ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) FOR COURT USE ONLY TELEPHONE NO: ATTORNEY FOR (NAME): FAX NO: SUPERIOR COURT OF CALIFORNIA COUNTY OF YUBA 215 FIFTH STREET, SUITE 200 MARYSVILLE, CA 95901 (530) 749-7600 PLAINTIFF: vs. DEFENDANT: JUDICIAL APPROVAL OF NOTICE OF PENDENCY OF ACTION [LIS PENDENS - CCP § 405.21] CASE NUMBER: I, the undersigned, hereby certify that I have filed, in propria persona, an action concerning real property or affecting title to or the right of possession of real property, in the Office of Clerk of the Superior Court of the County of Yuba, in the above-entitled matter. Dated: ___________________________ ................................... (Type or Print Name) ___________________________________ Declarant, In Propria Persona APPROVED. Dated: ___________________________ _____________________________________ JUDGE OF THE SUPERIOR COURT Form Adopted for Mandatory Use Yuba County Superior Court Effective 7/01/03 JUDICIAL APPROVAL OF NOTICE OF PENDENCY OF ACTION [LIS PENDENS - CCP § 405.21] CV03012 American LegalNet, Inc. www.FormsWorkFlow.com