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Any Attorney or Party Any Street Any Town, CA 99999 555-555-5555 Any attorney or party

Superior Court of the State of California For the County of ____________

Any Plaintiff, Plaintiff, vs. Any Defendant, Does 1-50, inclusive, Defendants.

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Case No. DECLARATION OF __________ PURSUANT TO SECTION 377.32 OF THE CODE OF CIVIL PROCEDURE

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1I, _______, declare as follows: 1. I am over the age of 18 years. I have personal knowledge of the facts contained in

this declaration, and if called as a witness I could and would testify competently to the truth of the
- 1 DECLARATION OF _______ PURSUANT TO SECTION 377.32 OF THE CODE OF CIVIL PROCEDURE

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facts stated herein. 2. 3. I am the _______ of ___________, who died on __________ at ______, California. No proceeding is now pending in the State of California for administration of the

Estate of _______________________. 4. I am one of the successors in interest to ______________, as defined in Section

377.11 of the Code of Civil Procedure, and succeed to their interest in the above-entitled proceeding. 5. I am authorized by the other successors in interest to ________________ to act on

their behalf in the above-entitled proceeding. 6. No other person has a superior right to commence the above-entitled proceeding or to

be substituted for ______________________ in the above-entitled proceeding. 7. A certified copy of the death certificate for ___________ is attached hereto as

Exhibit A and incorporated herein by reference. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on __________________,2013 at _____, California. __________________________________________ NAME OF PERSON SIGNING DECLARATION

- 2 DECLARATION OF _______ PURSUANT TO SECTION 377.32 OF THE CODE OF CIVIL PROCEDURE