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CIV-050 - DO NOT FILE WITH THE COURT- -UNLESS YOU ARE ...

- DO NOT FILE WITH THE COURT- -UNLESS YOU ARE APPLYING FOR A DEFAULT JUDGMENT UNDER CODE OF CIVIL PROCEDURE 585 -TELEPHONE NO.:FOR COURT USE ONLYATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address):ATTORNEY FOR (name):SUPERIOR COURT OF CALIFORNIA, COUNTY OFSTREET ADDRESS:MAILING ADDRESS:CITY AND ZIP CODE:BRANCH NAME:PLAINTIFF:DEFENDANT:CASE NUMBER:STATEMENT OF DAMAGES (Personal Injury or Wrongful Death)To (name of one defendant only):Plaintiff (name of one plaintiff only):seeks damages in the above-entitled action, as follows:AMOUNT1. General damagesPain, suffering, and inconvenience .. a.$Emotional distress.. Loss of consortium ..b.$$ of sociey and companionship (wrongful death actions only).

By mailing (by first- class mail or airmail, postage prepaid) copies to the person served, together with two copies of the form of notice and acknowledgment and a return envelope, postage prepaid, addressed to the sender. (CCP § 415.30) (Attach completed acknowledgment of receipt.) d. Certified or registered mail service.

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