SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE
BANNING 135 N. Alessandro Rd., Banning, CA 92220 PALM SPRINGS 3255 E. Tahquitz Canyon Way, Palm Springs, CA 92262
BLYTHE 265 N. Broadway, Blythe, CA 92225 RIVERSIDE 4100 Main St. Riverside, CA 92501
HEMET 880 N. State St., Hemet, CA 92543 RIVERSIDE 4175 Main St., Riverside, CA 92501
INDIO 46-200 Oasis St., Indio, CA 92201 RIVERSIDE 4050 Main St., Riverside, CA 92501
MORENO VALLEY 13800 Heacock St., Ste. D201, Moreno RIVERSIDE 9991 County Farm Rd., Riverside, CA 92503
Valley, CA 92553
MURRIETA 30755-D Auld Rd., Murrieta, CA 92563 TEMECULA 41002 County Center Dr., Ste. 100, Temecula, CA 92591
RI-MC005
FOR COURT USE ONLY
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address)
TELEPHONE NO: FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT: CASE NUMBER:
FACSIMILE TRANSMISSION COVER SHEET
TO THE COURT:
1. Please file the following transmitted documents in the order listed below:
Document Name No. of Pages
2. Processing instructions consisting of: pages are also attached.
3. Conformed Copies
I am providing an email address above and request the conformed copy be emailed.
I do not require a conformed copy.
Charge the credit card listed in #4 for an envelope/postage; mail conformed copies to the address noted above.
4. Fees Required Filing Fees Fax Filing Fees (Cal. Rules of Court 10.815)
I am a Fax Filing User with the Riverside Superior Court and have paid my annual registration fee. My
Bar/Account # is:
I am fax filing the above listed documents at $1.50 per page.
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 DISCOVER AMERICAN EXPRESS
Account No.: Expiration date:_______________
►
(TYPE OR PRINT NAME OF CARDHOLDER) (SIGNATURE OF CARDHOLDER)
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Adopted for the Mandatory Use riverside.courts.ca.gov/localfrms/localfrms.shtml
Riverside Superior Court
FACSIMILE TRANSMISSION COVER SHEET
RI-MC005 [Rev.06/28/12]
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