Free Microsoft Word - LACIV 143 03-04 _09,08_ - California

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SHORT TITLE CASE NUMBER

DECLARATION OF MAILING
INSTRUCTIONS: Only a person who is age 18 years or older and not a party to this action can serve document copies by mail. (Code Civ. Proc., § 1013a.) An unsigned copy of this Declaration of Mailing must be attached to and mailed with the copies. After the copies are deposited in the mail, the person who mailed them must fill out and sign this form attached as the last page of the originals for filing. (Code Civ. Proc., § 1013(b).) WARNING: Falsifying this form can be a felony, punishable by imprisonment in state prison. (Pen. Code, §§ 118 & 126) 1. I am employed in, or a resident of, the county in which this mailing occurred, and not a party to this action. At the time of mailing, I was at least 18 years of age or older; 2. I am readily familiar with the practice at the residence or business address shown below for collection and processing of correspondence for mailing with the United States Postal Service, which causes it to be sealed and deposited with said Postal Service with the postage prepaid the same day it is mailed or placed for collection and processing. 3. My
ADDRESS

residence

business address and telephone number are as follows:
TELEPHONE NUMBER

(
CITY, STATE AND ZIP CODE

)

4.

I served the below document(s) on behalf of ___________________________________________ (name of party) personally sealing and mailing with postage prepaid, placing for collection and mailing following ordinary by business practices, true copies to the addressed as shown, on the date and at the place shown, in envelope(s) sealed, or to be sealed in the ordinary course of business, and addressed as follows:

DATE MAILED

PLACE OF MAILING (City and state)

5. Exact title(s) of document(s) served: _____________________________________________________________ _____________________________________________________________________________________________ I declare under penalty of perjury, under the laws of the State of California, that the foregoing is true and correct.
DATED TYPE OR PRINT NAME OF PERSON WHO DID MAILING SIGNATURE OF PERSON WHO DID MAILING

LACIV 143 (Rev. 09/08) LASC Approved 03-04

DECLARATION OF MAILING
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Code Civ. Proc., § 1013

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