Free MC-005.ofm - California

MC­005
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY

TELEPHONE NO. : E-MAIL ADDRESS (Optional) : ATTORNEY FOR (Name) :

FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS : MAILING ADDRESS : CITY AND ZIP CODE : BRANCH NAME :

PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT:

FACSIMILE TRANSMISSION COVER SHEET
TO THE COURT:

CASE NUMBER:

1. Please file the following transmitted documents in the order listed below: Document name No. of pages

2. 3.

Processing instructions consisting of:

pages are also transmitted.

Fee required Filing fee Fax fee (Cal. Rules of Court, rule 10.815) a. Credit card payment I authorize the above fees and any amount imposed by the card issuer or draft purchaser to be charged to the following account: VISA MASTERCARD Account No.: Expiration date:

(TYPE OR PRINT NAME OF CARDHOLDER)

(SIGNATURE OF CARDHOLDER)

b.

Attorney account (Cal. Rules of Court, rule 2.304). Please charge my account no.:

Page 1 of 1 Form Adopted for Mandatory Use Judicial Council of California MC-005 [Rev. January 1, 2007]

FACSIMILE TRANSMISSION COVER SHEET
(Fax Filing)

Cal. Rules of Court, rule 2.304 www.courtinfo.ca.gov

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