1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Name: Address: City/State/Zip: Phone Number: SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN FRANCISCO UNIFIED FAMILY COURT Petitioner, and Respondent ) ) ) ) ) ) ) ) ) ) ) ) Case No.: DECLARATION REGARDING ACCEPTANCE OF SERVICE AT P.O. BOX 1. I am the Petitioner/Respondent in this matter. 2. I request that the Court file my Petition/Response with a P.O. Box. I am unable to provide a physical address on my Petition/Response for the following reason: -1 American LegalNet, Inc. www.FormsWorkflow.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 3. I understand that California Code of Civil Procedure § 1013 requires that documents served by mail must be served at a physical address, not at a P.O. Box. I further understand that by failing to provide a physical address on my pleading, the opposing party in this case may not be able to comply with that requirement. 4. Therefore, I agree to accept service of documents related to this matter at the P.O. Box listed on my Petition/Response. 5. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Dated: Print Name Signature -2 American LegalNet, Inc. www.FormsWorkflow.com