Nye, hereby petition for
3
admissionto practicebeforethis Court underthe provisionsof Rule 983 of the California
4
Rulesof court, andin supportthereo{ state,underpenaltyof perjury,that:
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1.
98040;
7
B
2.
Mybusinessaddress
is 1601Fifth Avenue,Suite2040,Seattle,Washington,
9 8 10 1 .
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My residence
address
is:
3.
I havebeenadmittedto practicebeforethe following courtson the following
dates:
11
COURT
DATE
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WashingtonStateBar Associatiqn
l98l
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U.S.Dishict Court,WesternDistrictof Washington
1981
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U.S.Courtof Appeals,Ninth Circuit
1982
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U.S. District Court, EasternDistrict of Washington
2000
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I am a member in good standing in the Bars of these courts, and am not currently suspended
17
or disbarred from practice in any court.
18
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4.
In the past two years, I have not filed any other application to appearpro hac
vice in the state courts of California.
5.
I agree to abide by the Standardsof Professional Conduct set forth in Civil
21
Local Rules and agree to become familiar with the Local Rules and the Alternative Dispute
22
Resolution program of this Court.
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6.
California counsel of record for Mr. Nye in this matter will be Julie Bisceglia
24
(CA Bar No. 119534), a principal attorney with Payne & Fears LLP. Her ofEce address is
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660 S Figueroa,Suite 700, Los Angeles, Califomia 90071 and her telephonenumber is 213-
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439-9911.
4
EX PARTE APPLICATION FOR ADMISSION PRO HAC VICE OF ANDREW H. SALTER
1001001di100102
1
2
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7.
I respectfullyrequestleave to appearpro hac vice on behalf of Mr. Nye in this
matter.
I certi$ under penalty of perjury under the laws of the state of California that the
foregoing is true and correct.
EXECUTEDthis i4h aayof November,2007at Seattle,Washington.
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AndrewH. Salter
SalterJoyceZiker,PLLC
Washington
StateBarNo. 11954
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EX PARTE APPLICATION FOR ADMISSION PRO ILAC T/ICEOF ANDREW H. SALTER
1001001di100102
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I
IN THE SUPERIORCOURTOF STATE OF CALIFORNIA
I
FOR THE COUNTY OF LOS ANGELES
10
WILLIAM S. NYE.
CaseNo. 8Q004799
11
Plaintiff,
12
v.
13
BLAIR TINDALL,
IPROPOSEDIORDER ON EX PARTE
APPLICATION FOR ADMISSION PNO
HAC WCE OF ANDREW II. SALTER
14
Date:
Time:
Dept:
Defendant.
15
November L5r2007
8:30AM
TBD
ORDER
16
The application by plaintiff William S. Nye that Andrew H. Salter with the firm of
17
Salter Joyce Ziker, PLLC be admitted pro ltac vice in Los Angeles Superior Court Case
18
No. EQ004799is hereby GRANTED.
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Dated:November_,2007
By
Judge/CourtCommissioner
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I
ORDERON EXPARTEAPPLICATION FOR
ADMISSION PP(OHAC VICE OF ANDREW H. SALTER
1001001di100103
Dat e
Honorable
Ll-]-4 - 07
DENNTS L.
COMMR
Dept: NCB3
Judge
SHANKLIN,
Honorable
J
K.
DeputyClerk
TAPPER
JudgePro Tem
S.
DeputySheriff
TURNER
CourtAssistant
L.
Reporter
HINES
8Q0047 99
William
Blair
S.
Tindal
Nye
CounselFor
Petitioner:
(N/A)
(N/A)
CounselFor
Respondent:
NATURE oF PRoCEEDINGS: OSC AND
OFF CALENDAR THIS
DATE;
TEMPORARY RESTRAINING
ORDER
CALENDAR ERROR.
HEARTNG REMATNS SET FOR 11-15-07,
AS PREVIOUSIJY ORDERED.
Page1 ofl
MINUTES ENTERED
DEPT:
NCB3
tt-14 - 07
CoUNTvCLERK
flltr*
Answerto Temporary
o
c
E &ih6ci:i'i#dtff0,il'is f/ed.
]-et +-fQ{p$-
illij 13 ?ttl
Name of person who askcd for the order (protected person):
tatil] i am ,S Nyt= -
Yout name: R] n' i r ni nde l l
s (skipthis dyou havea latvyer): (If you wantyour addtess
Your addres
to beprivate,gwe a mailingaddressinstead):
City:
Your telephone (oPtional):
State:-Zip:
ii-r-'
i:tii'i'Li-r'i
.r'*i
"ffhfuO)
ij"i'---
'-
-
U
'-trl-{*
ili'btr-
Fb W
sftgstaa
Your lawyer (if youhave one): (Name,addr6s, telephonerTumber,
and state Bar number):
nonn i.d .( rlousma:r-.--Xsq.1E4l iclean Arrel, *200
1a7aa4
3oq-ôqQ_
.(110)
Give the judge your answers to DV'100:
( t ) m PersonalConductOrders
SuperlorGourtof Galifornla,Gountyof
I,os Angeles
300 E. Olive ave.
Bur bank, cA,, 9L502
North Central District
frll$ ID case mltt
GaseNumben
EQ 004 799
I El do El do not agreeto the orderrequested.
order
G) m stay-Away
I [f do ECIdonot agreeto the order requested,
:
(u)nM o ve 'Ou tOrder
I El do I donot agreeto the orderrequested,
X
(9) tl child Gustodv
I El do E do not agreeto the custodyorder
b, fl I amnot theparentof thechild listedin DV-105.
c, ff I askfor thefollowing custodyorder(speci.fy):
4.
n
d. I El
do El
Thejudge canconsideryour fuiswer at the
hearing.Write yourhearingdateandtimehere:
l!,tL.tnl
Dept-:l
Time: n=rn
"-
Room:
You must obey the orders until the henrlng,
Ifyou do not cometo this hearing,thejudgc
canmakethe orderslast for 3 yearsor longet.
do not agreeto thc orders requestedto prevent child aMuction.
(t) g visitation
\--l
a. I
b. ff
Edo
l,-ldo not agreeto the visitation order requested.
I askfor the following visitation ofier (specifu):
ev
n chtldsupport
O
v
A $pousalsupport
a. I E do El do not agreeto the ordcrrequested.
b. trl I agreeto pay guidelinechild support.
Toumustfill ouLEetve,andfile FormFL-|50 or FIrISS.
I E do El do not agreeto the orderrequested.
andfiIe FormFL-150,
or notyou agree,you mustfiIl ont,seLae,
Whether
DV-120,Pase1 ol2
9
Your name:pl r'i r
CasaNumber:
EQ 004 799
. ni nr t a' ' l 1
control
6D a Property
El do l-l donot agreeto theorderrequested.
listthen n@ below.
[f you haveother requests,
I
A DebtPayment
CtD
v
I ff do f] donot agreetotheorderrequested.
Ifyou haveotherrequests,Iistthen rfl @ below.
(rr) a PropertyRestraint
\-/
I Q do f] do not agreeto theorderrequested.
If you haveother requxrs,lut themin @ t"to*.
FeesandCosts
6D
\--l n Âttorney
I
Edo
Idonot
agreetotheorderrequested.
for Gostsandservices
n Payments
GD
v
I
f,l do f,l do not
agreeto the orderrequested.
(ril g BaftererlnterventlonProgrem
\-/
r
l--l do
I
do not
agreeto the orderreguested.
Other Orders (seeitem20onFormDt/-100)
6D
v A
I El do fl donot agreeto theordersrequested.
m TurnIn gunsor otherfirearms.
6D
"'-z
a. El I do not own or haveanygunsor firearms.
turnedrn my grrnsandfiteamsto thepolice or a licensedgundealer.
b. El I f,l harre f,l havenot
is
c. trl A copyof thereceiptEl attached. El hasalreadybcarfiled with thecourt.
Youmustfilea receiptwiththecourtwithin48 hoursaJterreceivingFormDY-Il0-
g I askthecourtto orderpaymentof my
6D
v
Attorney fees
Out-of-pocket expensesbecausethe temporary restraining order was iszued without
enoughsup'porting facts. The expensesare:
Amount:
Item:
Amorurt:
Item:
serrye,
FLI50.
andfle
Fotm
You mustfiIl out,
s. [l
b. Sl
(t) m My Answerto the Statementsln DV-100and OtherRequests
\-/
Pleaseattdchyoarstatement.Write "DY-120,nem 19 - More Information" at the top.Be specijic.
@)
t declareunderpenaltyof pe{uy rmdcrthe lawsof the Stateof Californiathat the inforrration aboveis true and
colrectr.
p"'s. 0{.,/ | 3*e*{
El,a i rTin d a l -
Typeor print your nsrne
ffi3gd3r'ur.?ooz
6\ unrnrrt
tglffiftrulr
,..,
j. , - f i, ' - c . ^ - - K t - , * d t , "
'
Signyour name
Answgr to Temporary Restralnlng Order
rindall
pasa2oi2
Dv-120,
RonaldS.Housman,
Es{.,SBN 117884
LAW OFFICESOF RONALDS.HOUSMAN
l54l OceanAYenue,Suite200
SantaMonica,California9040I ^2I 04
I
(3r0)395-2ee0
(3r0)39s-2981
fax
4
Attorney for: Pstitioner JOYCE SPEIGHTS
5
6
SUPERIORCOTIRTOF TI{E STATEOF CALIFORNIA
FORTHE COUNTYOF LOS A}IGELES
I
9
cAsE NO.EQ 0Q4799
WILLIAM S. NT'E
l0
PETITIONER"
1l
L2
t3
t4
BLAIR TINDALL
15
)
)
RESPONDENT.)
)
t6
DV-120rItem 19Declnrrtionsof Blair
Tindalt; DeclsrntionRobertBuley,Ph.D,
in Oppositionto PendingDV-100Claim
of lililllam Nye.
Date: November 15,2007
Time: 8:30 a.m.
Dept: 3
Comur. Denrds Shanklin
t7
l8
l9
I, Blair Tindall, declareas follows:
20
1. I have personal knowledge of the facts herEinafter set forth. If called upon to do so I
2t
could competentlytestify to zuchfacts.
22
,4J
RequestedRelief:
24
For the reasons setforth below, I urge this Court to dissolve thepending Temporary
25
26
27
Ratraining Orders, as I have nwer been,and am not now, a threat to Mr. Nyq' either by way of
actual or intended harm.
t/
28
DV-lzOr Item 19 Declarationsof Blair Tindsil; Robert Buley,Pb.D.,etnl
I
BACKGROTIND
2
1. I'm an alumnaand former profossorat StanfordUniversity. I am the authorof the
3 best-selling'Mozart in the Jungle: Sex,Drugs,and ClassicalMusic," (Cnove/AtlanticPress);
4 which has beenreleassdin the U.S, and fow foreign countriesand laudedin a recentedition of
5
The New Republic. I also hold bechelor and masterof music degreesthe ManhattanSchool of
6 Music, and a businesscertificatefrom Colu:nbiaUnivusity.
2. Iamcurrentlywrihng forthe FinancialTimes magaaineof London,as well as
7
8 finishrng a book proposal about the private health care industry. I concunently write for the New
who
9 York Times, Los Angeles Times and Sierra magazine. I am a Grammy nominatedmr.r,sician,
1 0 hasperformedasprincipal oboistwith the New York Philhamronic,SanFranciscoSymphony,
ll
T2
and at CarnegteHall.
3. I am a parishioner at Studio City's Little Brown Church and its sister Church af the
l3
Valley in Van Nuys. I currently volunteer for the literacy organizationReadingfor Kids aspart of
t4
a teafli from Stanford- in which I most recentlyparticipatedNov. 10, 2007.I am currently
1 5 advising a youngjournalist from SanDiego to help her place her work with editors at The New
l6
York Times, and I will be speakingto studentsat the California Institute of the Arts on Nov. 19,
r7 2007.
l8
4. I am an intelligent, alticulate wom.ctn,who strongly believesin civil and respectable
1 9 behavior. Again, as will be thown below, I am not, nor ever have beena threat to Mr. Nye and
20 askthat his current restraining orders be lified. Moreover, as a result of the emotionalcruelty
2 L that he inflicted upon me,f had atemporary lapseofjudgment and damagedhisflowers only22
23
BACKGROT'ND WITH MR. F{YE
24
5. AJl understandingof how Petitioner and I met and the home we purchased,is critical
)7
26
to understandingmy actions at issuc herein.
6. I met Bill Nye on Sept. 10, 2005 m SantaMonica when he contactedme afterreading
27 a bookI hadwrinen, "Mozartin the Jungle";I fell in love, andheproposedmarriageouDec.2,
onDec.19,
on theCBSLateLateShowwith CraigFerguson
28 2005- announci.gour engagement
DV-120, Item 19 Decleretions of Blair Tindall; Robert Buley' Ph.D., et al-
I
2006. WeweremarriedFeb.3,2QQ6,
by PastorRick Wamenof
2005.DuringDecember,
)
Churoh,in frontof 400guestsof a conference
calledTheEntertainment
Saddleback
Gathering
at
J
theSkrrballCenter,with severalnewsoameras
rolling. TheAssooiated
Pressstoryof oru
4
marriageranin some300newspapers
worldwide,andthevideois availablsat
5 www.cbsnews.com.
6
1
for a house,obtainedPetitioner'sapproval,andwe purchased
7. I searched
a $1 million
homethatfeatureda rosegardenin thebaclgal
8 wherehecarr[edmeoverthethresholdashtsbride.Beoause
my excollentcreditscorewas793
9
andBill's wasunder700,on March4,2006,we took autafi752,500mortgage
jointly -- andthe
1 0 originaldeedstateswe co-ownedthehouseasthecommunityproperty
of a marriedcouple.
1t
Petitionercontinuesto live theretoday. Immed:iately
afterthe wedding,which wasa first
1 2 marriagefor both of us,I becameknownasBlair Tindall Nye, andwe appeared
togetheron CNN
l3
t4
televisionon Valentine'sDay,2006,asBill andBlairNye.
8. We learnedshortlyafterthemarriagethatour malriagelicerrsewasreturnedas
l5
invalid. At thattime, Petitionerordsredme not to moveinto our home,uponwhichwe were
l6
aboutto oloseescrow.I also agreed.
to quit-claimmy interestin thehometo Petitiouer,dueto the
l7
brevityof our relationship,andthe factI hadnot put anymoneyinto thehome.
l8
l9
9. I washeartbroken,alarmodabouthaviugqpentmuchof my savingsdqringthe
relationship.I wasvery distraughtaboutexplainingto my eight-year-oldnephewthatBill Nye
20 theScienceGuywasn'this uncleafterall, andto my elderlyparents
thatI wasn'treallymarried.
2I
Shortlyafterthe terminationof our relationship,I begaasufferingsevereinsomnia,for which I
t)
wasprescribed
Ambienby my physician,NealShanblattof SantaMonica.
2?
10. In July, 2006, I applied for a mortgageon rny owlr, and was honified to discoverI
24 was still the so-owner,with Bill, of the Mound View property loan, leaving me financially liable
2s
for a houseI did not own, occupiedby a man who no longer wantedme. Thejumbo mortgage
26 hadalso loweredthe credit scoreI'd spenta lifetime polishing. At this time,Ifelt angry, tned,
27 humiliated,and beganto beliwe I'd beenfficl@dinto afalse marriage that resultedin personal
28 gain (ofpublicity and real estatefor Petitioner), but seriously affected my financial, emotional,
Dy-120, Item 19 Declarationsof Blair Tindafi Robert Buley,Ph.D.,eLnl.
I
2006.WewerernatriedFeb.
3,2Q06,byPastorRickWarrenof
2005.DuringDecember,
2 SaddlebackChurch,rn front of 400guestsof a confsrencecalledTheEntertainmentGatheringat
a
J
the SkirballCenter,with severaloewso.merasrolling. TheAssociated
Pressstoryof oru
4
worldwide,andthevideois availablcat
marriageranin some300newspapers
5
www.cbsnews.com.
6
for a house,obtaured
a $1million
7. I searched
Petitioner'sapproval,andwe purchased
7
homethatfeatureda rosegardenin thebaclgal
8
wherehecarrledmeover the thresholdashis bride.Becausemy excollentcreditscorewas793
9
jointly -- andthe
andBill's wasunder700,on March4,20A6,we took a:urt
a5752,500mortgage
1 0 originaldeedstateswe co-ownedthehouseasthecorrnunitypropertyof a maniedcouple.
