San Bernardino — SB-349

Source: https://sanbernardino.courts.ca.gov/system/files/sb-349fillable.pdf

Attorney or Party without Attorney ( Name, Address and Telephone number) For Court Use Only

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO Barstow District, 235 East Mountain View, Barstow, CA 92311 Fontana District, 17780 Arrow Blvd, Fontana, 92335 Joshua Tree District, 6527 White Feather Road, Joshua Tree, CA 92252 Rancho Cucamonga District, 8303 Haven Avenue, Rancho Cucamonga, CA 91730 Victorville District, 14455 Civic Drive, Victorville, CA 92392

Title of Case (abbreviated)

CASE NUMBER:

APPLICATION FOR JUDGMENT FOR RESTITUTION OF PREMISES ONLY PURSUANT TO C.C.P. 1169

I am the plaintiff/attorney in the above-entitled action. Defendant(s)

was/were served with a summons and complaint on and has/have

not appeared and/or answered the complaint. Proof of service of the three-day/thirty day notice to pay

or quit and Proof of Service of Summons and Complaint have been filed with the clerk. Pursuant to

C.C.P. 1169, Request to Enter Default having been filed, I, the undersigned, request that the default and

default judgment be entered for restitution of the premises located at _____________________,

California, and that a Writ of Execution issue for possession of premises only.

The defendant(s) is/are in possession of the premises.

I certify, under penalty of perjury, that the foregoing is true and correct.

Executed on at , California.

Signature

Print Name

APPLICATION FOR JUDGMENT FOR RESTITUTION OF PREMISES ONLY, PURSUANT TO C.C.P. 1169

13-16418-360 SB-349 (Civil) Rev 08-2013