SDSC SC - 050 ( Rev. 12/17 ) DECLARATION OF SERVICE BY CERTIFIED MAIL - Civ. Code 247 1962.7 Optional Form SMALL CLAIMS LANDLORD - TENANT ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): TELEPHONE NO.: FAX NO.(Optional): EMAIL ADDRESS (Optional): ATTORNEY FOR (Name): FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, SMALL CLAIMS, 330 W. BROADWAY, SAN DIEGO, CA 92101 PLAINTIFF(S) DEFENDANT(S) DECLARATION OF SERVICE BY CERTIFIED MAIL - SMALL CLAIMS LANDLORD - TENANT CASE NUMBER I, , hereby declare: 1. I rented an apartment/house from landlord (name) , located at (rental address) . 2. No where in the lease did landlord disclose his/her name, street address , and telephone number as required in Civ. Code 247 1962(a). 3. Nowhere on the premises was this information posted, as required in Civ. Code 247 1962.5. 4 . On (date) , I sent, by certified/registered mail, no return receipt requested, a copy of the Claim and ORDER to Go to Small Claims Court (JC Form #SC - 100) Claims Court (JC Form #SC - 120) to the landlord at ( the address where the rent was sent ) : 5. Service in this manner is authorized by Civ. Code 247 1962.7. 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 American LegalNet, Inc. www.FormsWorkFlow.com