Santa Ana Blvd., Santa Ana, CA 92701-4512  Harbor-Newport Beach Facility - 4601 Jamboree Rd., Newport Beach, CA 92660-2595  Lamoreaux - 341 The City Drive, Orange, CA 92868-3205  North - 1275 N. Berkeley Ave., P. O. Box 5000, Fullerton, CA 92838-0500  West – 8141 th Street, Westminster, CA 92683-4593 PLAINTIFF: DEFENDANT: CASE NUMBER: DECLARATION OF LOST WRIT Unlimited civil actions only.

Case assigned to: Judge: Department: Date complaint filed: Hearing/trial date: I, the  judgment creditor  attorney for creditor, declare as follows: On ________________I was issued a writ for the County of ___________________________ . I have not executed this writ and its whereabouts are unknown to me. After diligent search and inquiry, I have been unable to locate the writ. I petition the Court for issuance of another writ for the same county. 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) (SIGNATURE OF DECLARANT) Approved for Optional Use L1059 (Rev. March 2019) DECLARATION OF LOST WRIT For your protection and privacy, please press the Clear This Form button after you are done printing this form.