MC-030 Declaration

MC-030
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
FOR COURT USE ONLY
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TELEPHONE NO.:
FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
Inyo
168 N. Edwards
P.O. Box Drawer U
Independence, CA 93526
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
CASE NUMBER:
DECLARATION
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME)
Form Approved for Optional Use
Judicial Council of California
MC-030 [Rev. January 1, 2006]
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button after you have printed the form.
(SIGNATURE OF DECLARANT)
Petitioner
Attorney for
Plaintiff
Respondent
Other (Specify):
Page 1 of 1
DECLARATION
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Defendant
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