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MC-030 Declaration

Form Approved for optional Use Judicial Council of california MC-030 [Rev. January 1, 2006]DECLARATIONP laintiffOther (Specify):DefendantAttorney forDate:(SIGNATURE OF DECLARANT)(TYPE OR PRINT NAME)I declare under penalty of perjury under the laws of the State of california that the foregoing is true and COURT USE ONLYATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):TELEPHONE NO.:FAX NO. ( optional ):E-MAIL ADDRESS ( optional ):ATTORNEY FOR (Name):SUPERIOR COURT OF california , COUNTY OFSTREET ADDRESS:MAILING ADDRESS:CITY AND ZIP CODE:BRANCH NAME:PLAINTIFF/PETITIONER:DEFENDANT/RESP ONDENT:DECLARATIONCASE NUMBER:PetitionerRespondentPage 1 of 1

: fax no. (optional): e-mail address (optional): attorney for (name): superior court of california, county of street address: mailing address: city and zip code: branch name: plaintiff/petitioner: defendant/respondent: declaration case number: petitioner respondent page 1 of 1

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