UD-120 Verification by Landlord Regarding Rental Assistance—Unlawful Detainer

Source: https://www.courts.ca.gov/documents/ud120.pdf

UD-120 ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER: FOR COURT USE ONLY NAME: FIRM NAME: STREET ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE NO.: FAX NO.: EMAIL ADDRESS: ATTORNEY FOR (name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PLAINTIFF: DEFENDANT:

CASE NUMBER:

VERIFICATION BY LANDLORD REGARDING RENTAL ASSISTANCE—UNLAWFUL DETAINER

This form must be filed by the plaintiff with any request for default judgment in any unlawful detainer action seeking possession of residential property based on nonpayment of rent or any other financial obligation under a lease. It may also be used at other times as appropriate or when requested by a judicial officer.

1. The landlord of the property at issue in this case is (name):

2. All of the following statements are true:
a. Landlord has not received rental assistance or other financial compensation from any other source corresponding to the
amount demanded in the notice underlying the complaint in this action.

b. Landlord has not received rental assistance or other financial compensation from any other source for rent accruing after
the date of the notice underlying the complaint in this action.
c. Landlord does not have any pending application for rental assistance or other financial compensation from any other
source corresponding to the amount demanded in the notice underlying the complaint in this action.

d. Landlord does not have any pending application for rental assistance or other financial compensation from any other
sources for rent accruing after the date of the notice underlying the complaint in this action.

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

Date:

(TYPE OR PRINT NAME) (SIGNATURE)

(TITLE—provide if signing on behalf of corporation or other business entity)

Form Adopted for Mandatory § 50897.3(e)(2) Use VERIFICATION BY LANDLORD REGARDING Health & Safety Code,Judicial Council of California www.courts.ca.gov UD-120 [Rev. July 16, 2022] RENTAL ASSISTANCE—UNLAWFUL DETAINER