NAME AND ADDRESS OF ATTORNEY TELEPHONE NO. FOR COURT USE ONLY BAR NO.: ATTORNEY FOR: SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO 351 North Arrowhead Avenue, San Bernardino, CA 92415-0210 8303 Haven Avenue, Rancho Cucamonga, CA 91730 14455 Civic Drive, Victorville, CA 92392 235 East Mountain View, Barstow, CA 92311 6527 White Feather Road, Star Route 1, Box 60, Joshua Tree, CA 92252 216 Brookside Avenue, Redlands, CA 92373 17780 Arrow Highway, Fontana, CA 92335 13260 Central Avenue, Chino, CA 91710 PLAINTIFF: DEFENDANT(S): FILE NUMBER: DECLARATION RE: CHANGE OF ADDRESS CASE NUMBER: PETITIONER / PLAINTIFF RESPONDENT / DEFENDANT hereby notifies the Court and the parties of the above-entitled case of his/her change of address to: Name Street City State Zip Code 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) 13-19530-360 Rev. 11/94 (Signature) SB-28 2002 © American LegalNet, Inc. PROOF OF SERVICE BY MAIL I am over the age of 18 and not a party to this action. I am a resident of or employed in the county where the mailing occurred. My residence or business address is: I served a copy of the CHANGE OF ADDRESS by placing a true copy of the document in the United States mail, in a sealed envelope with postage fully prepaid, as follows: a. Date of deposit: b. Place of deposit (city and state): c. Addressed as follows: I declare under penalty of perjury that the foregoing is true and correct and that this declaration is executed on (date) , at (place) , California. Type or Print Name Signature PROOF OF PERSONAL SERVICE I served a copy of the CHANGE OF ADDRESS to Name of person served by personally delivering copies to the person served as follows: a. Date of service: b. Time of service: c. Address: At the time of service I was at least 18 years of age and not a party to this cause. I declare under penalty of perjury that the foregoing is true and correct and that this declaration is executed on (date): , at (place) , California. Type or Print Name Signature 2002 © American LegalNet, Inc.