Santa Barbara — SC-8014

Source: https://www.santabarbara.courts.ca.gov/system/files/forms-and-filings/sc8014.pdf

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ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): TELEPHONE NO.: FOR COURT USE ONLY

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA BARBARA STREET ADDRESS:

CITY AND ZIP CODE: BRANCH NAME:

PLAINTIFF: People of the State of California

DEFENDANT:

CASE NUMBER:

DECLARATION

I, _________________________________, declare that the following statements are true and correct: (print your name)

1. I was not charged or convicted on or about ______________ of violation(s) _____________________. I did not violate a written promise to appear.

Explanation: ________________________________________________________________________

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(Attach supporting documents such as time cards, letter from employer or witnesses, etc.)

2. I am enclosing a copy of a picture ID with signature.

I certify under penalty of perjury that the above statements are fully understood and true.

Dated: Declarant’s signature

SC-8014 [Rev. July 3, 2003] DECLARATION Clear Fields Print Form