1 [YOUR NAME]

2 [STREET ADDRESS]
[CITY, STATE ZIP]
3 [(AREA CODE)TELEPHONE-NUMBER]
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In Propria Persona
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SUPERIOR COURT OF CALIFORNIA
9 COUNTY OF FRESNO
10 [PLAINTIFF'S NAME], ) Case No.: [Case number]
Plaintiff/Petitioner )
11 ) [TITLE OF DOCUMENT]
vs. )
12 )
13 [DEFENDANT'S NAME], )
Defendant/Respondent )
14 )
)
15 )

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Dated this [DATE]
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_________________________
28 [YOUR NAME]