Case Name: Case Number: VERIFICATION STATE OF CALIFORNIA, COUNTY OF ___________________________________________ I am submitting the following document _____________________________________________ and I have read the foregoing document and know its contents. PROCEED TO ITEM 1, 2, OR 3 1. I am a party to this action. The matters stated in the foregoing document are true of my own knowledge as to those matters which are stated on information and belief, and as to those matters, I believe them to be true. I am (Check appropriate box): a. b. c. An Officer A Partner A ____________________ of ____________________________________________________ ______________________________________________________________________________, 2. a party to this action, and am authorized to make this Verification for and on its behalf, and make this Verification for that reason. I. I am informed and believe on that ground allege that the matters stated in the foregoing document are true. The matters stated in the foregoing document are true of my own knowledge excepts as to those matters which are stated on information and belief, and as to those matters, I believe them to be true. II. 3. I am one of the attorneys for ________________________________________________, a party to this action. Such party is absent from the county of aforesaid where such attorneys have their offices, and I make this Verification for and on behalf of that party for that reason. I am informed and believe and on that ground and allege that the matters stated in the foregoing documents are true. Executed on _____________________, 20_________, at __________________________, CA. (Month and Day) (City) I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. _______________________________________ (Type or Print Name) _________________________________________ (Signature of Declarant) American LegalNet, Inc. www.FormsWorkFlow.com