ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Address, Telephone No.) ATTORNEY FOR (Name): FOR COURT USE ONLY Bar No: SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE JUSTICE CENTER: G Central - 700 Civic Center Dr. West, Santa Ana, CA 92701 G Harbor-Newport Beach Facility - 4601 Jamboree Rd.,Newport Beach, CA 92660-2595 G Harbor-Laguna Hills Facility - 23141 Moulton Pkwy., Laguna Hills, CA 92653 G North - 1275 N. Berkeley Ave., P. O. Box 1275, Fullerton, CA 92838-0500 G West - 8141 13th Street, Westminster, CA 92683 PLAINTIFF / PETITIONER: CASE NUMBER: DEFENDANT / RESPONDENT: CERTIFICATE OF INABILITY TO RESPOND Unlimited Civil Case assigned to: Judge: Department: Date complaint filed: Hearing/trial date: I certify that I am attorney for , a named defendant/cross-defendant in this case and further that I cannot, with due diligence, answer or otherwise respond in this case as of this date and I will file responsive pleading on or before (specify date) , for the following specific/detailed reasons: I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: PRINT OR TYPE NAME REQUEST: SIGNATURE GRANTED DENIED TO Date: Judge/Commissioner CERTIFICATE OF INABILITY TO RESPOND 850 ( R 7/02) 2002 © American LegalNet, Inc.