1 1 Petitionercontinuesto live theretoday. tnrnediatelyafterthe wedding,which wasa first
l2
marriagefor both of us, I becameknownasBlair Tindall Nye, andwe appeared
togetheron CNN
t3
televisionon Valentinds Day, 2006,asBill andBlair Nye.
t4
8. Wo learnedshortlyafterthemarriagethatour marriagelicensewasrefurnedas
1 5 invalid. At thattime, Petitionerorderedme not to moveinto otu home,uponwhichwe were
l6
aboutto oloseescrow.I alsoagreedto quit-olaimmy irrterestin thehometo Petitioner,
dueto the
t 7 brevityof our relationship,andtho factI hadnot put anymoneyinto thehome.
18
9. I washeartbroken,alarmedabouthavingspsntmuchof my savingsduringthe
1 9 relationship.I wasvery distraughtaboutexplainiugto my eight-year-oldnephewthatBill Nye
20 the ScienceGuywasn't his uncleafterall, andto my elderlyparentsthat I wasn'treallymanied.
2l
Shortlya-fterthe terminationof our relationsbip,I begansufferingsevereinsomnia,for which I
))
wasprescribed
Ambienbymyphysician,Nealshanblattof SantaMonica.
2?
10. In July, 2006,I appliedfor a mortgageon my ow1r,andwashorified to discoverI
24 wasstill theso-owner,with Bill, of theMoundView propertyloan,leavingmefiaanciallyliable
2s
for a houseI did not own,occupiedby a manwhono longerwantedme.Thejurnbomongage
26 hadalsoloweredthe credit scoreI'd spenta lifetime polishing.At thistime,Ifelt angry,used,
27 huniliated,and beganto believeI'd beentricl$edinto afalse marriagethatresultedin personal
2 8 gain(of publicity andreal estatefor Petitioner),but seriouslyaffectedmy finanoial,emotional,
DV-120,Item l9 Declarationsof Blair Tindall; Robert Buley,Ph.D.,eLel.
I
a mortgageon his
andincroasingly,myphysicalhealth.Witbjn threemonths,Petitionerobtafuted
)
grstry.
own,but my resentment
behindme,I wasseriowlyinjuredin Santa
asI tried to put thefauxmarriago
11. .Tust
3
4
Monicaasa carhit my bicycleonNovember19,2006,audI wasrushedto thehospitalvia
5
later,onDec-2, 2006,myfatherdiedin North Carolina,leaving
my
Twoweelcs
ambulance.
6
85-yeu-oldmother,who neededmqiorsurgery,widowedafter60 yearsof marriage,I flew back
7
andforth four timesduringDecembor,2006andJanuary,2007,but it soonbecameclearthatI
E
into storageandvacatedmy
neededto relocateto North Carolinafor a time.I put my belengrng$
9
Feb.14,2007,I drovehomcto theeastcoastandfor thenextfour
SantaMonicaaparlment
at hernursinghome
helpingmy motherconvalesce
1 0 months,livedbetweenhryofriends'houses,
1 1 aftersurgery,settlingmy father'sestate,andorganizrnghis booksandpapersfor donationto the
t2
Universityof Nor& Carolina.
t3
I4
12. I becamefurtherdistressed
whenmy onlysiblingdid not assistme with familyaffairs
in anyway;Iwas completelyon my ownin handlingmattersunfamiliarto me andmy elderly
problems( firther-diminished
1 5 mother.Dueto themultitudeoffamily andpersonal
funds,
amountof shess.Thiswas
16 mother'sillness,andfattrcr'sdeath),I wasunderanenofimous
t7
compounded
by my difficultly sleeping.As of June2007,I hadnot sleptmorethanonehourper
1 8 nightin overa year.
19
20
NIGHT OF SEPTEMBER3RD2OO7
2L
13. I felt my stressandfatigueworseningdueto my coatinuedsleeplessness.
A state
22 whichculminatedon the eveningof laborDayin a foolish,sophomoricaotofpoorjudgment
23 thatwasonly intendedto hamrflowers,andcertainlynot people.
14. Onthatnight, September
3,2007,I wentto a 5 p.m. showingof theBelgianfilm
24
25 '?rivate Property''atthe Nu WilshireTheaterwith viotinists Alau CrnrnfeldandPamelaGates,
26 dinedwith themat Il Forniaoin BeverlyHills, andretumedwith both friendsto Cmrnfeld's
27 house,whereI helpedhim setup a web{og on his computer.Grunfeldwantedto watchthevideo
28 of
:ny
weddinqto Pefirtoneron the
whic! u:et megreatly to s:.
_Internet
DV-f2Or Iten 19 Declarations of Blair Tindall; Robert Buley, Ph.D., elsl.
,.
I
.'
L
15. I returnedhomealoneby 10:30p.m.andthentumedonmy televisionto watch
"Living With Ed," a show featruing my erstwhile
'neighborEd Eegley(whomI'd
J
nevermet but had spokento on the phone), It was the secondtimoI'd seenthis episode,andthe
4
show upsetme evenmore, asPetitioner,our house,andits rose gardenwere feafixedon the
5
prografl that night.
6
16. On the televisiolr, I saw Petitioner again rn what had beenourback yatd, plucking a
7
rose for Ed Begley's wife, RachelleCarson,from the gardenI'd loved andwatered,behindwhat
8
had beenour hone)rmooncottage. Watching,I boiled over whenBill commentedthat life would
9
beperfect..-{ only he had a womanwith whom to share the house- a houseI'd found,fixed up,
l0
tl
and assumedI'd enjoy married life and motherhoodas "Mrs. Nye" within.
17. I becane very &ngrJr,and could only think of destroyiug thc rose garden,so Petitioner
1 2 couldn't give another woman the flowers for which I had cared.
13
18. Iz one dreadful momentof poor judgmmt, I decidedto damagethe gardenwith
1,4 weed-killer.
t5
19. I walked into his (our) back yard and emptied one bottle onto all the piants I could.
1 6 SuddenlyI caught sight of myself in the sliding glass door, standing in the yard of a man who no
destuction ofpretty, innocent flowers. I was
1 7 longer loved me, and performing the se,nselsss
1 8 horrifted by what I hadjust done. Abattt one minute had passedsince I arrived on the property,
1 9 when, without emptying the seoondbottle, I exited the back yard as Bill was crossingthe skeet,
20 calling out my name. This was the first time I had seenBill in person sinceNovernber, 2006.
2l
22
PRIOR VISMS TO PETITIONBR'S HOME
)7
20. On August 19,2006rI enteredPetitiorrer'shome with hls written permission, which
24 includedhis own alarmcode,locationof a hiddenkey, andaninvitationto enter.( A tue and
is attached
hereto
25 correctcopyof Petitioner'semailof July21,2006,grantingsuchpermission,
26 andmarkedasExhibit 1) Inside,I retrieveddocumentspertainingto ourjoint mortgage,plus otu
27 marriagolice,nse,andbecameupsetby documentsin Bill's handwritingthatwcreinsultingto me
why he endedow
28 andrevealedpersonalandserrsitiveinformationabouthimself that suggssted
DV-Lz0,Item 19 Declarstionsof Blsir Tindell; Robert Buley,Ph.D.,etal.
I
relationship.I mailedback the itemsNye conectly saidI took with mo, including a laptop,what
2 had beenmy engagementring, the mortgagepapers,and the handwrittenpaper,on which he'd
a
J
written that I "wasn't beautiful errougl5athletic enough,or a good enoughdancer.Now shehas
4
fallen for me, (asthey alwayt do').
21. h a phone conversationwith him the next monring, I brought up my original
5
6 ownership of the house,and that I'd learuedquitclaim deedscan sometimesbe reversed.At that
n
time, Bill verbally threatenedto have me fired from a burking job I had, and to have my real
8 estatelicenseremoved- sinceI was terrified to be unemployedbecauseof my diminishing
9
funds, I wrote an apology to him that was ovetly confrite and cowed to his implications that I had
1 0 been drinking.
22. Qn July 28, 2007,I delivereda coffee-makerPetitionerand I had pruchased. I left it
tl
t2
on his &ont porch at about6 p-m.- driving off lessthan one minute later. I found the sight of oru
L 3 houseortrernely painful, and did not wish to retum. This was my only contactwith Petitioner or
l4
the bousesinceI senthim an ernaiteight monthsbefore on his 51stbirthday,Nov. 27, 2006.
23. OnAugust 13,2007,I refurnedto the houseagailt,however,on Monday evening,at
l5
1 6 about6 p.m. At that time, my houseguesfthe hish Timesjournalist PaddyWoodworth,askedto
1 7 seethe houseon ollr way to meet friends at *'The Standard"irr Hollyvood. I drove southboundon
with Paddy,stopprngin front of the housefor aboutfive minuteswhile I
l8
1 9 , describedits interior andsomefacetsof its strangehistoryin my life. I did not seeBill at this
20 time.
2t
24. Iflwas seenin the neighborhood,
it is because
I alsolive in StudioCity; I shop,seea
22 physician,visit the postoffico, dry cleaner,farmers'market andmailbox storewithrn a few
23 blooksoI
:
;.I stayedin Studio CitybecauseIhad aposition with a
24 produotiortcompauy,'?retty Pictures",which maintainedoffioesat UniversalStudios.My new
2s
homewasin walking distarrceof thestudio.
26
27
MT A}-TGERAI{D RESBNTMENI TOWARD PETMONER IS FOREVERGONE
28
25. Following the eventsof Septernber
3'd,I realizedI hadspiraleddownto thepoint
6
DV-t?0r Item 19Declaretionsof Blnir Tiudall; RobertBuley, Ph.D,,etal.
I
irrtotheSouthCoastRecoveryCenter(hereinafter
help. I checked
whereI neededprofessional
z
a 30-day
referedto asSouthCoas)in DanaPoint,Calif.,on Sept.24,20A7. Thete,I completed
a
progamat a costof $10,000,whichincludedMce-weeklytherapywith a PhD. (A tme and
4
heretoandmarkedasExhibit2). While
is attached
correctcopyof my Certificateof Completion
5
RobertBuley,Ph.D. We aresubmitting
at SouthCoast,Iwastreatedin part,by Psychologist
6
Dr. Buley'sdeclaration,
whiohatteststo my fulI andcomplete
alongwith my declaration,
4
is attachedheretoandmarkedasExhibit 3).
recovery.(Dr. Buley's sworndeclaration,
8
24-hour
in weeklyssureslingsessions,
26. Whileat SouthCoast,Iparticipated
9
and
supervision,daily gloup therapy,educationalserninars,acupunoture,
meditatiorqmassage,
werecuredby Oct.
1 0 healthydiet andsxerciseunderthe careof a physician.My sleepdisturbanc€s
1 1 1, 2007, andwhile at SouthCoast,Ilearneda new,holisticsystemf61[6sdling insomnia.
1,2
27. Tam a newpersonaudhavefollowedmy life plan organizedatSouthCoast,
pursuingmy goals,suroundingmyselfwith a strongsupport
1 3 continuingtheholisfic treatments,
7 4 netwotk,andseekingoccasionalpastoralcounselingfrom my minister,RussWilloughby,at The
ls
r6
Little Brown Churchin StudioCity.
28. While in rehab,I alsosoughtpastoralcounselingfromthenearbySaddleback
1 7 Church,whoseministerRick Warrenhadperfonnedour weddingceromorly,andwhosesouthem
l8
Baptistfaith I share.
t9
20
INACCURACIESOF PETITIONER'SCLAIMS AND ALLEGATIONS
2t
29. As the Courtknou's,Petitionerhasfiled to Petitionsfor a DV RestrainingOrder.
sr 4, 2047andthe secondon Septebmq7,2Q07. Theversionsdated
22 Thefirst on Septemb
4fr andSeptember7'hvaryconsiderably,with Petitionerclaimingtwo different
23 September
24 causesof feelingphysicallythreatenedat two differentttmes.h the Sept.4e version,Petitioner
that mayhavebeenemptiedon edibleplants.
25 statesthatthothreatcarnofrom cheniricals
26 However,in the Sept.7il version,Biil haschangedhis story,now sayirtgthathewasafraidnot
27 aboutpoisoning,but thatI would havesquirtedherbioidein his eyes. ?Irislatter allegationcould
28 neverhaveocanrredas heanalI wereon oppositestdesof thesfteetwhenhesawmeleavinghis
DV-120, Item 19 Declarations of Bleir Tindall; Robert Buley, Ph.D., eLaL
I
.,
residencethat evening.
30. Petitioner contendsI had driven by his housetwice in the last three weeks pnor to
)a
our incident, and that his housewas over 20 miles from my last known address.My last known
4
addresswas actually3,000miles fiom the house,in North Carolina. I retumed to Los Angelesin
)
June,and Studio City fn July, and I had driven by the houseonly oncein thepraious month,on
6
August 13,as notedabove.
7
15,2A07asadrivebydate.Iknowthistobefalse,aslwas
31. PetitionerlistsAugust
8 at work all day and spent that night with a friend. That night I was with my friend Pam Gates,
9
l0
andviolinist Alan Gnrnfeld, at Pam'shomein
Pam's doclarationin support
of thesefacts canbe suppliedifneeded-
1l
32. In20A7,I passedby Petitioner'shousoonly on July 28e , Aug. 13th, and Sept.J'd .
),2
33. Otherthan the daysset forth above,I had not seenPetitionerin personsincea swing
r3
l4
danceat the Elks T-odgein Playa del Rey eithe,rNov. 22 or Nov. 29,2;006,nearly a year ago34, As for inaccwaciesof Petitionef,'spapeffi,my nameis misspelled"Tindaf in the
1 5 original filing when it is actrLrally"Trndall;" my middle initial is misstated"I.," when my two
1 6 middle initials are"A.M.," my eI€ color is listod as greerrin one place, andblue in another;three
L 7 birth yearsappear- 1957,1959,and 1960;andmy height is misstatedtwo different ways, as 5'6,
1 8 wrd5'7, whEnIren 5'3 1/2. I scriouslyquestionPetitioner'srcoollectionor observationof
1 9 events,if he cannot recall basic facts about someoneto whom he was orgaged, and with whom
20 he existed as husbandand wife.
2l
22
CONCLUSION
23
35. As for me,f neverhad anyintentto harmPetitioner'sperson,or put him in any
24 danger. After a yearof exkaordinarystressandhagedy,I lost connol whenI sawPetitioneron
25 TV at our house,discussingmaritalrelations.I meantto hurt his (orrr)flowersonlg not him.
26
35. I am the first to state,streiruously,
thatpouringweed-killeron Petitioner'sgarden
for my isolatedactionson
27 washorriblywrong.I havedoneeverythingpossibleto compensate
28 Sept.3, 2007, andamnow of a healthymind.
DV-120,Item 19 Declarationsof Bhir Tindall; Robert Buley,Ph.D.,etal.
I
36. I am terribly sorryfor whatI did,haveneverdoneanythinglike it, andneverwill
?
agaln.I certainlywouldncverharmanotherhurnanbeing,andespeciallynot thismanwhomI
3
lovedsodeeply,andwith whoml'dplannedto starta family.Suohanactionwasfar outsidemy
4
andit wasnot aimedatpeople,butplants- somcof whichthatwerenottherewhen
charaoter;
wepwchasedthehouse,andwereplantsI did notknowto be edible.
6
37. I wouldneverhaveaimedthechemicalatBill's eyes,ashe suggested
-- andit's
7
underanyconditions.I havetakenextraordinary
simplynot in mynatureto hurt someone,
8 actionsto tum aroundmy emotionalstate.I amno longerangrywith Petitioner,andhavemoved
9
10
1i
on emotionallyin all respects.
38. I amnot a dangerto Petitionm,or anyoneelse.For a briefperiodof time,I wasa an
eurotionallytroubledwoman,woundedfrom a failedrelationship,from which I havenow
t 2 recovered-I urgethis Courtto denyPetitionor'srequestfor permanentrestrainingordersand
l3
ordersnowin effect.
dissolvethe temporaryrestraining
L4
SIGNATUREFOLLOWS FORM DV.12O
l5
l6
l7
Argument
l8
Ms. Tindall never harmed or directly ttreatened harm to Petitioner. While it is true she
L 9 damagedhis flowers, shehas expressedremorse. Moreover, sbehas completed a 30 day in-
20 patient recovery prograrn, and has resolvedhor temporary iszuesof anger and resentnent. Slreu
2l
22
not a threat to Petitioner, so as tojustify permanent or temporary restraining orders.
