IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON IN AND FOR THE COUNTY OF KING0 NO. Plaintiff, vs. Defendant. 1.1 DECLARATION REGARDING CASE ASSIGNMENT AREA (Clerk's Action Required) SCOMIS CODE: AFACAS/AFCCAS I. DECLARATION I am the party or I represent the party that initiated this case in King County Superior Court. 1.2 I am filing this declaration within 30 days of the date of the original filing of this case in King County Superior Court. The case was filed on or after September 1, 1995. 1.3 No Case Assignment Area Designation Form was filed with the papers that originated this case; therefore the Court designated the Case Assignment Area for this case. 1.4 I make one of the following declarations: [] The proper Case Assignment Area designation of this case has been made by the Court. I affirm that this case should be assigned to ________________, based upon King County Local Civil Rule 82(e). OR [] The Case Assignment Area designated by the Court is not the proper location for the above captioned matter. Pursuant to King County Local Rule 82(e), the Clerk of the Court is directed to record the proper assignment area: [] Seattle Area, defined as All of King County north of Interstate 90 and including all of the Interstate 90 right-of-way; all of the cities of Seattle, Mercer Island, Bellevue, Issaquah and North Bend; and all of Vashon and Maury Islands. [] Kent Area, defined as All of King County south of Interstate 90 except those areas included in the Seattle Case Assignment Area. DECLARATION REGARDING CASE ASSIGNMENT AREA L:\ FORMS\COPYCTR\misc forms (8/2008) PAGE 1 OF 2 American LegalNet, Inc. www.FormsWorkFlow.com II. CERTIFICATION State of Washington ) :ss. County of King ) I declare under penalty of perjury under the laws of the State of Washington that I have read this declaration, know its contents, and I believe the declaration is true. Dated this ______________ day of _____________________, 20_____. __________________________________ Signature of Submitting Party ________________________________ Printed Name and WSBA # (if attorney) ________________________________ Address ________________________________ DECLARATION REGARDING CASE ASSIGNMENT AREA L:\ FORMS\COPYCTR\misc forms (8/2008) PAGE 2 OF 2 American LegalNet, Inc. www.FormsWorkFlow.com