YOUR NAME

1 Street Address
City, State, Zip
2 Phone Number (with area code)
Fax Number: if available
3 Email: if available

4
YOUR NAME, IN PRO PER
5

7
SUPERIOR COURT OF THE STATE OF CALIFORNIA
8
FOR THE COUNTY OF SAN DIEGO
9

10
NAME OF PLAINTIFF(S) ) Case No.:
11 )
Plaintiff(s), ) DECLARATION IN SUPPORT OF
12 ) MOTION FOR RELIEF FROM [ pick
vs. ) appropriate: DEFAULT
13 ) JUDGMENT/JUDGMENT/DISMISSAL/
NAME OF DEFENDANT(S), ) other proceeding]
14 )
) DATE: (date of hearing)
15 ) TIME: (time of hearing)
Defendant(s). ) DEPT: (department number)
16 )
) Judge: (name of hearing judge)
17 ) Dept: (department number)
) Action Filed: (date)
18 ) Trial Date: (Date or Unassigned)

19

20

21 I, [ INSERT YOUR NAME], declare:

22

23 1. I am the [plaintiff/ defendant] in the aboveentitled case and make this declaration in

24 support of my motion for an order [specify what you want:, e.g. vacating and setting aside

25 the judgment/ order, or proceedings from which you seek relief].

26 2. As shown by the records herein, of which the court is requested to take judicial notice, the

27 [specify the judgment ,etc] was [entered/taken] through my [mistake, or inadvertence, or

28 surprise, or excusable neglect, or any combination of these, whatever your situation is; refer
1
DECLARATION IN SUPPORT OF MOTION FOR RELIEF
 1 to your research] in that [state all the facts establishing the grounds for the motion, in other

2 words, the facts supporting your assertion of mistake, inadvertence, etc].

3 3. I have at all times acted diligently in seeking this relief as shown by the following facts:

4 [state how you became aware of the judgment, order, or proceeding from which the relief is

5 sought, and state the steps you took to get relief, and explain your good reason for every

6 delay between when you discovered the judgment, etc and the date this motion is filed]

8 I declare under penalty of perjury that the foregoing is true and correct.
9

10
EXECUTED ON: [Type date] AT [type City], California
11
Your signature
12 YOUR NAME
In Pro Per/ [Plaintiff or Defendant]
13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28
2
DECLARATION IN SUPPORT OF MOTION FOR RELIEF