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 26 27 28 ________________________ ________________________ ________________________ SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN LUIS OBISPO ) Case No.: PR__________________ ) ) DECLARATION OF ) ____________________________________ ____________________________________ ) ) (Insert name of case) ) ) ) I, _____________________, am over 18 years old. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ DECLARATION Form Adopted for Optional Use San Luis Obispo Superior Court Local Form PR001 Rev. 8/31/12 -1American 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 26 27 28 ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:_____________ ____________________________________ ____________________________________ (Print name) DECLARATION Form Adopted for Optional Use San Luis Obispo Superior Court Local Form PR001 Rev. 8/31/12 -2American LegalNet, Inc. www.FormsWorkFlow.com