SUPERIOR COURT OF CALIFORNIA

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA

STREET ADDRESS: MAILING ADDRESS:

191 N. First St., San Jose, CA 191 N. First Street

CITY AND ZIP CODE: San Jose, CA 95113

DIVISION:

Downtown Superior Courthouse, Small Claims Unit

PLAINTIFF:

DEFENDANT:

SC-8022

FOR COURT USE ONLY

SMALL CLAIMS DECLARATION (AB 3088, SB 91, AB 832) CASE NUMBER:

Please check only one of the following boxes.

This case does not involve past-due rent.

I am a landlord, and I am seeking past-due rent owed starting March 1, 2020, and before September 30, 2021 for a residential lease.

I am a landlord, and I am seeking past-due rent for a commercial lease.

I am a landlord, and I am seeking past-due rent owed before March 1, 2020.

I declare under the laws of the state of California that the above is true and correct.

Dated:

Signed:

Print your name:

To be completed by the Clerks' Office:

Judicial Order required: Yes No

DATE:

________________________________ Clerk of the Court

ORDER Plaintiff can file the claim for past-due rent now. Plaintiff cannot file the claim for past-due rent until November 1, 2021.

DATE:

JUDICIAL OFFICER

SC-8022 Rev 6/30/2021

SMALL CLAIMS ORDER

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