Rospectfirlly submitted.
23
24 DATED;NovemberL3,2007
LAW OFFICESOF RONALD S.HOUSMAN
25
26
27
B'LAIRTINDALL
for Rospondent,
28
DV-120rItem 19 Declarationsof Blair Tindell; RobertBuley,Ph.D.,etal.
xhibit 2
SouthMt
rer{ecovFRY
'*.F,affirt ftf-
gtwtedto
ir hervhy
BlairTindall
tocmifysati{utoryryPktionofry
hnwn
10 Dat RssidrrlrtialRecorwy
fuantedonrhisdq of
Octpher24
m07
Exhibit 3
Esq.,SBN117884
RonaldS.Housman,
LAW OFFICESOF RONALDS.HOUSMAN
2 1541OceanAvenue,Suite200
SantaMonic4 Califomia90401-2t04
3 (3r0) 395-2990
(310)39s-2981
fax
4
Attorneyfor: PetitiouerJOYCESPEIGHTS
I
)
6
.|
ST'PERIORCOIJRTOF TIIE STATEOF CALIFORNIA
FORTHE COI.INTYOF LOS ANGELES
8
9
CASENO. EQ 004799
WILLIAM S. NITE
10
PETITIONER
11
r2
v,
T3
BLAIR TINDALL
l4
RESPONDENT.
Declarationof RobertBuley,Pb.D,,itr
Support of Responeive
Declsretionof
Blair Tindall
Date: Novenrber15,2007
Time: 8:30am.
De,pt: 3
15
Comm.DennisShanklir
16
t7
18
19
I, RobertBuley,Ph,D.,declareasfollowsl
20
l. I havepersonalknowledgeof the factshereinaftersetforth. Ifcalled uponto do soI
2l
22
couldcompetentlytestifuto suchfacts.
2. I am a ClinicalPsychologistactivelylicensedin the Stateof Califomia.(A copyof
23 my currqrt CV is attachedheretoandmarkedasExhibit A.)
v+
3. I seepatients,in part, at the SouthCoastRecoveryCenter@ereinafter
refenedto as
25 SouthCoast.)
26
4. Patientsareseenat SouthCoastfor a variety of roasonsincluding,but not limited to,
27 alcoholisnt,drug addiction,depression,
annietyandangerrnanagement.
28
Declaration of Robert Buley, Ph.D.
with, andfreated,Blair
andOctober2007,Iactivelypartioipated
5. BetweenSeptember
I
1
L
30 dayrecovery
i*o SouthCoast'siu-patient
Tindall,at SouthCoast.Ms. Tindallohecked
J
program.
6. BetweenMarch2006andthepresenfandprior to enteringSouthCoast,Ms' Tindall
4
5
a nqrnberof "life crisis' ", involvingterminationof a purportedmarital
hadexperienced
6
relationshipwith I\4r.Williarn Nye,thepassingof her fathet,andher involvementin a
resultingin hersuffedngseriouspersonalrnirrries'
aooident
automobile
8
7. At thehme sheenteredSoufhCoast,andasa resultof thoseemotionaltraumas
9
enger,andanxiety.
issuesof depression,
with overcoming
above,shesoughtassistance
described
B. On, or abouqOctober24,2007Ms. Tindall obtainedher "Certificateof Completion"
l0
l1
from SouthCoast;indicatingshehad completedtheir 30-dayin-pationtrecoveryprogram'Her
r2
at individualarrdgroupcounselirrgsessionsprogramincludedher attendance
l3
l4
time,andthroughthe
^tthat
anger,andanxiety.I feelsheis fully
of depression,
present,Ideemherfreefromthediagnoses
l5
manrrer.
of carryingon her life in a safeandap'propriate
capablepsychologically/emotionally
herfrommy carein lateOctobor2007.
9. I released
10. Dr:ringmy directcounselingof Ms. Tinda1l,I canstatethat by the endof her
l6
or
1,7 recoveryprosarnat SouthCoastshewasnot exhibiting,or sufferingfrom anger,depression
stateMs. Tindallhasovercomeanynegative
1 8 anxietytowardWilliam Nye, I cancategorically
1 9 feelingstowardMr. Nye,andhaslet suchissuesfromthepast becomeapart of her past,without
2A attachedemotions.
I l. Ms. Tindall workedvery hardon her issuesduringour therapysessions.I feelquite
21
nn
/./-
positiveabouttheprognosisofhe,rounentemotionalstate. I considerher progressexcellentand
23 heroutlookbright.
24
I deolare,underpenaltyof perjury,underthelawsof theStateof Califomiathatthe
25 foregoingis tnreandcorrect.Executedthis 12frdayofNovember2007at SanJuanCapistano,
26 cA.
27
28
Declerstionof Robert BuleY,Ph-D.
EXI{IBIT A
RODEnTBW,EYPH.D.
ticenred Cliricsl lt5rc{ologitt
Llcenrc # [SYI2S76
P.O. Box3gc+Wifft3llr
DenaPoiat,Caffornh 92629
I
!
RESUME
- DR.poB BULEY
Narne:
Addrcss:
RobsrtM' (Bob) Bul€$'
P.O.Box 394"DilaPoint, California92629
I
i
Phorefs:
!
DateofBlrth: Ootobcr18,1939
i
Liccnse#: PSYl2s?6-LiccruodClinical{sychologis
I
I
Education;
Bwbank lligh School
Burbank,Calibrnia
Gnaduate
t957
Collry Prcp
Universityof Rcdlsnds
Redluds, Califomia
B.A.
1962
Peychologr
Cal StsBUniversity
Nonhridge,Califumia
M.A,
1964
Psychology
Califomis GraArateSchool Ph"D'
of FamilyTherapy-San
Rafael,Califomie
r990
Clinical Pqcbology
Multiple Trainingsat Grad. @200 ulit6
Lcvcl in Addiction* FTED,
Ltrolest,ChildAbuee, EvduationsandTesting etc,
I962-Pncsent PsPhotogYReleted
WorkExperiencl
tvfay
i
' 2003-Prcscnt
CIioical Dirs{ilff- Hopc By tbe Fea,300ll lvy Glenn $$tB 218, Lagma
Niguel, Californis 92677 Ddiesl Individuol ttrertpy with €aoh clicrt in
ragiaentiar heatment ftcility, psfrchclogl^calevaluntionr' eupervisioo of
clinicalstrff. Oroupandltdivid+I Rx.
2000- hesent
i
Prirare Pnactice - L,agurn bfigu"l anclDdiilg individuat 6nd gFoup
teafinenl, psythologtcal eviluatiuts, marital and family tlnapy,
wurketc,
adolescsm
2001-May 2003:
i
Tlraryist- Win'sInruP.O.Box394,psnr Poinl,Catifomir926F
asses$n€ntE
vvithrmvcdag drug
fhrties* hdividusl, grouplthcrnpy,
Addictsandelcoholicsin d live in rebabiliutionofft€(1998-2001:
i
Cotrty .714 54?4615
CfinidalDirector- VetemnsCharitieroFOtnngu
Calif. yn04
Ana,
Sullivar
S.
201
St44 $arn
Dries - Evtluilioq, Efoupthcmpy,aetupof internsto wort
in individualthcrdp*with 130homclesswilsnaos,Testilt&
onPTSDFnddctressionresoludm
Ernphasis
I
1998- Prescrtt
I
Exocltfr€Dircctor- PCt000progrsm- 1076{, 9t&tcCollogeBlvd. Amhe'in,
California,92806f t+ ffs+fS?, Dircct plo3nm anddo
grsup and individufi tmapy for numeronsclienfi referred
abuscpoblems.
by tlre oour8for $rhstmrce
i
1998- December
?0[t1
i
TumingPointFs Familics2l0l E. For{nhSmeqSilxtnAas,Celifqnia 927!5.
714547-8ll l. Ai$ in rupervisiooofMsstcr's Lotrclinerns,
seeindividualclief PRN. Teaohin fiainingsessirlus.
198&1998:
!I
PrivatcPracticc: Reddias Califomiai-.Workingprimsrily with lcen4gerr,and
adultr abusedas children,addictions,and Vi+dn Wiuese CtieoB. My practioewes
basicnllydividedimo thirds. Ahout trlB thirq of tte tirc I vrorkedwith teenagenin
group hwro sadngs, and in contiuuation
Ddthdrug and alcohol addiotion I did
gniDingentry to Bdlools by qmkiqg
comflee ryfth taafrncrit sugqmtionq
groupand individrnl tlrcragr,nrbstarrce
abuseFrndfbst troutnsdsstrcssdismdarienlos
relating to p{tysical. enotional, sctenl Sufe,
ard lodure- .A 6ecmd &fud of my
dme wasinvolvodin eneluan-ons,
family
, nrarriagsand family counseling;rod
wortcwith rdults abuu€din rrariouswaysee
or in their rnarriagics,
or *ith
significefit stbsrs, The rest of ths tims I
witb victitnsof sstadsard ritnt abuse,
worting on rBg'eaad reprcssioaissues.
tw*1988:
clinicat Directsr - sha$tscounty Sub{tanceAbuac,Rcddtrg Catifornia - I
i
:'
i
counselorfor tr{o years,ard tlan waspronrotcdm otinioal
workgdu* t suUuU,* abr.rsc
abusccomseling.
dlrects. Twmty hoursa w€tk I teustdr"ruFsts howto do substn$ce
Tbe otherhivtrfy hows per weck,I ran AI4AC grwp, uAich is the pnmsryirssucin
eddressing
malesndfemalc
abnsein ShastaCounty. Orwpe daresaparately
subsranoe
clients,
I
fot
waluaring
dusl
wns
t$ng
and
diagnosns
reppor,rsible
issuesiu this seflqnlity
treffii€ttt ofboth meual
CountyMemall{ealtf to a$$ue
andtrirgFdwith Sha$ta
abus€,I wasw(ed thefirst everEmplope of the Ysarfor
heahhissrresalrdzub,stanoe
Abuse. t served
st ShssteCoudy MetrtalHealthandSubstsnce
theoombinedprograrns
taamfor ttr combinoda#ncy
ontbemanagunent
1970.1978
BxecrsivsDircctor- New Trails ResiJejdialSchool,FrcnchGutc{r;Catifornia.I
founded,dirccte4 fid $msheadcormelsr iu * frty bed reciffiiel schoolfor dnrg
sddictedard emotiotrsllydiotrubedts€oagcr$It becarnca full time rcsidsrtialtchool.
My raqponnbilitdcsindud diagnoccsan{ fcannent of thc forfy adolcsccntsin
plsil{l4g , aradacnralfrerq/. Nearlyetl tb
residcno€,
includingtestiqg;ttestmeNrt
uere dualdiaenosss
students
wifh snbstsilce
drrseaadmenulhcollhissilFs.
r96l-19?0:
FounderaodDirector- Cass
u6s a nGi8hborhd
horne foundcd bo
EastLosAngeles.My rosponsibillticsi
ande&lrinisHiug a milliou dollar s yerr
specifcally doirq individuel and group
and duaf diagnoscsclfcnts. Issuescausing
abuee,gnng rohfod activities, and lo*s of
specificolly abandonmcntissres.
4950Floral Avc. East t"os Angetes, firis
wort widr Hispanic fmg mernb€rsin
sqpoMring forty staff meinoberu,
nising
ard overseeilgcornrcling eerrri@s,
primarityfonrubstmocabuo problems
abue includi4g trfsD &om ctild
otbers in tbc fturity of origilr,
Otjrcr Hcfw*nt lnformatio n I
2. I have servedas a cmsultant for t3ro,p hmnesard residsnial frcilities in
tcrtiry; msqncntflanniag,andtherapy.
i
3.My extendede.drroation
raining nasiteenrnaialyin substffnce
abus;srd dud
diagnoees
is6rrcs,
rnole$l,PTSDendpainmanaSment
PROOFOF SERVICE
STATE OF CALIFORNIA )
) ss:
couNTY OF LOS AITGELES
)
I amemploytdin thecountyof LosAageles,Stateof California.I amoverthe
address
is l54l OceanAve.,
ageof l8 andnot a partyto thewithin action.My business
CA.,90401
#200,SantaMonica,
desoribed
asAnswer
On November13,2007,I servedtheforogoingdocument(s)
to TemporaryRestrainingOrder and SupportingDeclarationson theintErested
partrcs,
in sealedenvelopes
addressed
as
[X I byplacinga tme copy[ ] originalthereofenclosed
follows:
SEEATTACHED PROOFOF SERVICELIST
suchenvelope(s)
in theUnited Statesmail, postage
L J eV CertifiedMail -_I_deposited
fullyprepaid,at SantaMonica"California.
tX I ByMail and
[ ] ByFax
Via 0vernight Mail
Fed Ex
Service
[ ] BVPersonal
suchenvelopein themail at SantaMonica,Catfornia Theenvelopewas
I deposited
mailedwith postagethereonfully prepaid.
[x] State- I declareunderpenaltyof perjuryundcrthelawsof the Stateof Californiathat
the aboveis trueandcorrect.
t I fdgral - I declare.thatl am employedir Sr office of a memberof thebar of this
courtat whosedirectiontbe selicb wasmade.
Nrrev. Tindpll
CaseNo.EQ 004799
Petifoner.WilliamNye
.AndrewH.Salter,Esq.
Saltor,Joyce,Ziker,PLLC.
1601FifftAvenue,#2040
WA, 9810I
Seattle,
(206)957-s9s0
Date
11-09-01
Honorable
Judge
H o n o rable DE NNI S S H A N K L IN
M.
8: 30
am
C. VALENZUELA
Judge Pro Tem
Deputy Sheriff
P E NN Y
NONE
EQO041 99
William
S.
(N/A)
Tindal-
Blair
Counsel
For
Petitioner:.
(N/A)
Nye
A n d re w S a 1 t e r
Counsel
For
Respondent:
NATUREOF PRocEEDINGS:TELEPHONIC CONFERENCE FOR CONTINUACE
Pursuant
to
counsef,
Andrew
the
so
matter
ordered
the
to
and
telephonic
Salter,
I7/I5/07
the
representation
that
at
matter
counsef
8:30
is
a.m.
re-set
of
have
Is
Petiti-oner
agreed
in
Department
as
indicated.
PageI ofl
to
t.rail
003,
it
IS
MINUTES ENTERED
DEPr:
NCB3
1 1 -0 9- 07
CoUNTY CLERK
Temporary Restraining
[;rj:;"
COTi;:
SUFER1OR
LC$A.HETLTS
Name of personaskingfor protecrion(protecredperson):
t/'
rr
L"Ji(tiann".
A. CL
,JOHH
Protectedperson's
^dd
your address to bc piuate, giae a mailiw
Si-.!ô
c,.r,
0cT25 200.l
Cl\
addrer inetpn,l).
St"r.,C4
Zip:-
Phone# (optional):(-)
Protectedpersont lawyer (fanfl: (Narne,addras,
phone#, andStateBar#):
4,.r0^,o,n^r Lt+-
S*aflG
-
Court name and street address:
Superior Court of California,County of
Superior
Court
Burbank
Ave.
Olive
East
ffiO
CA91502
Durbenl'!"
. LJ A
Restrainedpcrsont nqme:
Descriprionof that person: Sex flM
Race: F.^"o
Vt.: ll O
C^<r*'
EyeColor:
Age: {}
CaseNumber:
Hair Color: T lo aae
Date of Birth' 4z/6-
E q 6 t 4 rq q
I askthe judge to reissuethe Gmporary RestrainingOrder,Form DV-l 10.
oJ
a. The last hearingdatewas (datd: 3 d, {
b. The ordcr hasbeenreissucd /
times.
I askthelgfue to reissuerhe orderbecause:
a. VT could not get the orderservedbeforethe hearingdate.
b. tr Thedateofthehearingwaschangedbecause
we weresenttomediatorsorotherfamilycourtservices,
c. fl Other Gpecifi):
@
I declareunder penalryof perjury under rhe lawsof the Stateof California that the information aboveis true and
correct.
Date: J 5 sct io ?
|
,t
h/illtn,n
'
\. Nq p
Typcor print your namc
Clerk will fill out section below.
