Form Approved for Optional Use Judicial Council of California MC-030 [Rev. January 1, 2006] DECLARATION Plaintiff Other (Specify): DefendantAttorney for Date: (SIGNATURE OF DECLARANT)(TYPE OR PRINT NAME) I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. MC-030 FOR COURT USE ONLYATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): TELEPHONE NO.: FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: DECLARATION CASE NUMBER: Petitioner Respondent