SDSC SC - 020 ( Rev 12 /17 ) DECLARATION OF MILITARY STATUS SMALL CLAIMS 50 App. U.S.C. 247247 501 et seq. Mandatory Form 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 C LAIMS, 330 W. BROADWAY, SAN DIEGO, CA 92101 PLAINTIFF (S) DEFENDANT (S) DECLARATION OF MILITARY STATUS SMALL CLAIMS CASE NUMBER I, certify that, (print name) Select one of the following three statements and provide the requested information: 1. Plaintiff Defendant IS NOT now in the military service of the (print name) United States as defined in section 511 of the Servicemembers Civil Relief Act (Title 50 Appendix of the United States Code, 50 App. U.S.C. 247247 501 et seq.) and not entitled to the benefits of said Act. 2. Plaintiff Defendant IS in the military service of the United (print name) States as defined in section 511 of the Servicemembers Civil Relief Act. The plaintiff defendant is presently residing at (street) (city) (state) (zip code) a nd has been served with the Claim of Plaintiff Defendant and ordered to appear on (date ) at a.m. p.m. in the above - entitled matter. The service member is fully aware of this action (time ) and is fully capable of appearing in this court. I understand that a party entitled to protection under the Servicemembers Civil Relief Act may submit proper request for a stay as defined in section 522 of the Servicemembers Civil Relief Act, and that any judgment or order is voidable upon application by the service person and a showing of good cause. 3. I am UNABL E TO DETERMINE whether or not plaintiff defendant (print name) is a member of the military service of the United States as defined by section 511 of the Servicemembers Civil Relief Act. I declare under penalty of per jury under the laws of the State of California that the foregoing is true and correct. Date: Signature of Declarant American LegalNet, Inc. www.FormsWorkFlow.com