The order listed in I is reissuedand resetfor hearingin tlis court on the date and time below.Unlessa judge
extendsthe time, the order will end on the dateand time below
-
/t-l V-o7 Ti^r' ?
:3
Rm.:-
3 c
F,ln
of courtif differentfromabove:
Name& address
t'iur'banll
Sui:ei'ior
Corrd
@ve.
in theTemporary
All orherorders
Resrraining
Orderstayin effect
""[ffi';rk,
Date:
H#$, ,fr.",.
t]07
Judiciaf Council of Califomia, www:,courtinfo.ca-gov
Rev.July 1, 2003, Mandatory Form
Code of Civil Procedure, 5 527(b). Approved by DOI
ReissueTemporaryRestraining
Order
DV-125, Page1 of 1
(Domestic Violence Prevention)
Aned€n LegalNet, lnc.
wW.UscourlForms.com
SUPERIORCO RT OF CALIFORAIIA, COUNTY OF LOS ANGELES
Date
r0 -25 - 07
Honorable
uennl_s
Dept: NCB3
L.
b;
C om mission
Judge
nklin,
r
Honorable
DeputyClerk
O rt L z
JudgePro Tem
S. Tu r ner
I : 30 a m
Mic h a e l
DeputySheriff
CourtAssistant
L . Hin e s ,
Reporter
CS R# 9 2 3 6
EQO 04799
Wi l l i am
VS.
B]a ir
S.
a
Ti
(N/A)
Narunn op
INGS:
The matter
CounselFor
petitioner:
/lt\
OSC AND
for
Th e p etitio
r
r e q u ir ed.
e matter
r L/14 /2007
Applicat
t
Pro
Per
(x)
CounselFor
Respondent:
s called
has
fn
j-on and order
RESTRAINING
ORDER
hearinq.
fail-ed
to
is
B :30am in
TEMPORARY
reset
serve
for
De p a rt me n t
fo r
respondenL
the
as
a new hearing
on
003.
re -is s u a n c e
is
s ig n e d
a n d f ile d .
PageI ofl
MINI'TES ENTERED
DEPr:
NCB3
to-25-07
CoUNTY CLERK
Clerk stamps below when form is filed.
ReissgeTemporaryRestraining
Order
rl I
for protcction
-3 ?$B]
GCT
I
J*iii+A. t!-A.RtiE,
CLI
Prorected.pcrson's addiess (shiq t$is iflot haw a kur1cr): (If7ou uant
yoar addrat to bcpiuetc, giuc a rnaihng addtas ircuad):
3+'
S{,'o'ck
5or.,tL zip,
Phone# (opional):(-)
Protccrcd
-iq persontlawyer(f .y} (Nanu,ad&wphou #,andfu Bs #):
A- 4^r"l S*\\ct^
Coort nameand streetaddrcss:
Superior Court of California,Countyof
r Osurr},lomh,$*rWeii}isuist
$$fp-+1i$
Eaet
0liveAve*uo,
ncom-i6d""
$SS
""
Surbank,
Gilfcrnialj"fg#i-,,1t.'
E+
Dacriptionofthatpcrson:S€r tlM
EyrcColon G-u.^ .
T ;L i l D
;l ,i i l i i L15 S U P ti l S i l i; r , : , i; i,
Age:4l
Ed
Hct =S,-'1t'
Dateof Birth, Z/4'
Case Number:
EA 60 +1q 1
6o
I asktllc judgeto rcissucthc Ti,mporag Restrainingorder, FormDV-l10.
a Thclasthearingvns(datc): F >evt a r
times.
b. The orderhasbeenreissucdjr$ge toreissuettre orderbecause
askthc
I' *'".
-ffintiô.
g.. the orderservedbeforethehearingdate'
wc werescntto nediators or'otler famih court servicas.
b. E Thc darcof-thc hearingwaschangedbccause
q fl Orher(yccifi):
@
rve
I declarcunderpenalryof perjury undcr the lawsof thc Statcof C.aliforniarhat the informadona.-t is true and
orrect.
D*e. 3 t\.'t aP?
'!d,l!l:i* S l{t' ,
-',,
Tpc or2tintyur nanc
/,/
> 4'r/L
Signyrqrran
S /,
V
CIe*will fill out sedr'onbelovt.
JudicialCotocitof Olrfomb,rw*:courtnnfircr4ov
Fonn
1, 2003,tnandatory
Rer.January
'
5 sZZlbL,rpprowdby DOJ
Codeof @it Procedure
ReissueTemporaryRestrainingOrder
(DoriesticMolence Prevention)
DV:1251 Fage1 of 1
SUPERIORCOURT OF CALIFORNIA, COUNTY OF LOS ANGELES
10-03-07
Date
Honorable
Dept: NCB3
Judge
D en n is L. S hanklin,
C om missioner
Deputy Sheriff
P. Co o per
am
DepuryClerk
O rt iz
JudgePro Tem
Honorable
8 : 30
Mic h a e l
CourtAssistant
L . Hin e s ,
Reporter
CS R# 9 2 3 6
EQjO 4799
Willia m
CounselFor
Petitioner:
(X )
S . Nye
P ro P e r
In
(X )
vs.
Bla ir
(N/A )
Tindal
CounselFor
Respondent:
NETUNTOF PROCEEDINGS:
OSC AND TEMPORARYRESTRAINING ORDER
Th e matter
is
cal-Ied
Th e p etiLioner
h e a rin q .
has failed
required.
The matter
L 0 /25 /2007
at
further
0 9 /27 /2007
as it
to
is
8:30am in
The Court
App lication
for
reset
for
De p a rt me n t
vacates
for
re s p o n d e n t
the
a new hearing
in
as
on
003.
order
t,he dismissal
was ent e re d
and order
s e rv e
dated
on
e rro r.
re -j-s s u a n c e
is
s ig n e d
a n d f i-le d .
PageI ofl
MINUTES ENTERED
DEPr:
NCB3
10-03- 07
COUMYCLERK
@'\"\o-'
Ai..4trNpm)
Orderand Noticeof Hearing
Clerk stampsdate here when form is filed.
FILED
L()SANGBLES
SUPERIOR
COURT
Nameof personaskingfor protection(protectedperson):
srP0 7 1007
Protectedperson's address(skip this if you have a lawyer): (If you want
your address to be private, give a mailing address instead):
JOHNA.CU
lYlqrr^r-O-
.CLEHK
BYM.
State:C/l
City:
Zip:-
Telephonenumber:Protectedperson'slawyer (iJany): (Name,address,telephonenumber,
and StateBar numbei:
Fillin courtnameand strceladdressi
Gountyof
Superior
Gourtof Galifornia,
CENTRAL
DISTRICT
LASC-NORTH
300 EastOliveAvenue
Burbank,California91502
Restrained Derson'sname:
[J.-\..i," Tt .^L(
Fill in case number:
S' 6"
Descriptionofthatperson:
Sex: fl M El'f Heigtt:
(.ar*tr-1
\tO
t3t..+
Race:
Weight:
HairColor:
lge: -4jFDateofBirth:
EyeColor: Bt.ro
@
@
CaseNumber:
List the full namesof all family or householdmembersprotectedby this order:
o s ,-\-?q
u"tli.."^S. r(g.
6.lo)
Gourt Hearing Date (Fecha de la Audiencia)
Clerk will fill out section below.
p Date: lD*'3ô\
Dept.:
-?
T ime . '
fr'frn
Name and
1fhSfdfip- above:
Rm.:
To the personin @ : At the hearing,thejudge can makerestrainingordersthat last for up to 5 years.Thejudge
can also make other ordersaboutyour children, child support,spousalsupport,money,and properfy.File an answer
on Form DV-120 before the hearing.At the hearing,you can tell thejudge that you do not want the ordersagainst
you. Even if you do not attendthe hearing,youmust obey the orders.
Para Ia persona nombradaen @ : En estaaudiencia eljuez puede hacer que la orden de restricci6nseavdlida
hasta un mdximode 5 afios.El juez puede tambidn hacer otras irdenes acercade nifios, manutenci6n,dineroy
propiedad. Presenteuna respuestaen elformulario DV-120 antesde la audiencia.Si Ustedse oponea estas
ordenes,vaya a la audienciay dlgaseloaljuez, Aunque no vaya a la audiencia,tieneque obedecerestas6rdenes.
To the personin @ : At the hearing,thejudge will considerwhetherdenialof anyorderswill jeopardizeyour
safetyand the safetyof children for whom you are requestingcustody,visitation,and child support.Safety
concernsrelatedto the financial needsof you and your children will alsobe considered.
TemporaryOrders (OrdenesTemporales)
Any ordersriade in this iorm end at the time of the court hearingin @, unlessa judge extendsthem.
Readthis form carefully.All checkedboxes EI and items l0 and I I are court orders.
Todas las6rdeneshechasen estaformulario terminardn en la fecha y hora de la audiencia @, al me:nosque
itnjuez las extienda.Lea esteformulario con cuidado. Todas las casillasmarcadas fly los",articulos I0 y I I son
6rdenesde Ia corte.
Judicial Council of Califomia, w.cNttinfo-@-gov
Revisd July 1, 2007, Mandatory Fm
FamtlyCode.S 6200 et Fq- Appoved by DOJ
TemporaryRestrainingOrder
and Noticeof Hearing(CLETS-TRO)
DV-110, Page1 of 5
+
CaseNumber:
Your name:
(,/,\\rq.u-1
S-
N *o
PersonalGonductOrders
The personin @ must not do the following things to the protectedpeoplelisted in O and @:
(U**s,
attaclgstrike, threaten,assault(sexuallyor otherwise),hit, follow, stalk, molest,destroypersonal
^.
peace,keepundersurveillance,or block movements
,Ftop"rty, disturbthe
or rnail or c-mail
b. d Contact(eitherdirectly or indirectly),or telephone,or sendmessaBes
visitation of childrenunlessa
for
court-ordered
for brief and peacefulcontactas required
€g*""pt
criminal protectiveorder saysotherwise
c. D take any action,directly or throughothers,to get the addressesor locationsof any protectedpersonsor
of their family members,caretakers,or guardians. (If item c is not checked,the court hasfound good
causenot to makethis order.)
Peacefulwritten contactthrough a lawyer or through a processserveror anotherpersonin order to servelegal
papersis allowedand doesnot violate this order.
I
A criminalprotectiveorderon FormCR-160is in effect.CaseNumber:
County(ifknown):-ExpirationDate:-(Ifmoreorders,listtheminttem@)
./
C
g'stay-Awayorder
The personin @ must stayat least-\rag|yards away from:
{ttt"person listedin@
a. ! ttre childferi"s'schdolorchild,care
^.
,S+r4;o
b. n The peoplelgnan@-.
CA
UtU-G^4tt
E/Oth", (specifi:
".
e Mov Wehicteofpersonine
ffio
".
(L) U Move-OutOrder
The personin@must take only personalclothing and belongingsneededuntil the hearingandmove out
immediately from (address) :
(D
I
child Custodyand VisitationOrder
a. I
You andthe otherparentmustmakean appointmentfor court mediation(addressand phone number):
b. I
foilow the orderslisted in FormDV-140, which is attached-
No Gunsor OtherFirearmsor Ammunition
6D
\--'l
The personin @cannot own, possess,have,buyor fty to buy, receiveor try to receive,or in any otherway get
guns,fuearms,or ammunition.
Turn in or sell guns or firearms.
The personin@:
. Must sell to a licensedgun dealeror tum in to police any guns or firearmsthat he or shehasor controls. This
must be donewithin 24 hours of beingservedwith this order.
. Must bring a receiptto the court within 48 hoursof being servedwith this order,to prove that gunsand firearms
havebeenturnedin or sold.
@r
Revi$d July 1, 2007
Control
ing,only the person in @ can
control, and possessthe following propertyand things:
D V - 1 1 0 , P a g e 2 o 'f5
-)
GaseNumber:
Your name:
@
l\;o,-.-
n PropertyRestraint
If the people in @ and @ ut"marriedto eachotheror are registereddomesticparfners,they mustnot transfer,
borrow against,sell, hide, or get rid ofor destroyany properfy,exceptin the usual courseofbusinessor for
andexplainthemto
of life. In addition,eachpersonmustnotifothe otherof anynew or big expenses
necessities
the court. (Theperson in @ cannotcontqcttheperson in @ tf tne court has madea "no contact" order.)
pOntawful communications
maybe recorded.
@
v
r
The personin @ can recordcommunications
madeby the personin @ that violate thejudge's orders.
@
No Fee to Notify (Serve)RestrainedPerson
If the sheriff servesthis order, he or shewill do it for free.
@!
@
@
If theju {ge makesa restraiqingorderat the hearing,which hasthe sameordersas in this fonru the personin @
'u.opy of t$Wffi{by
mail at his or her lasllknownaddress.(Wnte rgfia*@ person's addresshens,)-:-*-
@
@
iessis not corrJcLor*r#i,fr"
{ti^"
olao, fuc-rrfffle permanent,contactthecourt.
for Service
If you want to respondin writing, someone18 or
Over-nOt you-must "Serve"FormDV-120 on the
personin O, then file it with the court at least
j2..daysbefore the hearing.
Someonel8 or over-not you or the other
protectedpeople-must personally"serve"a copy
of this order to the restrainedpersonat least
€
---=/'-
days before the hearing.
For help with Serviceor answering,read Form DV-21}-INFO or DV-S4}-INFO.
Date:
SEP&n pn67
)
Dryiiir$sici\En
Judge (or Judicial Officer)
Certificate of ComplianceWith VAWA
This temporaryprotectiveorder meetsall Full Faith and Credit requirementsof the Violence AgainstWomen
Act, 18 U.S.C. g 2265 (1994) (VAWA) upon notice of the restrainedperson.This court hasjurisdiction over
the partiesand the subjectmatter;the restrainedpersonhas been or will be afforded notice and a timely
opportunityto be heardas providedby the laws of this jurisdiction. This order is valid and entitled to
enforcementin eachjurisdiction throughout the 50 United States,the District of Columbia,all tribal
and shall be enforcedas if it were an
lands,and all U.S.territories, commonwealths,and possessions
jurisdiction.
order of that
Revisd July 1, 2007
Temporary Restraining Order
and Noticeof Hearing(GLETS-TRO)
D V - 1 10 , Pa g e 3 o f5
-)
Case Number:
Your name:
@
lf you do not obey this order, you can be arrestedand chargedwith a crime.
It is a felony to take or hide a child in violation of this order. You cango to prison and/or pay afine.
If you travel to anotherstateor to ftibal landsor makethe protectedpersondo so, with the intentionof
disobeying this order, you can be chargedwith a federal crime.
Ifyou do not obeythis order, you cango to prison and/orpay a fine.
@
Vou cannothaveguns,firearms,and/orammunition.
You cannotown, have,possess,
buy or try to buy, receiveor try to receive,or
otherwise get guns, firearms, and./orammunition while the order is in effect. If
you do, you can go to jail and pay a $1,000fine. You must sell to a gun dealer
or turn in to police any guns or firearms that you haveor control. The judge
will askyou for proofthat you did so.Ifyou do not obey this order, you can be
chargedwith a crime. Federallaw saysyou cannot haveguns or ammunition if
you are subjectto a restrainingorder made after a noticedhearing.
@
aft". You Have Been Served With a RestrainingOrder
Obey all the orders.
If you want to respond,fill out Form DV-120. Take it to the court clerk with the forms listed in item @.
. File DV-120 and haveall papersservedon the protectedpersonby the date listed in item
@of this form.
At the hearing,tell thejudge if you agreeor disagreewith the ordersrequested.
Even if you do not attendthe hearing,thejudge canmakethe restrainingorderslast for 5 years.
@
Child Gustody,Visitation,and Support
Child Custody and Visitation: If you do not go to the hearing,thejudge can make custodyand visitation
orders for your children without hearingyour side.
Child Supporl Thejudge can orderchild supportbasedon the incomeof both parents.Thejudge can also
have that support taken directly from your paycheck.Child support can be a lot of money, and usually you
haveto pay until the child is 18. File and server Financial Statement(FormFl.-lss) or an Incomeand
ExpenseDeclaration (Form FL-150) so thejudge will haveinformationaboutyour finances.Otherwise,the
court may make support orders without hearing your side.
