YOUR NAME
1 Street Address
City, State, Zip
2 Phone Number (with area code)
Fax Number: if available
3 Email: if available
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YOUR NAME, IN PRO PER
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SUPERIOR COURT OF THE STATE OF CALIFORNIA
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FOR THE COUNTY OF SAN DIEGO
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NAME OF PLAINTIFF(S) ) Case No.:
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Plaintiff(s), ) DECLARATION IN SUPPORT OF
12 ) MOTION FOR RELIEF FROM [ pick
vs. ) appropriate: DEFAULT
13 ) JUDGMENT/JUDGMENT/DISMISSAL/
NAME OF DEFENDANT(S), ) other proceeding]
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) DATE: (date of hearing)
15 ) TIME: (time of hearing)
Defendant(s). ) DEPT: (department number)
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) Judge: (name of hearing judge)
17 ) Dept: (department number)
) Action Filed: (date)
18 ) Trial Date: (Date or Unassigned)
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21 I, [ INSERT YOUR NAME], declare:
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23 1. I am the [plaintiff/ defendant] in the aboveentitled case and make this declaration in
24 support of my motion for an order [specify what you want:, e.g. vacating and setting aside
25 the judgment/ order, or proceedings from which you seek relief].
26 2. As shown by the records herein, of which the court is requested to take judicial notice, the
27 [specify the judgment ,etc] was [entered/taken] through my [mistake, or inadvertence, or
28 surprise, or excusable neglect, or any combination of these, whatever your situation is; refer
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DECLARATION IN SUPPORT OF MOTION FOR RELIEF
1 to your research] in that [state all the facts establishing the grounds for the motion, in other
2 words, the facts supporting your assertion of mistake, inadvertence, etc].
3 3. I have at all times acted diligently in seeking this relief as shown by the following facts:
4 [state how you became aware of the judgment, order, or proceeding from which the relief is
5 sought, and state the steps you took to get relief, and explain your good reason for every
6 delay between when you discovered the judgment, etc and the date this motion is filed]
8 I declare under penalty of perjury that the foregoing is true and correct.
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EXECUTED ON: [Type date] AT [type City], California
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Your signature
12 YOUR NAME
In Pro Per/ [Plaintiff or Defendant]
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DECLARATION IN SUPPORT OF MOTION FOR RELIEF