YOUR NAME 
STREET ADDRESS
CITY, STATE, ZIP 
PHONE NUMBER WITH AREA CODE

YOUR NAME, IN PRO PER

SUPERIOR COURT OF THE STATE OF CALIFORNIA
FOR THE COUNTY OF SACRAMENTO

NAME OF PLAINTIFF,		Plaintiff
	vs.
NAME OF DEFENDANT,
		Defendant	)
)
)
)
)
)
)
)
)
)	Case No.: INSERT CASE NUMBER

MOTION FOR PEREMPTORY CHALLENGE 	

TO THE HONORABLE INSERT NAME OF PRESIDING JUDGE, PRESIDING JUDGE OF THE ABOVE ENTITLED COURT
	
The INSERT EITHER PLAINTIFF OR DEFENDANT in the above-entitled matter hereby moves that the trial or hearing, which involves a contested issue of law or fact, and which has been assigned to the Honorable INSERT NAME OF THE JUDGE YOU WISH TO REMOVE, Judge of the above-entitled Court, be reassigned from that Judge, and that no matters hereinafter arising in this cause be heard or assigned to the Honorable INSERT THE NAME OF THE JUDGE YOU WISH TO REMOVE, on the ground that said Judge is prejudiced against the INSERT EITHER PLAINTIFF OR DEFENDANT in this action.
This motion is based on the matters contained herein, on Code of Civil Procedure Section 170.6 and on the supporting Declaration Under Penalty of Perjury of YOUR NAME attached hereto and filed herewith.

WHEREFORE, YOUR NAME prays that the relief herein requested be granted.

Dated: INSERT DATE

 	  		
	  YOUR NAME 
  In Pro Per