Santa Clara — Answer Sample

Source: https://santaclara.courts.ca.gov/system/files/self-help/answer-breach-k-verified-sample_rem.pdf

Sparse pages use OCR; original PDF remains authoritative.

ANSWER - VERIFIED

SAMPLE

Use the samples to help you complete the packet of blank forms. Rev. 4/14/2026

PLD-C-010 ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): TELEPHONE: FOR COURT USE ONLY: Your Name Phone Number Street Address City, State and Zip Code ATTORNEY FOR (NAME): Self-Represented Insert name of court, judicial district or branch court, if any, and post office and street address: Superior Court of California, County of Santa Clara 191 N. First Street San Jose, CA 95113 Civil Division

PLAINTIFF: Person/Company who is suing you

DEFENDANT: Your Name

ANSWER - Contract

X TO COMPLAINT OF (name): Person/Company who is suing you CASE NUMBER: TO CROSS-COMPLAINT (name): Your Court Case Number

# of attached pages (not
1. This pleading, including attachments and exhibits, consists of the following number of pages: including the proof of service)
2. DEFENDANT (name): Your Name

answers the complaint or cross-complaint as follows:
3. Check ONLY ONE of the next two boxes:
a. Defendant generally denies each statement of the complaint or cross-complaint. (Do not check this box if the verified complaintCheckor cross-complaintbox "3b", demandsyour typemore ofthancase$1,000.)does not allow you to
b. Defendant admits checkthat all ofboxthe statements"a". of the complaint or cross-complaint are true EXCEPT:
(1) Defendant claims the following statements are false (use paragraph numbers or explain):

Review the paperwork you were served and write the number of
the paragraphs that you believe are not true. Example: 3b or BC-1

Continued on Attachment 3.b.(1).
(2) Defendant has no information or belief that the following statements are true, so defendant denies them
(use paragraph numbers or explain):
Review the paperwork you were served and write the number of
the paragraphs that you are not sure are true. Example: 3b or
BC-1

Continued on Attachment 3.b.(2).
If this form is used to answer a cross-complaint, plaintiff means cross-complainant and defendant means cross-defendant. Page 1 of 2

Form Approved for Optional Use Code of Civil Procedure, § 425.12 Judicial Council of California ANSWER- Contract www.courtinfo.ca.gov PLD-C-010 [Rev. January 1, 2007]

PLD-C-010 Plaintiff'sSHORT TITLE: Name v Your Name CASE NUMBER: Your Court Case Number

ANSWER-Contract
4. AFFIRMATIVE DEFENSES
Defendant alleges the following additional reasons that plaintiff is not entitled to recover anything:

Read the attached affirmative defenses, if you see any that apply to your
case, check boxes "4", "Continued on Attachment 4" and the box(es) on
the attachment that apply to your case .

Continued on Attachment 4.
5. Other: If you would like to explain your side of the case, check box "5"
and write your explanation here.

6. DEFENDANT PRAYS
a. that plaintiff take nothing.
b. for costs of suit. X c. other (specify):

Print your name Sign your name
...................................................................................................................................................
(Type or print name) (Signature of party or attorney)

PLD-C-010 [Rev. January 1, 2007] ANSWER- Contract Page 2 of 2

VERIFICATION STATE OF CALIFORNIA, COUNTY OF SANTA CLARA I have read the foregoing ANSWER - CONTRACT

and know its contents.
X CHECK APPLICABLE PARAGRAPHS

••• I am a party to this action. The matters stated in the foregoing document are true of my own knowledge except as to those matters which are stated on information and belief, and as to those matters I believe them to be true. • I am • an Officer • a partner • a of , a party to this action, and am authorized to make this verification for and on its behalf, and I make this verification for that reason. • I am informed and believe and on that ground allege that the matters stated in the foregoing document are true.• The matters stated in the foregoing document are true of my own knowledge except as to those matters which are stated on information and belief, and as to those matters I believe them to be true. • I am one of the attorneys for , a party to this action. Such party is absent from the county of aforesaid where such attorneys have their offices, and I make this verification for and on behalf of that party for that reason. I am informed and believe and on that ground allege that the matters stated in the foregoing document are true. Executed on Today's date , at San Jose , California. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. .................................................................................................................................................Print your name Sign your name TYPE OR PRINT NAME SIGNATURE

PROOF OF SERVICE
1013a (3) CCP Revised 5/1/88
Santa Clara
STATE OF CALIFORNIA, COUNTY OF
I am employed in the county of Santa Clara , State of California.
I am over the age of 18 and not a party to the within action; my business address is: Server's Address (person
who mailed the forms) Date forms were mailed
On , I served the foregoing document described as
Write "Answer- Contract"

on in this action Plaintiff's Name • by placing the true copies thereof enclosed in sealed envelopes addressed as stated on the attached mailing list:

••• by placing • the original ••• a true copy thereof enclosed in sealed envelopes addressed as follows:

Plaintiff's Name and Address or Their Attorney's Name and Address, if they have one

••• BY MAIL , California. ••• *I deposited such envelope in the mail at CITYCity whereWHEREAnswerANSWERwas mailedWAS fromMAILED The envelope was mailed with postage thereon fully prepaid. • As follows: I am "readily familiar" with the firm's practice of collection and processing correspondence for mailing. Under that practice it would be deposited with U.S. postal service on that same day with postage thereon fully prepaid at California in the ordinary course of business. I am aware that on motion of the party served, service is presumed invalid if postal cancellation date or postage meter date is more than one day after date of deposit for mailing in affidavit. at , California. CityCITY whereOF WHEREserverSERVERsignsSIGNED Executed on DATEDate serverSERVERsignsSIGNED THIS FORM • **(BY PERSONAL SERVICE) I delivered such envelope by hand to the offices of the addressee. Executed on at , California. ••• (State) I declare under penalty of perjury under the laws of the State of California that the above is true and correct. • (Federal) I declare that I am employed in the office of a member of the bar of this court at whose direction the service was made. Name Server's Signature .................................................................................................................................................Server's Printed TYPE OR PRINT NAME SIGNATURE

*(BY MAIL SIGNATURE MUST BE OF PERSON DEPOSITING ENVELOPE IN

MAIL SLOT, BOX, OR BAG)

**(FOR PERSONAL SERVICE SIGNATURE MUST BE THAT OF MESSENGER)

Martin Dean's Essential Forms TM VERIFICATION SHC/FLF-SAMPLE

Plaintiff's Name v. Your Name Your Case Number

Check any box that applies to your case