YOUR NAME
STREET ADDRESS
STREET ADDRESS (LINE 2)
CITY, STATE, ZIP
AREA CODE AND PHONE NUMBER                  

YOUR NAME, Plaintiff/Defendant, In Pro Per

SUPERIOR COURT OF CALIFORNIA COUNTY OF COUNTY

PLAINTIFF NAME,               
	Plaintiff,
	vs.
DEFENDANT NAME, and DOES 1-10, inclusive,
	Defendants	)
)
)
)
)
)
)
)
)
)
)	Case No.:  CASE NUMBER

REQUEST FOR JUDICIAL NOTICE 

Date: Hearing Date_________                              
Time: Hearing Time
Dept.: Department Number

Date Action Filed: Filing Date
Trial Date: Trial Date, or "Not Yet Set"	

TO THE ABOVE ENTITLED COURT:
Your Name, Plaintiff/Defendant, under the provisions of Evidence Code Sections 452 and 453, requests that the court take judicial notice of: 
1.	List the title of the first document of which you are requesting Judicial Notice, and any other pertinant information, such as court case and county, a copy of which is attached as Exhibit A.
2.	List the name and information about each other document, listing each one on a separate line, a copy of which is attached as Exhibit [Letter].

Respectfully Submitted,
 Date:  	___________									 
				 
						YOUR NAME, Plaintiff/Defendant, In Pro Per

Exhibit A