1 Any Party

Any Street
2 Any Town, CA 55555

3 714-555-5555

4 Petitioner, In Pro Per

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Superior Court of the State of California
9 County of ______________________

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11 In re the marriage of: ) Case No.

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12 Petitioner: _________________________ ) DECLARATION OF __________________ IN
) SUPPORT OF ________________________
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Date:
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14 Respondent:____________________________ ) Time:
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) Dept:
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I, ______________________________, declare:
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1. That I am the __________ in this action. I am over the age of 18 years. I have personal
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knowledge of the facts contained in this declaration, and if called upon to testify I could and would testify
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competently as to the truth of the facts stated herein.
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2. I make this Declaration in support of my ________________________
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DECLARATION OF ___________ IN SUPPORT OF ________
 1 I declare under penalty of perjury under the laws of the State of California that the foregoing is true

2 and correct and that this Declaration is executed on ______________________, 2011at_________,California.

4 __________________________________________
NAME OF PERSON SIGNING DECLARATION
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DECLARATION OF ___________ IN SUPPORT OF ________