SpousalSupport File and sewea Financial Statement(FormFL-Iss) or an Income and ExpenseDeclaration
(Form FL-150) so thejudge will haveinformationaboutyour finances.Otherwise,the court may makesupport
orderswithout hearingyour side.
Requestsfor Accommodations
Assistivelisteningsystems,computer-assisted
real-time
captioning,
or signlanguageinterpreter
servicesare available
if you ask at feastfive days beforethe proceeding.Contactthe clerk'soffice or go to www.courtinfo.ca.gov/forms
lor
Requestfor Acammodations by PersonsWith Disabilities
and Order(FormMC-410).(CivilCode,S 9.8.)
Rryied July 1.2007
D V - l 1 0 , P a g e 4 o f5
+
CaseNumber:
Your name:
lrrj,\\io.,^-S. N*.
(24) Start Dateand End Dateof Orders
The start date is the date next to the judge's signature on page 3. The orders end on the hearing date on page I or
the hearingdateon FormDV-l25, if attached.
@
Arrest Requiredlf Orderls Violated
Ifan officer hasprobablecauseto believethat the restrainedpersonhad noticeofthe order and hasdisobeyedthe
person.(PenalCode,$$ 836(c)(l), 13701(b).)A violationof theorder
order,the officer mustarresttherestrained
may be a violationof PenalCodesection166or 273.6.
Notice/Proof of Service
Law enforcementmust first determineif the restrainedpersonhad noticeof the orders.If noticecannotbe
verified, the restrainedpersonmustbe advisedof the termsof the orders-If the restrainedpersonthen fails to
obey the orders,the officer must enforcethem.(Family Code,$ 6383.)
Considerthe restained person"seryed"(noticed)if:
. The officer seesa copy of theProof of Serviceor confirmsthat the Proof of Serviceis on fie; or
. The restrainedpersonwas at the restrainingorder hearingor was informedof the order by an officer. (Fam.
Code,$ 6383;Pen.Code,$ 836(c)(2).)An officer canobtaininformationaboutthe contentsof the orderin
the DomesticViolenceRestrainingOrdersSystem(DVROS).(Fam.Code,$ 6381(b)(c).)
@
lf the Protected Person Contactsthe RestrainedPerson
person,the ordersremainin effect
Even if the protectedpersoninvitesor cons€nts
to contactwith therestrained
and must be enforced.The protectedpersoncannotbe arrestedfor inviting or consentingto contactwith the
restrainedperson.The orderscan be changedonly by anothercourt order.(Pen.Code, $ I 37I 0(b).)
6D child CustodyandVisitation
. Custodyand visitationordersare on Form DV-140, items
@ and @ fn"y aresometimesalsowritten on
additional pagesor referencedin DV-140 or other ordersthat are not part of the restrainingorder.
. Forms DV-100and DV-105are not orders.Do not enforcethem.
Enforcing the RestrainingOrder in California
Any law enforcementofficer in Califomia who receives,sees,or verifies the orderson a papercopy, or on the
California Law EnforcementTelecommunications
System(CLETS), or in an NCIC ProtectionOrder File must
enforcethe orders.
@
ConflictingOrders
A protectiveorder issuedin a criminal caseon Form CR-l60 takesprecedencein enforcementover any conflicting
civil court order.(Pen.Code,$ 136.2(e)(2).)Any nonconflicting termsof the civil restrainingorder remainin full
force. An emergencyprotectiveorder (Form EPO-00I ) that is in effect betweenthe samepartiesand is more
restrictivethan otherrestrainingorderstakesprecedenceover all other restrainingorders.
Clerk's Certificate
I certify that this TemporaryRestrainingOrder is a true and correctcopy of the
original on file in the court.
fsealJ
Date:
RevisedJuly 1,2007
Clerk, by
(DomesticViolence Prevention)
, Deputy
DV-l10, Page5of5
ENI'@
AM
Request
Clerk stampsdate here when form is filed.
for Order
(l)
v
FILED
LOs ANGELES
SUPERIOR
COURT
You. name(personaskingfor protection):
tt/utlicr*^ S. Afle,
stP0 72007
Your address(skip this if you havea lawyer): (If you wantyour address
to he nrivate. oive a mailing addressinstead)'
Ciry: S?" Jr.
C.(
State:C.t
Zip:
Your telephonenumber (optiona
Your lawyer (f you have one): (Name,address,telephone number,
and StateBar number):
Fill in court name and street address:
Superior Court of California,Gountyof
DI$TRICT
CENTRAL
LASC-NORTH
300 EastOliveAvenue
California91502
Burbank,
Name ofBg,lsonyou want protectionfrom:
'131.'.'- -''[r'. c[^l]'
-
Clerk fills in case number when form is filed.
6'
G"
Descriptionofthatperson:Sex:
! M Dzf U"igtrt
*
Race:
Blo.&
Weight: tto
Cerc.
HairColor:
Age: 47 Dateof Birth: 2/?./ 11 s 4
Eye Color: Blrc@
Gase Number:
Eqotrtf7qq
Besides you, who needs protec tion? (Family or household members):
Full Name
/
'
Age
Liveswithyou?
DY e s f lNo
[ Y e s ! No
How are they related to you?
n Y e s n No
[Yes
@
DNo
J Chect<here if you needmorespace.Attach Form MC-020 and write "DI/-L00, Item 3-Protected People" by
your statement. NOTE: In any item that asl<sfor Form MC-020, you can use an 8 I/2 x I L-inch sheetof paper
instead.
What is your relationshipto the personin@ Z (Checkall that apply):
a. fl We arenow marriedor registereddomesticpartners.
b. I We usedto be marriedor registereddornesticpartners.
c. n we live together.
d. fl We usedto live together.
e. f] We arerelatives,in-laws, or relatedby adoption(spectfurelationship):
f. D We aredating or usedto date. ,rt ,
g. Eiffie@re
engagedto be married.
h. f]
fl
i. fl
We arethe parentstogetherof a child or childrenunder 18:
Child's Name:
Date of Birth:
Name:
Child's
Date of Birth:
Child's Name:
Date of Birth:
Checkhere if you needmore space.Attach Form MC-020 and write "Dl/-100, Item 4h" by your statement.
We havesigneda Voluntary Declarationof Paternityfor our child or children. (Auach a copy if you have
one.)
Judiciaf C@ncjf ot Cafilomia, w-N,1inb.ca.gov
Revisd July 1, 2007, Mardatory Fm
FamilyCode,S 6200 et sq.
Requestfor Order
DV-100, Page1 of4
Case Number:
Yourname, k o(ti^."^ S.
Afl.-
Other Court Cases
a. Haveyou andthepersonin@ beeninvolvedin anothercourtcase? Fô
n Yes
lf yes, where? County:
State:
What are the casenumbers?(If you know):
What kind of case?(Checkall that applf :
ft RegisteredDomesticParbrership n Divorce/Dissolution D ParentagelPatemity I
n DomesticViolence fl Criminal fl Juvenile D CtitaSupport ! Nuttity n
Legal Separation
CivitHarassment
Othet(specifu):
!
b. Are thereany domesticviolencerestraining/protectiveordersnow (criminal,juvenile, family)?
I No I Yes If yes,attach a copy ifyou haveone.
What orders do you want? Gheckthe boxesthat apply to your case.gJ
Conduct
Orders
@ n Personat
I ask the court to orderthe personin @ not to do the following thingsto me or any of the peoplelisted in @:
u. {Hururs, attack,strike, threaten,assault(sexuallyor otherwise),hit, follow, stalk, molest,destroy
lersonal property,disturb the peace,keepundersurveillance,or block movements
b. Ei'Contact (eitherdirectly or indirectly), or telephone,or sendmessagesor mail or e-mail
Theperson in@ witt be ordered not to take any action to get the addressesor locations ofany protected
person,theirfamity members,caretakers,or guardiansunlessthe courtfinds good causenot to makethe order.
@
tJ Stay-Awayorder
I ask the court to orderthe personin @ to stay at least
u.
b.
c.
d.
{tvr"
n tne peoplelistedin @
ffp.y home
U'My job or workplace
Io @
yardsaway from (checkall that apply):
e. D ttte children'sschoolor child care
f. W.frIy vehicle
g. {Otn", ftpecifi):
If the personlisted in @ is orderedto stay away from all theplageslisted above,will he or shestill be able
I No (Ifno,explain)
togettohisorherhome,school,job,orplaceofworship?WY"s
@
fl Move-outorder
I ask the court to order the person in @ to move out from and not return to (address):
I havethe right to live at the aboveaddressbecause(explain):
(,
U Child Custody,Visitation,and Child Support
I askthe courtto orderchild custody,visitation,and/orchild support.Youmustfill out and attach
Form DV-105.
(9
U SpousalSupport
Youcan makethis requestonly if you are married to, or are a registereddomesticpartner of, theperson in @
and no spousalsupportorder exists.To askfor spousalsupport,you mustfill ofi, rtle, and serveForm FL-l50
beforeyour hearing.
D V - 1 0 0 ,Pa g e 2 o f4
CaseNumber:
Yourname'
W , t\l o^r
f.
A/, t
What orders do you want? Checkthe boxesthat applyto your case. M
@
D RecordUnlaMul Communications
@
n PropertyControl
S,
n DebtPayment
@
n PropertyRestraint
I ask for the right to recordcommunicationsmadeto me by thepersonin @ that violate thejudge's orders.
I ask the court to give only me temporaryuse,possession,
andcontrolof the propertylisted here:
I ask the court to order the personin@to makethesepaymentswhile the orderis in effect:
J Chectchere if you needmore space.Attach Form MC-020 and write "DV-100,Item I3-Debt Payment"
by your statement.
Pay to:
For:
Duedate:
Amount:SDuedate:
Pay to:
For:
Amount:$For:
Duedate:
Pay to:
Amount:S-
I am marriedto or have a registereddomesticpartnershipwith the personin@. I ask thejudge to orderthat the
personin @ not borrow against,sell,hide, or getrid ofor destroyany possessions
or property,exceptin the
judge
usualcourseof businessor for necessities
of life. I alsoaskthe
to orderthepersonin @ to notifo me of
any new or big expensesand to explain them to the court.
G, n AttorneyFeesand Costs
I ask that the personin @ pay someor all of my attomey feesand costs.
Youmust completeandfile Form FL-l50, Incomeand ExpenseDeclaration.
0e) I
Paymentsfor Costs and Services
I ask that the personin @ naVthe following:
You can askfor lost earnings or your costsfor services caused directly by the person in @ (damaged
property, medical care, counseling, temporary housing, etc.). You must bring proof of these expensesto your
hearing.
n
6)
v
@
Pay to:
For:
Amount: $
Pay to:
For:
Pay to:
For:
Amount: $
Amount: $
BatterertnterventionProgram
I ask the court to order the personlisted in @ to go to a 52-weekbattererinterventionprogramand show
proof of completionto the court.
No Fee to Serve(Notify) RestrainedPerson
If youwant thesheriffor marshal to serve (nottfy) the restrainedperson about the ordersforfree, ask the court
clerkwhat you needto do.
Revised July 1, 2007
Request for Order
(Domesti6
ViolencePrevention)
DV-100, Page3 of4
+
CaseNumber:
Your
name' W, [tie.*.
S . nl,!e
Whatordersdo you want?Checkthe boxesthat applyto your case.EI
@ n MoreTimefor Notice
I need exfta time to notiff the personin @ aboutthesepapers.Becauseof the factsexplainedon this form, I
daysbeforethe dateof the hearing.For help, read Form DV-2|}-INFO.
want the papersservedup to If necessary,add additionalfacts:
@ fl otherorders
What other orders are you asking for?
3 Checkhere if you needmore space.Attach Form MC-020 and write "DY-100, Item 20-Other Orders" by
your statement.
@ euns or OtherFirearms
gunsor firearms.n
I believethepersonin@owns or possesses
Y"s I
No f]
I don'tknow
If thejudge approves the order, theperson i" @ will be required to sell to a gun dealer or turn in to police any
guns orJirearms that he or she oww or possesses.
Describethe most recentabuse.
a. Dateofmostrecentubû*r ( p{, zo"?
G.br.
^?
b. Who was there?
c. Whatdid the personin
do or saylhat made you afraid?
bo1 wi5\*)
any useor threateneduseofguns or otherweapons:
d.
e.
f. Did the police come? f]
No
Yes
give
yes,
you
Order? fl
If
did they
an EmergencyProtective
Auach a copy ifyou haveone.
J
Yes
F-"
E I don'tknow
Check here ifyou need more space. Use Form MC-020 and write "DV-l00, Item 22-Recent Abuse" by
yoqr statement.
VCneac here if the person in@ lr^ abusedyou (or your children) other times. (Jse Form DI/-I0l
MC-020 to describe any previous abuse.
or Form
I declare under penalty of perjury under the laws of the State of Califomia that the information above is true and
correct.
oate: 7 S?{.
:ou4-
h)rt\i^.^. (. tr\rl.
Typeor prinl your ,rume
Revisd July '1.2007
DV-100, Page4 of 4
C aseN umber:
Descriptionof Abuse
tttir form is attachedto DV-100,ltem21.
B
$
$
@
r'"..,
vo,,.
*"-.
h/, \\..'-
C- /V'4
".
person):
from(restrained
of personyouwantprotection
{l
\o,"t,-
-fit"(o
ll
O.r.ribe the 2nd mostrecentabuse.1q
#
a. Dateof2ndmostrecent
^6use,
Nu?'-*
?AoO
\7ho was there?
tVhat
the personin @ do or sayto you that madevou afraid?
.l
df, u{htnik}
hrrrt-l
h\Can-
Describeany useor threateneduseof gunsor otherweaPons.
e. Describeany injuries'
\rJ ,?l *tbhr+. anal-o. rvrrf,,-(
n Yes }*slr-.L
f. Did thepolicecome?KN"
Order?fl Y.rt n No -f] I dont Lno*
Protecdve
If yes,did theygiveyou an Emergency
Atucha copyrfyoahaueone.
:
ludiciaf Council of California, www.courtinfo.ca'gov
New January 1, 2003, OPtional Form
Family Code, S 6200 et seq.
Descriptionof Abuse
(Domesfc Violence Prevention)
frt -.t @"{
]ra'c'
DV-l01 , Page1 o f2
t
CaseNumber:
Your name:
Describe other recent abuse.
a. Date of other recentabuse:
'Who wasthere?
b.
c. vhat did the person-in € do or sayto you that madeyou afraid?
d. Describeany useor threateneduseof guns or other weapons'
e. Describeany injuries.
t
Did thepolicecome?
I Yes
If yes,did they giveyou an EmergencyProtectiveOrder? n Yes I No
Anacha copyif you haueone'
$n
I I dont know
Describe other abuseagainstyou or your childrcn'
C
write
If you needmorespace,chechthe box and axach Form MC-020' Or axach a sbeetof paper and
"DV-|U - Descriptionof Abuse"at the top-
New lanuart '1, 2003
Descriptionof Abuse
(Domestic Molence Prevention)
DV-101,Page2 of 2
From:
Subjeci: l'entstuff
Daie: 21 August,2OOB
10:21:13
PDT
To:
Bilt:
ljust sentyourbelongingsinsuredvia UPSto LaurelCanyon.As I washavingthe guypackthemup I realizedwithevenmore
horrorhow not rightin the headI am. AndalthoughI tooka napthat night,I fearI did drivedrunkwhichis especially
horiiiyingnow
- and whenI look at whatI choseto takefromyourhouse,now rightfully
returned.I am so ashamedot mysettanObeepiy,Oiepiy,
sorry.
That I couldgravelyhurtsomeoneI caredfor so muchis the worstthingof allI know how violatedyou mustfeel,and againthereis no excuseand I'm verysorry.Youhavemy wordthat I will not coriie by thb
houseat all (thiswas the onlytimeI did).I willnoteveropenyourUBSaccountwhilein theoffice.And I willnotbe in toueh;ith
any of yourfriends,exceptof courseSoye.I willnottalkaboutusto the press,exceptto saythat we wenttoofastand it
Justwofked
out as a friendshipinstead.That'sall I'veeversaid.
Now I am gettingrid of any alcoholin my house.I'mgoingto call AA aboutgettinga sponsor.And I willattendthe noonmeeting
herein SantaMonica.
I wouldunderstandif you neverwantedto speakto me again.So I will leaveit in your handswhetheryou everwahtto rtiake
contact.I wouldn'tblameyou if not.
