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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, Defendants.

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Case No. REQUEST FOR STATEMENT OF DAMAGES

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TO PLAINTIFF, ____________________ AND THEIR ATTORNEYS OF RECORD: NOTICE IS HEREBY GIVEN that Defendant, _________________________________ pursuant to Code of Civil Procedure Section 425.11, hereby requests that you provide a Statement of Damages setting forth the nature and amount of the damages being sought against Defendant, __________________in the above-entitled action.
- 1 REQUEST FOR STATEMENT OF DAMAGES

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Said Statement of Damages must be in writing and served on the requesting party within 15 days of the date of service of this Request for Statement of Damages.

Dated________________

_______________________________________________ ANY ATTORNEY OR PARTY

- 2 REQUEST FOR STATEMENT OF DAMAGES

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PROOF OF SERVICE I am over the age of 18 and not a party to this action. I am a resident of or employed in the county where the mailing occurred; my business/residence address is: ADDRESS OF PERSON SERVING PAPERS. On ____________________ I served the foregoing document(s) described as: REQUEST FOR STATEMENT OF DAMAGES to the following parties: NAME AND ADDRESS OF ATTORNEY FOR OTHER PARTY OR OTHER PARTY [X] (By U.S. Mail) I deposited such envelope in the mail at ___________California, with postage thereon fully prepaid. I am aware that on motion of the party served, service is presumed invalid if postal cancellation date or postage meter date is more than one day after date of deposit for mailing in affidavit. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. DATED: ______________ _______________________________________ NAME OF PERSON SERVING PAPERS

- 3 REQUEST FOR STATEMENT OF DAMAGES

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