Free Declaration - California

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ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): TELEPHONE NO.: FOR COURT USE ONLY

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA BARBARA
STREET ADDRESS: CITY AND ZIP CODE: BRANCH NAME:

PLAINTIFF:

People of the State of California

DEFENDANT: CASE NUMBER:

DECLARATION

I, _________________________________, declare that the following statements are true and correct:
(print your name)

1. I was not charged or convicted on or about ______________ of violation(s) _____________________. I did not violate a written promise to appear. Explanation: ________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ _____________________________________________________________________________ (Attach supporting documents such as time cards, letter from employer or witnesses, etc.) 2. I am enclosing a copy of a picture ID with signature.

I certify under penalty of perjury that the above statements are fully understood and true.
Dated: Declarant's signature
SC-8014 [Rev. July 3, 2003]

DECLARATION
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