Love,
Blair
BlairTindall
--author,"Mozartin the Jungle:Sex,Drugs,andClassicalMusic"
(Grove/Atlantic
Press,July 2005)
N AM E A o D R E5 5 ^N DIE tE P H o NE NUM 8€RoFATIoRNEYoiPARwwfIHoUTATT onN €Y:@
Ut(l,o,n^S. nlf
" A.re.
StZc, Vna,..t M*,*,
(5.rb*L,
c* ltco{
Rclm.ttqC!,tklfrLSto,w
I
ATTORN€Y
FOR(NAME):
suPERtoR COURTOF CAL|FORN|A,COUNTYOF LOSANGELES
COUNTHOUSE
AOOREJS:
3oo
€c.t
Okr.- S.,c.
PEIITIONER / PI.AINTIFf :
Wr lli o.,^" S,. Al4.
RESPOND€NT
/ DEFENOANT:
CHf LD5 frfAM& (ll wc
tha ac
'Ttr,",l^tt
\\t^,*
child, pho*
attoclt ftttt
CHILD'sDATEOFEIRIH:
CASENUMSER:
ttt/lRELATEDCASES(IFANY):
DECLARATIONOF EX PARTENOTICE
(Iemporary Restraining Order)
t._
, declarethat:
(PRINTNAME)
1) | informedthe otherpartyin this actionthat lwould be seekinga temporaryrestrainingorderasfollows:
Personinformed:
Dateand time informed:
f]
Howinformed:
I
gVtelephoneto the party
gVtelephonetotheattorney'
n
eVpersonally
informing:
fl
other:
I informedthe personlistedabovethat I would be seekinga temporaryrestrainingorder in Dept.Courtlocatedat
of the Superior
,200- at 8:30a.m.
2) | told him/her the ordersrequestedincluded,but were not limitedto the following:
I
fnat he/shenot annoy,attack,molest,strike,batter,harass,
assault,contactor disturb the peaceof
Petitioner/Respondent.
I
rnat he/shestay 100yardsawayfrom Petitioner/Respondent
and Petitioner!/Respondentbhome.
fl
ffrat he/shebe orderedto immediatelymoveout of PetitionerS/Respondentb
house.
!
fnat Petitioner/Respondent
havecustodyof the minor children.
I
Thathe/shehaveno visitationwith thechildrenpendinghearing.
I
other,
3) | informedthe Petitioner/Respondent
that he/sheshouldappearat the abovetime and place if he/shewishedto be heard
by the court.
I declaretheforegoingis true and correctunderpenaltyof perjuryunderthe lawsof the Stateof California.
Date:
Signature of Declarant
F AM0t 8/C K0 18
04/04
DECLARATION
OF EX PARTENOTICE
T
NAME, ADDRESSAND IELEPHONENUMEEROF ATTORNFYOR PARTYWITHOUT
ATTORNEY:
h)rtlio.vn 9. nl1c,.
3 gl,G Me.,.^l'vtc^, A"t.
S*".uo;-:h, .A ttGort
R.sdved to, ClakS FileSnow
ATTORNEYFON{NAME):
3 oo
_
o/;.r< Ane.. 3,r. b",^L
t").] JL."^ q
,[lb;.
CA
{ t _(",z-
Na.
.J,*{-[t
CHILD'SNAME:
CHILO'SDATEOF EIRTH:
DECLARATIoNRE: NoTICEOF EX PARTEREOUEST(NO NoTtCEGTVEN)
(Iemporary Restraining Order)
LJ i[\;o.-
,,
S.
Nll(PRINTNAM€}
1)
CA5ENUMBER:
(IFANY):
REI.ATED
CA5E5
e e ytc4 + q q
,dec]arethat:
| did not give noticeto the other partyin this actionbecause:
*"t afraidthat the violencewould reoccurwhen I gavenoticethat I was askingfor theseorders.
ffi
l
I wasafraidthat the other partywould takethe childrenout of the areabeforethe ordercouldbe grantedand served.
T
I believethat givingnoticewould makethe ordersuseless
becausethe other partywould:
2|lattemptedandwasunab|etoinforLorhis/herattorney.
that I would be seekinga temporary restrainingorder. My attemptsincluded
3)
Otherreason:
I declarethat the aboveis true and correc! and that I executedthis declarationat
-la
+
F AM0 1 8/ C K0r 8
04/M
\coi,
ZooT
T{
-=\o"^^L
, California
[Juttio..."^S. A3g).(.
tlvlou*rLuV;a^-.
,",^"HIiHR,
k.,\
S{"Ji. G\ , c4- ttLa4
A T TORN E Y F OR (Na me) :
SUPERIORCOURTOF CALIFORNIA.COUNTYOF LOS ANGELES
oo
E ol'vc-
PETITIONERYPLAINTIFF:
t-l.th
A/
CERTIFICATEOF GROUNDSFORASSIGNMENT
TO DISTRTGT
GaseFilinglnstructions
This coversheetis requiredso that the courtcan assignyourcase to the correctcourtdistrictfor filingand hearing.lt
satisfiesthe requirementfor a certificate authorizingfilingin the district,as set forth in Los AngelesSuperiorCourt
Rules2(d) and 14.2. lt mustbe completedand submittedto the courtalongwiththe originalComplaint
or Petitionin
ALL Family cases filed in any district of the Los Angeles County SuperiorCourt. This form is not requiredin
& Emancipation
Abandonment
cases,whichareto be filedat Children's
Court.
t. Fillin the requestedinformation.
Enteraddressof Res
OO NOTCOMPLETETHISITEMIF THISIS A MINOR'SCONTRACT
CASE
MINORCHILDRENINVOLVED?
[
YES
ENo
HOWMANY?
tt.Selectthe correctdistrict:
a.
b.
UnderColumn1 below,checkthe one type of actionwhich best describesthe natureof this case.
In Column2 below,circlethe reasonfor your choiceof districtthat appliesto the type of actionyou havechecked.
ApplicableReasonfor ChoosingDistrict(SeeGolumn2 below)
be filed in CentralDistrict
2 . Districtwhereone or moreof the
1
resideswithinthe district.
DistrictwherePetitionerresides.
reside.
TYPE OF ACTION tct'ecr
! 45520 Dissolution
of Marriage
1.2
! A5525 SummaryDissolution
of Marriage
1.2
t} A5521 Dissolutionof DomesticPartnership
1.2
D A5530 Nullityof Voidor VoidableMarriage
1.2
! 45531 Nullityof Void or VoidableDomestic
Partnership
1.2
FAM O2O
(Rev 12106)
FAMILYLAW CASECOVERSHEET
CERTIFICATE
OF GROUNDSFORASSIGNMENTTO DISTRICT
Page 1 of2
LASC RULE 14.2
CaseNumber
ShortTitle
D 45510 LegalSeparation
1.2
of DomesticPartnership
D 45511 LegalSeparation
1.2
tr 46126 Petitionfor Custodyand Supportof Minor
1. 2.3
! 46131 ChildSupportServicesDepartment(CSSD)
Parentage/Support
1.
o A6139 ForeignSupportOrder
1. 2.3
D A6136 ForeignCustodyOrder
1.2.3
tr 46138 UniformlnterstateFamilySupportAct (UIFSA)
RespondingPetition
1. 2.3
ffisnz
(AnyCourtJurisdiction
- DV'sonry)(+
DomesticViolenceRestrainingOrder(Civil
Harassment- use CivilCoverSheet)
D A6600 HabeasCorpusPetition- ChildCustody
1.3
D A6080 Petitionto EstablishParentage/ Paternity(Nongovernmental)
1.2.3
tr A6111 Approvalof Minor'sContract(6751FamilyCode)
1
or Petition(Specify):
0 46130 OtherFamilyComplaint
1.2.3
D A6101 AgencyAdoption
1.4
Adoption
D 46102 Independent
1.4
D A6104 StepparentAdoption
1.4
! 46103 AdultAdoption
1.4
! 46106 SoleCustodyPetition
ttl.
1.4
Enteraddressof minorchildif known. (DO NOT COMPLETEUNLESSYOU HAVECIRCLEDITEM3 AS AN APPLICABLEREASON
nof
casa
lV. Enterthe informationbelowand sign the certificate.
Certificate/ Declarationof Assignment: The undersignedhereby certifiesand declaresthat the above entitledmatteris properlyflled for
Districtof the Los Angles SuperiorCourt under Code of Civil Procedure$392 et seq., 2300 et
assignmentto the
seq. of the FamilyCode, and Rule 2(b), (c), and (d) of this court for reason checkedabove. I certifuand declareunder penaltyof perjury
underthe laws of the State of Californiathat the foregoingis true and conect.
eu,". ?
Scfk
2,..,<l+^
(SIGMTURE OF ATTORNEY'PARTY WITHOUT A
FAM O2O
(Rev 12106)
FAMILYLAW CASE COVERSHEET
CERTIFICATEOF GROUNDSFOR ASSIGNMENTTO DISTRICT
Page2ot2
LASC RULE 14.2
SUPERIORCOURT OF CALIFORNIA. COUNTY OF LOS ANGBLES
09 - 2 1 - 0 1
Date
Dept: NCB3
Judge
Honorable
Honorable
D en n is L. S hanklin,
Co m m issioner
JudgePro Tem
4.
M . Pe n n y
DepufySheriff
8: 30
am
DeputyClerk
M. K e e lin g -Hill
CourtAssistant
L . Hin e s ,
Reporter
CS R# 9 2 3 6
EQO 04 1 99
CounselFor
Petitioner:
S . Nye (N/A )
Willia m
* ***NO
VS.
Bl- a ir
Tindal
APPEARANCES** **
CounselFor
Respondent:
(N/A )
NArUREOF PROCEEDINGS:
OSC AND TEMPORARY RESTRATNING ORDER
Matter
called
for
hearinq.
Th e r e being
no appearanc e
p e tj - tion
denied,
d isso lved
is
and the
the
by or
t e mp o ra ry
case is
for
p a rt y ,
e it h e r
re s t ra in in g
the
o rd e r
is
d is mis s e d .
PageI ofl
MINUTES ENTERED
DBrr:
NCB3
09-27 -07
CoUNTY CLERK
l emporaryR e s t r a in in g
O r d e ra n d N o t i c eo f He a r in
Clerk stamps date here when form is filed,
E.rlm
HEs
jt-i!*t
il.l.;;1._y
['
Name of personaskingfor protecti Gro
LOS \N*SE!..I;S
S;U;:j.tIr.,r.i."i1it,r.T
SEP" 4 zo1;
Protectedperson'saddress(skipthis if you haves Jswyer):(lf you want
tour addressto be Drivate.eive a mailins addressinstead):
iolJN 4 CLAB(E.t,r-ii:ir(
g, a
f- rv*,p
B Y F. R IC b,
D E P U TY
State:
Telephonenumber:
rtuntber,
Prote:tedperson'slawyer(tf aryl: Qlante,address,tetePnone
?4{a
S{'e'
\<'
t
ot
t
nttmheil.'
Bir
{t!
and Statc
Fill in coutl name and slreel address.
Courtof California,
Countyof
Superior
Sgl." .r Arc,
61b
V*
th N*tr. CA
Fill in case numbec
Heieht: {' 6'
Des,:riptionof thatperson:Sex: E M
gusg; €a.r.z'\tO
Hair Color: f3l-"./'Weiehi:
-Color:
ege: -A* Dateof Birth7 A/z-/3q
,
Q{r,
Eye
CaseNumber:
I
ist tlre full namesof all family or househoidmembersprotectedby this order;
Cour* HearingDate(Fecha
Clerk v,illfiIl out sectionbelow.
za
t*f
Nameandaddressof court if differentfrom above:
To th': personin @ : Atthe lrearing,thejudge canmakerestrainingordersthat lastfor ui to 5 years.The judge
can also makeotherordersaboutyour children,child support,spousalsupport,mone)/,andproper[,. File an
assworon Form DV- 120beforethe hearing.At thehearing,you cantell thejudge thatyou do not want the orders
againr;tyou, Even if you do not attendthe hearing,younxustobeythe orders.
Para la persona nombrada en @; En esta audiencia el juez puede lncer que la orden de resn'icci|n sea vdlida
hasla un nrdximo de 5 aiios. El juez puede tambidn hacer otras 6rdenes acerca de niiios, manutenciin, dinero y
propiedad. Presente una respuesta en el formulario Dl'-l20 antes de la audiercia. Si Usted se opone a estas
vaya a Ia audiencia y digaselo al juez. Awtque no vala a Ia audiencia, tiene que obedecer estas 6rdenes.
6rder,:.es,
To tlre person in @: At the hearing,tlrejudge will considerwhether denial of any orderswill jeopardize your
safely and the safety ofchildren for whom you arc requestingcustody, visitation, and child support. Safety
concerns related to the financial needsofyou and your children will aiso be considered.
Te m p o r a r yO r d e rs(Ord e i n eTs e mp o rales)
them.
Any cirdersriade in this iorm end at the time of the courthearingin @, unlessa judge extend.s
Readthis form carefully.All checkedboxes EI anditemsl0 and 1I arecourt orders.
Todas las i,rdenes hechas en estaforntulario terminardn en la fecha y hora de la aud.iencia
@, aI menos que
"n
jue:z
esteformulario
las
ntarcadas
con cuidado. Todas
casillas
las extienda. Lea
un
Vy tos articulos 10 y 11 son
1rdenesde la corte.
Judf cial Councll of C,Tlitomia, [email protected]
Revised July 1. 2005, Msndatory Fom
Family Code. $ 6200 6l seq. Approved by DOJ
Order
and Noticeof Hearing(CLET'S-TRO)
Page 1 of 5
+
slPn7 2007
.. . .ria l,rl ar_j..i ',1\,
ffi|til"ffi:'"|,,,
July1.2006
Rovrs€d
properry
andthings:
thefollowing
andpossess
in@canuse,control,
tn"person
and Noti.ceof Hearing(CLETS-TRO)
(Dom.esticViolenceFrevention)
D V -110,P ag e2 of 5
+
C aseN umber:
\''ou
perty Restraint
domesticpaltners,thel'mustnot trattsfer,
e peoplein @ and@ *. marriedto eachotheror areregistered
exceptin theusualcourseofbusinessor for
borrow against.seli,hide,or getrid ofor destroyanyproperq',
andexplain themto
person
the
other
of anynewor big expenses
notifo
each
must
of life. In addition,
necessities
"no
contact" order.)
the r:ourt,(fhe person in @ cannotcontactthepersonn@ iithe court hasmadea
\l
@A'rnla
'Tll.w fu t
mayber e c o r d e d .
co mmuni c ati ons
madeby the personin @ thatviolatethejudge's orders.
personin @ can recordcommunications
-60
-d-/^
Y / - ^.
-NoFereto Notify (Serve)RestrainedPerson
if the sberiff servesthis order,be or shewill do it for free.
$,nn
restrainingorderat the hearing,which f6 thesameordersas in this.forrqthe person in-@
lf thej udge
person'saddresshere):
will ge.ta copyof thatorderby mail at his or her lastknown address,
ftlrite res'Irained
contactthecourt.
If this addressis not correct,or to know if theordersweremadepertnanent,
Tirne for Service
SomeoneI 8 or over-nof you or the other
proter:tedpeople-must personally
"serve"a copy
person
at least
of this orderto the restraired
6"1o" flrehearing'
-5_da1's
For lzelp with Sentice or annoering, read
If you want to respondin writing, someonel8 or
over-not vou-must "ssrys"FormDV- i 20 on the
LN @, thrn nl{it
the.courtat least
days!p
10-INFO or
a
sFP - 4 20107
Judge br Judicial
Certificate of Compliance With VAWA
of Ur)Viol.n". fA,g"instWomen
This temporaryprotectiveordermeetsiill Futl Faith and Creditrequirements
person.This courthasjurisdiction over
Act, l8 U.S.C.52265(1994)(VAWA) uponnoticeof the restrained
the:parfiesand tbe subjectmatter;tbe restrainedpersonhasbeenor wiil be affordednoticeand a timely
to be heardasprovidedby thelawsof thisjurisdiction.This order is vaiid and entitled to
opporn-rnity
enforcementin eachjurisdictionthroughoutthe 50 UnitedStates,tbe Districtof Columbia,all tribal
and possessions
and shallbe enforcedas if itwere an
Ialrds,and all U.S.territories,commonwealths,
jurisdiction.
order of that
RevisedJuly1,2006
TemporaryRestraining Order
D V -l 10, P ag e3of 5
-)
useofguns or other
useor threatened
d. Describe.any
Describeany injuries:
f. Did the policecome? [ No V{rt
Protective
Order? f Yes ,F No fl I don't know
lf yes,did theygiveyou an Emergenc),
you
hat,e
if
one.
copy
Attach a
J Checkhere f you needmore space.UseForm MC-020 and write "DV-I00, Item 22-Recent Abuse" bSt
vour starcment.
ff Cneckhere if thepersonin@ t as abusedyou (oryour chitdren)other times.(JseForm DV-l0l or Form
S\. L
tuIC-020todestibeanltpreviousabuse.
