1

________________________(Full Name)
2
________________________(Address Line 1)
3
________________________(Address Line 2)
4 ________________________(Pone Number)
5 ________________ in Pro Per
(indicate Plaintiff or Defendant)
6
7
8
UNITED STATES DISTRICT COURT
9 CENTRAL DISTRICT OF CALIFORNIA
10
_ , Case No.: ______________________
11
Plaintiff,
12 REQUEST FOR NOTICE OF
vs.
13 LIS PENDENS
.
14 _ 28 U.S.C.A. §1964
.
15 C.C.P. §§ 405.4, 405.5, 405.20,
Defendant(s). 405.21, 405.24
16
17
18 The ________________in the above-entitled action hereby requests the
(Plaintiff or Defendant)

19 Court’s approval of a notice of lis pendens.

20
21 Dated:__________________ ___________________________
(Signature)

22
___________________________
23 (Print Name)
______________ in Pro Per
24 (Plaintiff or Defendant)

25
26
27
28
1
Revised: August 2011 Request for Notice of Lis Pendens
Prepared by Public Counsel
 1
________________________ (Full Name)
2
________________________ (Address Line 1)
3
________________________ (Address Line 2)
4
________________________ (Phone Number)
5 ________________ in Pro Per
(indicate Plaintiff or Defendant)
6
7
8
UNITED STATES DISTRICT COURT
9 CENTRAL DISTRICT OF CALIFORNIA
10
11 , Case No.: ______________________
12 Plaintiff,
vs. (PROPOSED) ORDER
13 . NOTICE OF LIS PENDENS
14 28 U.S.C.A. §1964
15 ,
C.C.P. §§ 405.4, 405.5, 405.20,
16 Defendant(s). 405.21, 405.24
17
NOTICE IS HEREBY GIVEN that the above-entitled action concerning and
18
19 affecting real property as described herein was commenced on ______________
(Date)

20 in the above-named court by Plaintiff/Defendant _________________ against the

(Name)
21
above-named Plaintiff(s)/Defendant(s). The action is now pending in the above-
22
23 named court.
24 The action affects the title of real property commonly known as:
25
_________________________________________________________________
26
(Property Address)
27
28 and legally described as follows:

Revised: August 2011 1

(Proposed) Order
Prepared by Public Counsel
 1
(Provide a detailed description of the property, including the lot, tract, city,
2 county, state, as per [x] map, the location of the map of record and whether the
3 parcel includes oil/gas/mineral rights)
4 ______________________________________________
5 ______________________________________________
6 ______________________________________________
7
______________________________________________
8
______________________________________________
9
______________________________________________
______________________________________________
10
11 The object of Plaintiff’s action in the above-entitled action is to:
12 _________________________________________________________________.
(Provide a brief statement as to the GOAL of the litigation)
13
14
Dated: ___________________
15
By: ______________________________
16 (sign)

17 ______________________________
(print name)
18
________________ in Pro Per
19 (indicate Plaintiff or Defendant)

20
21 Dated: ___________________ Signed:______________________________
22
23 Hon. __________________________
24 (Judge’s name)

25
26
27
28

2
(Proposed) Order