San Mateo — Declaration Re. Lost Copy

Source: https://sanmateo.courts.ca.gov/system/files/local-forms/sc-31.pdf

Attorney or Party without Attorney (Name/Address) Court Use Only

Telephone No.: Fax No.: E-mail:E-mail:E-mail:E-mail:E-mail:E-mail:E-mail:E-mail:E-mail:E-mail:E-mail: State Bar No.: SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN MATEO Small Claims Division 400 County Center, Redwood City, CA 94063 (650) 261-5100 option 6 Plaintiff/Petitioner:

Defendant/Respondent:

Case Number: DECLARATION OF LOST COPY OF COURT RECORD

I , declare under penalty of perjury, that the following is true and correct:

OnOn Plaintiff/Defendantlaintiff/Defendant receivedreceived aa which was a copy of the original on file heein; that subsequent to and rior to service, said copy was lost.

It is therefore requested that the court issue another copy of said document. Declarant agrees to hold the court and clerks harmless from any liability.

Executed and sworn on this Day of , 2 .

Declarant

(Print Name)

Form adopted for Mandatory Use SC-31 [Rev.5/20] DECLARATION OF LOST COPY OF COURT RECORD www.sanmateo.courts.ca.gov