\,er^';
t" {L-
^".6*iJ.
il-t7t"
penaltyof perjuryunderthe iawsof the Stateof'Califomiathat the informatlonuUouJ?s"fr,
I declareunder
aun' L/ 9uf I,
5;<'eL's
or^T
b; tl ia,,'t
Typeor priw your name
lovi66d July 1, 2006
Requestfor Order
DV-100, Page4 of 4
tL
;
--
C aseN um
Description
of Abuse
! . - f r 1r . -
ro IJV-]00,irem21.
Lff l-his form is artached
name:
ro,-,,
@
t'J t [t;
"..t^
S'
nf l .,
person):
of personyou want prorecrionfrom (resrrained
@
3l*
It
f-i
.^.1
^r-c
^ ||
Describe the Znd most recentabuse.
^.
Dare of 2nd mosr recentabuse, / 6
Arrel
b. W&owas
/\"q
qlo *
Qzrr<-.-S
c. Vhar did rhe personin @ do or sayto you rharmadeyou afraid?
u,tft rf-.tU--
a".L
rV(1s.11, ,tAr.t'-.-9-?i<^.tL, C^"*\-{Lt,,-(c^,
€a
Ual q
t^..,t , .
Atf+
-
e-d''
f '{
t+*-o$*
.n.
useof gunsor other\veapons.
d. Describeany useor rhrearened
e.
Des;cribeany injuries.
f. Did rhepolicecomeiF2{o ! Y.s
Prorecrive
Orderi I Yes [ 1.lo D I doni know
lf yes,did rheygiveyou an Emergency
Arta,:h a cop1,if1,ou haueone'
lucjicial Council of California, ww.courlin{o.e'gov
New J an u a r yi , 2 0 03 , Op ti o n a l F o rm
Family Code, 5 62O0 et seg.
Descriptionof Abuse
D V .l 01, Page i of 2
-)
Yo u r n a m e:
Describe other recent abuse.
a.
Dare of orher recentabuse:
b, tVho wasrhere?
c. \X/hardid
in E do or sa)'to you thar madeyou afraid?
Dean), use or threareneduse of guns or other weaDons.
'tl
e. Describeany injuries.
f
Did rhe policecome?D No
If yes,did rhevgive),ou an Emergenq'ProtecriveOrder? [ Yes
Attacha.copyf4ou haueone.
Wt {".scribe other abuseagainstyou
D
D I don'rlinow
children.
tf yo" needmorespace,chcchthe box and anach Form MC-020. Or anach a sheetofpaper and uritc
"DV-|01 - DescriprionofAbuse"at thc np.
.lewlanuaryl, 2003
Descriptionof Abuse
DV-101, Page2 of 2
.MLADDRg5S ANOTETEPHON€NUMTJER
OF ATTORNEY
OR PARTYWTHOUT
AT]ORNEY
W r\ hu n ^ S' N t.
(s 't{)
STATE
8ARNU[4BTR
A"A^.,(.\\,
u/I
TONNFYFOR INAMO:
Resqved iot Cletk\ Fil. Stomp
F "''"
trTH
45.-J
-f,'
S ILOSA N C E I.F,S
fxto t
SEp- & 2007
supERto,R couRT oF cALfFoRNtA, COUNTY OF LOS ANGELES
tURl HOUSE /IOORESS:
JOHM & CLAFii';' uuciti(
f
iITIONEf,/ PLAIMIFF:
N .t.
ft
.A
fr^-.^--"t
5u' *' ib. D[Pur Y
Ttx.t..\\
ILO's NAMEI
,Not'u
DECI-ARAT,oN
FEr NoTICEoF EX PARTEREoUEST(NONOTTCE
GTVEN)
flemporary RestrainingOrder)
'
S
declarethat:
-,*,-**Tt
I did not give noticeto the other party in this actionbecause:
@
t *"s afraidthat the violencewould reoccurwhen I gavenoticethat I wasaskingfor theseorders.
I
I was afraidthat the other party would takethe childrenout of the areabeforethe ordercould be granted and
!
t Oetieve
that givingnoticewould makethe ordersuseless
becausethe otherpartywould:
I attemptedand was unableto infor
or his/herattorne)4
that I would beiseekinga temporaryrestrainingorder.My attemptsincluded
Otherreason:
larethat the above is true and correcf and that I executedtlrisdeclarationat
[,/+r
(
F,California
SIGNATURE
OF DECLARANT:
r8 / cK 0l I
DECLARATION
OF EX PAHTENOTICE
served,
ORPARTY
WrrHOUTATTORNEYT
e.eODn!SSeruOtlt-EPHOIIE NUMBEROFAT'TORI'lEY
STAT€gAR NUMBEK
rRNEYFORlNAMOr
SU PERI O R CO URT OF C AL IF OR N I
Itl morc thon ona chi4phos.
C O U NTY OF LOS A N GE LE S
otnch htt)
OF EX PARTENOTICE
DECLARATION
(TemporaryBestrainingOrder)
, declarethat:
(PRINTNAME)
I informedthe other party in this actionthat I would be seekinga temporaryrestrainingorderasfollows:
Dateandtime informed:
Personinformed:
How informed:
u
r
n
T
Bytelephoneto the party
Bytelephoneto the attorney
informing:
Bypersonally
Other:
orderin Dept.I informedthe personlistedabovethat I would be seekinga temporaryrestraining
of the Superior
,200-
Courtlocatedat
at 8:30a.m.
I told him/herthe ordersrequestedincluded,but were not limitedto the following:
assault,
contactor disturbthe peaceof
l-l tfrat he/shenot annoy,attack molest,strike,batter,harass,
Petitioner/ResPondent'
l-l
and Petitioner's/Respondent!
home.
tfrat he/shestay100yardsawayfrom Petitioner/Respondent
!
house.
ffrat he/shebe orderedto immediatelymoveout of Petitioner's/Respondent's
[]
havecustodyof the minorchildren.
fnat Petitioner/Respondent
[-l tnat he/shehaveno visitationwith the childrenpendinghearing.
I
other:
that he/sheshouldappearat the abovetime and placeif he/shewished to be heard
I informedthe Petitioner/Respondent
by the court,
:larethe foregoingis true and correctunder penaltyof perjuryunderthe lawsof the Stateof California.
Signatureof Declarant
0r 8/cK0 1 8
1
-\)
I
, ND T i L E P HONENUMBEROF ATIORNEYOR PARTYWITHO U iAT T O R N SY: I ST AT EBARN U M AER
N AM E ,A D DR E S SA
Res€ruadlor Cterks Fiie s'tamp
\,J;tti*. .g . irh. 6-t Q\( A-.t^,-r g'\\'v I
I
I
#$,fuF
t-
A T T o R N EY F (fR fNa me ):
SEp- L ?001
.
Nry O F L O S A NG E L E S
S U P ERIORCO U RTOF CA LIFORNIACOU
JoHNjr a,-.,, :. vrgr.'i'
ADDRESS:
CO URTHOU S E
C-z <
S.r \
P ETITION ER,/F'LAIN TIFF:
hJ .ti.,r.n ..
"to.^
tl
fi../,,r.
.e'A
f{****J
,fl
<.- t \.^-
:
RESPONDEN]'/DEFENDAI'IT
{3[^.:.
[*
lr.z.
flY r rtrr';b.DrDilTY
*Tr.,t-t[
f,
r
a.
A
#!l
fl
*r
rrr,/\
I :"T[\5tJ+{ Y 7
F AM IL Y L AW CA,SECOVER SH E E T
C E R T I F I CAT E OF GROUNDS F OR ASSIGNME N T TO OIS TR IC T
sothattn. ,orrtcii;:lffrlT#""'l"rT,o thecorrect
courtdistrict
forfiting
andhearing.tr
Thiscoversheetis required
satisfiesthe requirementfor a certificate authorizingfiling in the district,as set forth in Los AngelesSuperior Court
to the courtalongwiththe original
and submitted
Complaint
or Petitionin
Rules2(d) end 14.2. lt mustbe completed
ALL Family cases filed in any districtof the Los AngelesCountySuperiorCourt. This forrn is not required in
& Emancipation
cases,whichare to be filedat Children's
Court,
Abandonment
information
r. Fillin the requested
En ter a dd ress of Pet it ioner
STATE
+
E nt eraddr es so f R e s
TH ISITE MtF TH ISIS A MIN OR ' SC ON TR A C T
D O N O T C OMP L E TE
CASE
TE
MINO RCHI LDRE NII{ VOL V ED ?
n vEs
How[4ANY?
ffrlo
It.Selectthe correctdistrict:
a.
b.
UnderColumn1 below,checkthe one typeof actionwhichbestdescribes
the natureof this case.
In Column2 below,circlethe reasonfor yourchoiceof districtthatappliesto the typeof actionyou havechecked.
Appt ic able Reas on f or Choo s i n g D i s t r i c t ( S e e C o l u m n 2 b e l o w )
' 1. May be filedin CentralDistrict.
2 . Districtwhereone or moreof the
ON
Child resideswithin the district.
(cnccr ong ons)
of Marriage
I r nsszoDissolution
t _. _ _ ^ - 13ummary
Dissoiuiion
of li4arriage
I
!
DistrictwherePetitioner
resides.
reside.
A JJL J
1'2
i.2
of DomesticPartnership
vAs521 Dissolution
1.2
! 45530 l.lullityof Void or VoidableMarriage
1.2
n aqc?1
1.2
020
12t06)
f-lullity
of Void or VoidableDomestic
Partnership
APPLICABLE REASONS(s* lbovr)
+
C?)
CERTIFICATE
OF GROUNDSFORASSIGNMENT
TO DISTRICT
Page1 of 2
LASC RULE 14.2
CaseNumber
S horl T ill e
! A5510 LegalSeparation
LZ
1.2
of Domestic
Partnership
D A5511 LegaiSeparation
Petitionfor Custodyand Supportof Minor
AA.1 ?A
1.2. 3
-
(CSSD)
Department
! 4 6 1 3 1 ChildSupportServices
1.
Parentage/Support
n 4 6 139 ForeignSupportOrder
LZ.J
0 4 6 13 6 ForeignCustodyOrder
4r7.
Act (UIFSA)
t r 4 6 1 3 8 UniformInterstateFamily-S[pport
1t?
Petition
Responding
(AnyCourtJurisdiction
- DV'sonly)
Order(Civil
A61?2 DomesticViolenceRestraining
Harassment- use CivilCoverSheet)
- ChildCustody
! 46600 HabeasCorpusPetition
1?
(NonParentage
/ Paternity
n 46080 Petiiionto Estabtish
governmental)
1.2.3
(6751FamilyCode)
D 46111 Approvalof Minor'sContract
1
D 46130 OtherFamilyComplaintor Petition(Specify):
1.2.3
! 46101 AgencyAdoption
1A
t. a
Adoption
tl A6102 Independent
1.4
Adoption
D 46104 Stepparent
1i
t.l
D A6103 AdultAdoption
1j
! 46106 SoleCustodvPetition
lll.
UNLESSYOUHAVECIRCLEDITEM3 AS AN ,a,PPLICABLE
REASON
Enteraddressof minorchildif known.(DONOTCOMPLETE
Do ool
c om pl6la
ll lhi6
c 6s e
unoet
1
belowandsignthe certificate.
lV. Enterthe information
herebycertifiesand declaresthatthe aboveentitledmatteris properlyfiled for
Certificate/ Declarationof Assignment:The undersigned
Districtof theLos AnglesSuperior
CourtunderCodeof CivilProcedure
to the
assignment
9392et seq., 2300 et
seq.of the FamilyCode,and Rule2(U),(c),and (d) of this courtfor reasoncheckedabove. I certifyand declareunderpenaltyof perjury
underthe laws of the Stateof Califomiathatthe foregoingis trueand correct.
o^",
4 9rl.
l*o *
WITHOUT
ISIGNATURE
OF AITORNEY/PARTY
/06)
OF GROUNDS
TO DISTRICT
CERTIFICATE
FORASSIGNMENT
Page 2 ol 2
L A S C R U L E 1 4 .2
C aseN umber:
p e r t y R e stra i n t
domesticpartners.thel'mustnot transfer,
e peoplein @ and@ a.emarriedto eachotheror areregistered
-bortoral
in the usualcourseof businessor for
properq',
except
any
get
or
destroy
of
hicie,
rid
sell,
or
against.
andexplain themto
any
the
of
newor big expenses
other
of life. In addition,eachpersonmustnotify
necessities
the couft. (Theperson in @ carmotcot'ilactthepersonin @ if thecourt hasntadea ",1ocontacl" order.)
@X
s y b e r ecor ded.
U r r l a w f ucl ommu n i ca ti o nma
judge'sorders.
ionsmadeby
J the personin (4
The personin @ canrecordcommunicati
\9 thatviolatethejudge'
@
restrainingorderat thebearing,which K thesameordersasin this.form,the person ii@
order by mail at his or her last known address.(Illrite rettrainedperson's address here):
get
copy
ttrut
a
of
will
lfthe;rudge
lf this addressis not correct,or to know if the ordersweremadepermanent,contactthecourt.
Service
Someone I 8 or over-nof you or the other
"serve"a copy
protectedpeople-must personalll,
person
at least
the
restraired
to
of this order
daysbeforethe hearing.
5
For help with Sen,iceor anstttering,read
If you want to respondin writing, someonel8 or
over-not you-must "ssrve"ForrnDV- 120 on the
in @, tnenfit{it
the court at least
days
I]-INFO or
a
Dat e : _
S E P -4 2 0 0 7
)
Judge 'or Judicial
Certificateof ComplianceWith VA\4/A
of tlreViolencefAgainstWomen
ThisrtenrporaryprotectiveordermeetsAll Full Faith and Creditrequirements
Thiscourthasjurisdictionover
Act, lBU.S.C.52265(1994)(VAWA)uponnoticeoftherestrainedperson.
person
has
been
or
wiil
be
afforded
noticeand a timely
the
restrained
the partiesand tbe subjectmatter;
jurisdiction.
This order is vaiid and entitled to
to be heardasprovidedby thelawsof this
opporn-rniry
enforcementin eachjurisdictiouthroughoutthe 50 UnitedStates,the Districtof Columbia,all tribal
and possessions
and shallbe enforcedas if itwere an
lands;and all U.S.territories,commonwealths,
orderrof that jurisdiction
Revis6dJuty1, 2006
TemporaryRestraining Order
(Domestic ViolencePrevention)
DV-l 1 0, Page 3 of 5
+
C aseN umber;
Y o u r n am e :
ob e yth i s o rd e r,yo u ca n be ar r estedand char gedwith a cr im e.
A9 lf y o u d o n o t
.
It is a felony to take or hide a child in violation of this order. You can go to prison and/or pay a fine.
if you travel to anotherstateor to tribal landsor makethe protectedpersondo so, with the intention of
disobeyingthis order,you can be chargedwith a federalcrime'
.
Ifyou do not obey this order,you can go to prison and/orpay a fine.
.
O o ) y o u c a n n o th aveg u n s o r fi re a rms.
buy or try to bu1',receit'eor try to receive,or
You cannotolvn,have,possess,
get
gun
the
order is in effect.If you do, you can go to jail
u'hile
otheru,ise a
fine. You mustsellto a gun dealeror turn in to policean1'
and pay a,$1,000
gunsor firearmsthat you haveor control. Thejudgewill ask you for proof
that you did so. Ifyou do not obeythisorder,you canbe chargedn'ith a
crime. Federallavvsal,syou cannothavegunsor ammunitionif you are
subjectfo a restrainingorder madeafter a noticedhearing.
6?) at"r You HaveBeenServedWith a RestrainingOrder
Obey all the orders.
