NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NUMBER Reserved for Clerk's File Stamp ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES JUDICIAL DISTRICT: PLAINTIFF: DEFENDANT: DECLARATION FOR DEFAULT JUDGMENT (Unlawful Detainer -- C.C.P. §585(d)) 1. 2. I am the plaintiff plaintiff's attorney plaintiff's agent. CASE NUMBER: (LIMITED) I have personal knowledge of the facts contained in this declaration and, if sworn as a witness, could testify competently thereto. I am familiar with: (a) the records and transactions pertaining to the leasing or rental of the property and to the payment of rent by the tenant; (b) the condition of the property; and (c) the tenant's conduct. The plaintiff is the owner of the property and entitled to possession. The property is located at (street address; apartment number, if any; and city): 3. 4. 5. On (date) a month-to-month basis. , the defendant agreed to rent the property on: , payable monthly, due on the of the month. a one-year lease, at a rent of $ Other (specify): 6. The agreement was oral written. Original agreement attached hereto. Copy of agreement and declaration to admit copy attached hereto. Original agreement or copy and declaration to admit copy attached to application for immediate writ of possession; therefore, only a copy of the agreement is attached hereto. 7. The agreement was changed as follows: RENT INCREASES FROM $ $ $ $ $ $ $ $ TO EFFECTIVE DATE Copy of change of terms and declaration to admit copies attached hereto. Original or copy of change of terms and declaration to admit copy attached to application for immediate writ of possession; therefore, only a copy of the change of terms is attached hereto. 76D360P Ci-39 (Rev. 1-96) DECLARATION FOR DEFAULT JUDGMENT (Unlawful Detainer -- C.C.P. §585(d)) American LegalNet, Inc. www.USCourtForms.com (Continued on reverse) 8. On (date) , the following notice was served on defendant: 3-day notice to pay or quit for the following periods: PERIOD FROM TO $ $ $ $ AMOUNT PAID $ $ $ $ BALANCE DUE TOTAL 3-day 30-day notice to quit 3-day notice to perform covenant or cure breach. A copy of the notice is attached hereto. 9. The period specified in the notice described above expired on (date) , and the defendant failed to comply with the requirements of the notice by that date. No money has been received or accepted since the expiration of the notice described above. 10. The fair rental value of the property is $ 11. The defendant: vacated the premises on (date) . per day, based on a monthly rental of $ . continues to occupy the property and is in possession as of the date of this declaration. 12. The lease or rental agreement 13. does does not provide for attorney fees. Plaintiff requests that the lease or rental agreement be forfeited. . 14. Security, cleaning, and any other tenant deposits on hand total to $ This amount will be applied to the money owned after the property is vacated, as allowed by Civil Code section 1950.5(e). A written, itemized statement showing the application and disposition of the deposit will be personally delivered or sent by first-class mail to the defendant within three weeks after the property is vacated. The defendant has vacated the premises. A written, itemized statement showing the application and disposition of the deposit was: personally delivered. sent by first-class mail to the defendant on (date) . A copy of the notice to the tenant pursuant to Civil Code section 1950.5(f) is attached hereto. Other (specify): 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 DECLARANT'S NAME SIGNATURE OF DECLARANT American LegalNet, Inc. www.USCourtForms.com