Madera — Unlawful Detainer Supplemental Cover Sheet (MAD-CIV-018)

Source: https://www.madera.courts.ca.gov/system/files/forms-and-filings/mad-civ-018-unlawful-detainer-supplemental-cover-sheet-new-09-01-2020_0.pdf

MAD-CIV-018

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY

TELEPHONE NO: E-MAIL ADDRESS (optional): ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF MADERA 200 South G Street Madera, California 93637 Civil Division

PLAINTIFF: RELATED CASE NO. : ____________ DEFENDANT:

UNLAWFUL DETAINER
SUPPLEMENTAL COVER SHEET CASE NUMBER: _______

I, ________________________, am the _____________________________________in the case of the

property located at __________________________________________.

Pursuant to Code Of Civil Procedure Section 1179.01.5, I declare that:

1. This action seeks possession of real property that is:

a. Residential

b. Commercial

2. (Complete only if paragraph 1(a) is checked) This action is based, in whole or in part, on an alleged default in payment of rent or other charges.

a. Yes

b. No

3. This is an ACTION FOR RECOVERY OF COVID-19 RENTAL DEBT AS DEFINED UNDER CODE OF CIVIL PROCEDURE SECTION 1179.02.

a. Yes

b. No

I declare under the penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date: ___________________

SIGN

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(Type or Print Name) Signature of Party or Attorney for Party

Form Adopted for Optional Use UNLAWFUL DETAINER SUPPLEMENTAL California Code of Civil Procedure Madera Superior Court Local Form COVER SHEET §§1179.01.5, 1170.02 MAD-CIV-018 [New 09/01/2020]