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- Click ‘Get Form’ to open the jury laciv court document in the editor.
- Begin by entering your name, address, and telephone number in the designated fields at the top of the form. If you are represented by an attorney, include their details along with the State Bar number.
- Fill in the 'Attorney for (Name)' section with the appropriate party's name involved in the case.
- Provide the courthouse address, plaintiff, defendant, and case number as required.
- In the 'Request for Refund' section, specify the amount you are requesting a refund for and clearly state your reasons in the provided space.
- Enter the date of payment/deposit and amount paid. Include your address and receipt number as well.
- Sign and date the form at the bottom to validate your request.
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