PLD-PI-003 ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): TELEPHONE NO.: FOR COURT USE ONLY ATTORNEY FOR (NAME): Insert name of court, judicial district or branch court, if any, and post office and street address: PLAINTIFF: DEFENDANT: ANSWER--Personal Injury, Property Damage, Wrongful Death COMPLAINT OF (name): CROSS-COMPLAINT OF (name): 1. This pleading, including attachments and exhibits, consists of the following number of pages: DEFENDANT OR CROSS-DEFENDANT (name): 2. 3 a. Generally denies each allegation of the unverified complaint or cross-complaint. DENIES each allegation of the following numbered paragraphs: CASE NUMBER: b. ADMITS each allegation of the following numbered paragraphs: c. DENIES, ON INFORMATION AND BELIEF, each allegation of the following numbered paragraphs: d. DENIES, BECAUSE OF LACK OF SUFFICIENT INFORMATION OR BELIEF TO ANSWER, each allegation of the following numbered paragraphs: e. ADMITS the following allegations and generally denies all other allegations: Page 1 of 2 Form Approved for Optional Use Judicial Council of California PLD-PI-003 [Rev. January 1, 2007] ANSWER--Personal Injury, Property Damage, Wrongful Death Code of Civil Procedure, § 425.12 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com PLD-PI-003 SHORT TITLE: CASE NUMBER: ANSWER--Personal Injury, Property Damage, Wrongful Death f. DENIES the following allegations and admits all other allegations: g. Other (specify): AFFIRMATIVELY ALLEGES AS A DEFENSE 4. The comparative fault of plaintiff or cross-complainant (name): as follows: 5. The expiration of the Statute of Limitations as follows: 6. Other (specify): 7. DEFENDANT OR CROSS - DEFENDANT PRAYS For costs of suit and that plaintiff or cross-complainant take nothing. Other (specify): (Type or print name) (Signature of party or attorney) PLD-PI-003 [Rev. January 1, 2007] ANSWER--Personal Injury, Property Damage, Wrongful Death Page 2 of 2