If you wantro respond,fill out Form DV-120. Takeit to the coud clerk with the formslisted in item @.
personb),tht datelistedin item @of this form.
File DV-120 andhaveal)papersservedon theprorected
with theordersrequested.
At the hearing,tellthejudgeif you agreeor disagree
Even if you do not attendthe hearing,thejudge canmalcetherestrainingorderslastfor 5 years.
@
c h i l d C u s t o d y,V i si ta ti o na, n d S u p p o rt
. Child CustodyandVisitation:If you do not go to thehearing,thejudgecanmakecustodyand visitation
ordersfor your childrenwithouthearingyour side'
. Child Support:Thejudgecanorderchildsupportbasedon the incomeof bothparents.Thejudgecan also
havethatsupporttakendirectlyfrom yourpaycheck,Childsupportcanbe a lot of moneY,and usuallyyou
(Form FL-155)or an Incomeand
haveto pay until the child is I 8. File andservea FinancialStatentent
ExpenseDeclaration(FormFL-150)sothejudgewill haveinformationaboutygur finances.Otherwise,the
court may makesupportorderswithouthearingyour side.
(FormFL-155)or an Incomeand ExpenseDeclaration
. SpousaiSuppoft; File andserve.aFinancialStatement
(Fonn FL-150)so thejudge will haveinfomrationaboutyour finances.Otherwise,the court may make support
orcjerswithouthearingyour sicie.
Reguestsfor Accommodations
interpreter
or signlanguage
servicesare availabl'a
real-time
captioning,
systems,computer-assisted
Assistivelistening
f or
if you ask at leastfive daysbeforethe proceeding.Contactthe clerk'sofficeor go lo www.oourlinfo.ca.gov/forms
and Oder (Form MC410). (CivilCode,S 54.8.)
by PersonsWith Disabilities
Requestfor Accommodations
€vrs€dJuly1.2006
g Order
TemporaryRestrainin
(CLETS-TRO)
of
Hearing
and Notice
(Domestic ViolencePrevention)
D V - 1 1 0 , P a ge4 o f 5
-)
C aseN umber:
\ l/. n rr r
r
I 000479
nernc'
frsrrrv!
Q
a ) S t a r t D a t ea n d E n d D a teo f Ord e rs
\---l
The stiul dateis the datenextto thejudge's signatureon page3. The ordersendon the hearingdateon page i or
the he;ring dateon Form D\r- 125,if attached.
Q 9 Arr e s t R e q u i r e dl f Ord e rl s V i o l a te d
personhadnoticeof theorderandhasdisobel,gdlirg
If an o.lficerhasprobablecauseto believethattherestrained
qT
nrrla-ih c nrfie mustarresttherestrained
person.(PenalCode,$$ 836(c)(l ), 13701(b).)A violationof the order
ma1,$6 a violationof PenalCodesection166or 273.6.
vrsvr,
!rrv
vrrrvr
NoticelProof of Service
personhadnoticeof the orders.lf noticecannotbe
Law enforcementmust first determineif the restrained
verified, the restrainedpersonmustbe advisedof the termsof the orders.If therestrainedpersonthenfails to
obeythe orders,the officermustenforcethem,(FamilyCode,$ 6383.)
person"served"(noticed)if:
ConsiCerthe restrained
. The officer seesa copy of theProof of Serviceor confirmsthat the Proof of Serviceis on ftle; or
. The restrainedpersonwas at the restrainingorderhearingor wasinformedof the orderby an officer. (Farn.
Anofficercanobtaininformationaboutthecontentsoftheorderin
Code,$6383;Pen.Code,$836(c)(2).)
(DVROS). (Fam,Code,$ 6381(b)(c).)
OrdersSl,stem
the DomesticViolenceRestraining
@
lf the ProtectedPersonContactsthe RestrainedPerson
person,the ordersremainin effect
Even if the protectedpersoninvitesor consentsto contactwith the restrained
and rnustbe enforced.The protectedpersoncannotbe arrestedfor inviting or consentingto contactwith the
person.The orderscanbe changedonlyby anothercourtorder.(Pen.Code.$ I 3710(b),)
restrained
(z e ) c h i l d C ustod y and V isitation
, rr1f They
. Custody
-, aresometimes
orders'are
cjnFonnDV-140,items/(!; \ and
alsowrittenon
andvisitation
pagesor referenced
in DV-140 or otherorderstbatarenotpartof therestraining
order,
addit.ional
D\/-105
enforce
them.
are not orders.Do not
' ForrnsDV-100and
Enforcingthe RestrainingOrder in California
Any larv enforcementofficer in Californiawho receives,sees,or veriflesthe orderson a papercopy,or on the
Teleconmunications
Slatem(CLETS),or in an NCIC ProtectioiOrderFile must
CaiifomiaLaw Enforcement
enforcethe orders.
@
ConflictingOrders
in enforcement
A protectiveorder issuedin a criminalcaseon Fonn CR-160takesprecedence
over any conflicting
termsof the civil restraining
Any nonconflicting
civil courtorder.(Pen.Code,$ 136.2(e)(2).)
orderremainin full
force.An emergencyprotectiveorder (Form EPO-001) ti:at is in effectbetween.the
samepartiesand is more
over all otlrerrestrainingorders.
restrictivethan otherrestrainingorderstakesprecedence
Clerk's Certifcate
I certif thatthis TemporaryRestrainingOrder is a true andcorrectcopy of the
originalon file in thecourt.
lseaU
Cierk, by
RevisedJlly 1, 2006
a n d N o ti ceo f H e ar ing( CLETS- TRO)
Deputy
D V - 1 1 0 , P a g e5 o f5
Clerk stampsdatehere whenform is filed
R e q u e s ft o r O r d e r
@
vour
FH,E",H{M
for protection):
r-/\IIRT
LOS ANaFI-F:t Slir'r: :1r " '
SEP- 4 za0Z
Your irddress(skip thisif you havea lsvtyer): (If l,ou vtantyour adciress
to be ,orivate,give a mailing addressinstead):
State:C A
Your telephonenumber(optional):
f
Zip:
fr..-..*rl
B Y P N IC b. !]E F' I:TY
Your lawyer (if you have one): (}{anze,address,telephonenuntber,
and StateBar number):
Nameof
JOHNA' CLAHKE,CLEiI!(
rn
-/j
Fillin couft nameand streetaddress:
SuperiorCourtof California,County of
LO8ANGELES
OOURT
SUFERIOR
NORTHWEST
BLDG.
EAST
DI$TRICT.
oAOSYI"MAR
107
AVENUE,
ROOM
vANN|JYS,
CA91401
D )'ou wantprotectionfrom;
Clerk fillsin casenumberwhenform is filed,
-.r.
Description
of thatpersonlSex:
Height: €' Cn
I M
cer,-aaict
I
o
weight:
ft36e;
Hair Color: Bk-ale
Age: 41 Dateof Birth:
Eye Color: -[? l-.@
Besidesyou, who needsprotection?(Fantilyor householdntentbers);
FullNiune
,l)o--
@
Age
Liveswith you?
How aretheyrelated to you?
tr Yes DNo
nYes DNo
fY.s INo
trY.s D No
J Checkhere i"fyou neednzorespace.AttachFornt l,lc-020 and write "DV-l 00, Item 3-Protected Peopte " by
your statement.NOTE: In any item tlut aslas
for Form MC-020, ltstt can we an B I/2 x I I-inch sheet of paper
inst.etad.
What is your relationshipto the personin@t (Checkall that apply):
a. LJ
b. n
c. fl
d. D
e. fl
We are now n:arriedor registereddomesticpartners.
We usedto be marriedor registereddomesricpartners.
Urelive together.
We usedto live together.
rye are relatives,in-laws,or relatedb;, adoption(specifyrelationship):
datingor usedto dare.
#yt"are
g. VWe are engaged
to be marriedor wereengagedto be married,
h. I We are theparentstogetherof u
o, childrenunder l8:
"ild
(lhild'sName:
Dateof Birth:
Child'sName:
Dateof Birttr:
Chiid'sNarne:
Dateof Bir,h:
yov
need
here
Clteck
if
more
space.
Attoch
"DY-I00,
Form
and
]u1C-020
write
!
Iteni 4h" by your statement.
i.n \Mehave signeda VoluntaryDeclarationof Paternityfor our child or children. (Axacha copy tf you lzave
crne.)
Judici8lCouncilol Calllomie, [email protected]
RavisodJuty 1, 2006. Milndatdy Fom
FamilyCode,S 6?006l sBq.
Requestfor Order
D V - 1 0 0 , P a g e 1 o f4
-)
LegelNet, lnc
C aseN umben
Your name:
( 5 ) Otheruoun uases
\--l
courtcase? E[ No I
a. Haveyouandthepersonin @ beeninvolvedin another
Yes
State:
If yes.where? Coun$':
Srlratarethe casenumbers?(If you knov,).
What kind of case?(Checkall that applt):
I Legal Separation
f] RegisteredDomesticPartnership D Divorce/Dissolutionf Parentage/Paternity
Nutiiry
Juvenile
Ctrita
Support
Criminal
!
[J
fl Ci''ritHarassment
!
I DomesticViolence f]
D other (spec{y):
juvenile,family)?
ordersnow(criminal,
violence
restraining/protective
b. Are thereanydomestic
8 tJo n Yes If yes,anacha copyif you haveone'
What orders do you want? Checkthe boxesthat applyto your case, V
fl PersonalConductorders
@
I askthecourtto orderthepersonin @ notto dottrefollowingthingsto meor anyof thepeopleiisted in @:
hit, follor',,,stalk,molesl destroy
attack,stike, threaten,assault(sexuallyor otherwise),
peace,
or
keepundersurveillance, blockmovements
property,disturbthe
-personal
or mail or e-mail
b. 6 Contact(eitherdirectlyor indirectll),or telephone,or sendmessages
get
to
the
addresses
or locarionsof anyprotected
not
to
take
any
action
be
ordered
witl
person
in
The
@
good causenot to make the order.
guardians
unless
courtfnds
caretakers,
or
the
person, theirfamillt members,
^.
(,
VH**s,
.-?
'
Order
.}ê {rttor}\"av'ra
{Stay-Away
yardsaway from (checkall that appbr:
I ask thq courr ro orderthe personin @ to stayat least l2{o
./
e. I the children'sschoolor child care
, Vtut"
in
f. VMv vehic]e
u. fl rir" peoplelisted @
g. I
c. ffMy home
d. D Myjoborworkplace
Other(specfi)'
If the personlistedin @ is orderedto stal'awayfrom all the olaceslistedabove.will he or shestill be able
to get to his or herhome,school,job, or placeof worship? D Yes I No (If no, e:rplain):
(a)
[
\-/
M o v e - O u t Ord e r
I ask the court to orderthe personin (lJ to moveout from andnot returnto (address):
I have the right to iive at the aboveaddressbecause(explain):
@
n child Custody,Visitation,and ChildSupport
II ce
l,
St \
ft'e
lr r 9
er
^v v^'!,
!
f^
!v
nr
v r ru{ ver
,
vr rhi!r
rrre l
r rtctn.l.,
vr u
rvvJ
r
.-i ,iqitqtion
r u r . +. r v r . r
endl at
r hi !d
n^nr
f
rcu:r
r Pe
'.
\/ntt e;tr !
fi l l
n;tt
nnr l
tl tntl t
FormDY-105.
@ n SpousalSupport
You can make thisrequestonly if you are married to, or are a registereddomesticpartner of theperson in @
and no spousal supportorder exists.To askfor spousalsupport,you mustfill out,file, and serveForm FL-150
beforeyour hearing.
ievissd JrJly1. 2006
Requestfor Order
DV-100, Page2 ol 4
C aseN umber:
g '
Whatordersdo youwant?Checkthe boxesthat"ppl€St+Jrbl$J
-/
tR""od
*
6D
\:7
Communications
Unlawful
madeto me by the
i ,"u for the right to recordcommunications
@ n
@
i,:?TJffi:lffi
personin @that violatethejudge's orders'
here:
listed
oftheproperrv
andconhol
possession,
use,
onrymeremporary
n DebtPayment
paymentswhile the orderis in effect:
I ask the,courtto orderthe personin @to maketlrese
Itent I3-Debt PaYment"
Fornt MC'020 and write "DV-100,
D Checkhere if ltou needmore space'Atlach
by your statement,
Due date:
Amount:$
For:
Pay to:
Due date:
Fnr .
Amount $
Payto:
Due date:
Amount $
For:
Payto:
Restraint
ProPertY
6D
\:7 n
-
with thepersonio @' I askthejudgeto order thatthe
partnership
domestic
i ; l'.rta to or havea registered
or pro.pep exceptin the
hide,oiget rid of or destroyanypossessions
il.ol.1o*qg norborrowagiinst,sell,
person
in (!) to notifu meof
judge
the
to order
of life.I alsoaskthe
or for necessities
ustraicourseof business
andto explainthemto thecourt'
anynewor bigexpenses
6B
n AttorneYFeesand Costs
\:;'/ .-
and costs'
i *o tnu"h" o"'on in @ pa5'someor all of my attorneyfees
Deciaration'
Expense
and
I,ou mustcompleteandfit, Form FL.] 50,income
6D
\--l n
Paymentsfor CostsandServices
I ruk thatthe personin @ val the following:
(damaged
n
yoi:tcan askfor lost earningsor your costs
for servicescauseddirectly by theperson @
ntustbringproof of theseexpensesto your
properry, n idical care,counseling,temporarvh.ousing,etc.). I'ou
hearing.
6)
\:7
-n
6i)
\7
No
'If
Pa7'1s'
Pa1,to:
For:
Pa1,to:
For:
Fnr.
Amount $ Amount S Amount $
BattererlnterventionProgram
interventionprogramand show
I ask the courtto orderthe personlistedin @ to go to a 52-s'eekbatterer
prooiof compielitlnio Lhccourl'
Fee to Serve(Notify)RestrainedPerson
to sen)e (nottfit) the restrained person aboui tlrc orciers for free, ask tlte court
,vou ",a,rt the sherif or marslzal
and Form 982(a)(17)'
clerk if ;vou n"ed tofl" moreforms. You may need Form CH'l0I/Dy-290
RevisedJulY1.2006
Requestfor Order
fDomestii ViolencePrevention)
D V - 1 0 0 , P a g e 3 o f4
+
C aseN umber:
Your name:
What orders do you want?Checkthe boxesthat applyto your case. EI
@
D MoreTimefor Notice
I needextratime to notifothe personin @ aboutthesepapers.Becauseof the factsexplainedon this form, I
da1'sbeforethe dateof the hearing.For help,read Form DV-2I ?-INFO.
want the papersservedup to If necessary, add additional. facts :
6D I otherorders
What otherordersareyou askingfor?
3 Checkhere if yoy needmorespace.Attach Fornt MC-020 and write "DY-l00, Item 2a-Other Orders" by
your statenrcnL
@ :*:,n:$::ff6'ff,
guns
ornrearms.
orpossesses
n yesI No{,
oon',*o*
If thejudge approvesthe order, theperson in @wiII be requiredto sell to a gun dealer or turn in to police any
gunsor firearnts that he or sheownsor possesses,
@
Describethe most recentabuse'
Date of most recentabuse:
U . l\rho was there?
do or saythat made
I & r+
-i\td
useof gunsor otherweap-ons;
useor threatened
. Describe-any
Describeany injuries:
f. Did thepolicecome?tr No W{r,
Order? D )'es ,F No I
anEmergencyProtective
lf yes,didtheygiveyou
I don'tknow
Attach a copy if you have one.
D Check here if you need more space. Use Form MC-020 and write "DV-I00, Item 22-Recent Abuse" by
vour stalement.
,7
here if tlrcperson in@ t ot abusedyou (or your children) other times. (JseForm DV-l0l or Form
ffCnerf
ll
atqtprevious
<;'- (i {*"
IuIC-020to describe
s.{^^ ,^ 4U;
3r+<eLs" *
'b";;.-";.;i;i;.
penaityof perjuryundertheiawsof theStateof'Califomia
thattheinformation
uUouJ?#ru"
I declareunder
correct.
ox',, L/ Cef (
lr^,
lJ; U[io.,^ (-
tevis8dJuly 1, ?006
%^T
N,re_
/,zZ^ f
Requestfor Order
(Domesti6ViolencePrevention)
DV-100,Page4 ol 4

SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES

Transcription

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