Short Title
Case Number
State below the reasonable attempts to serve the defendant/respondent/citee. If the service could not be
made because the dwelling house, normal place of abode, or the usual place of business of the
defendant/respondent/citee is unknown, state below the efforts made to determine these locations. If
necessary, attach declarations of search, declarations by investigators, etc., to this declaration.
Date executed _______________________________, at ____________________________, California.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and
correct.
____________________________________
_______________________________________
(Print Name of Declarant)
(Signature of Declarant)
IF COMPLAINT OR PETITION IS NOT VERIFIED, THE DECLARATION OF MERITS BELOW MUST
ALSO BE COMPLETED:
_____________________________________ states: I am the plaintiff or petitioner in the above-
mentioned action. I have fully and fairly stated the facts of said case to ___________________________
who is my counsel and I am informed and believe that _______________________________ is a
necessary party to my complaint or petition on file herein, or the complaint or petition correctly states a
cause of action against defendant/respondent and is incorporated herein by reference as though fully set
out. I declare under penalty of perjury under the laws of the State of California that the foregoing is true
and correct.
Date executed ___________________________________, at ________________________, California.
____________________________________
_______________________________________
(Print Name of Declarant)
(Signature of Declarant)
APPLICATION FOR PUBLICATION
CIV 108 03-04
Code Civ. Proc., § 415.50
LASC Approved
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