Name:

Address:

Defendant in Pro Per

SUPERIOR COURT OF CALIFORNIA, COUNTY OF _____________________________________

_______________________________ BRANCH

)

THE PEOPLE OF THE )

STATE OF CALIFORNIA ) Case No. ________________________________________

)

Plaintiff, )

) PEREMPTORY CHALLENGE

Vs. ) [ CCP Section 170.6 ]

)

)

)

Defendant. )

)

I, the above-named defendant, declare:

I believe the Hon. _____________________________________________________, the judge or commissioner before whom the above-entitled matter is assigned to or pending before, is prejudiced against my interest, so that I cannot have a fair trial before such judge or commissioner.

WHEREFORE Defendant requests, ex parte, per CCP Section 170.6, that the said judge or commissioner be disqualified from hearing the above-entitled matter.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

DATED: ____________________________ _______________________________________

Defendant in Pro Per