Fillable Form 1: 2 3 4 5 (CEB)

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Form 1: 2 3 4 5 (CEB)

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CASE NUMBER:
SHORT TITLE:
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(Required for verified pleading) The items on this page stated on information and belief are (specify item numbers, not line
numbers):
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This page may be used with any Judicial Council form or any other paper filed with the court.
Page
ADDITIONAL PAGE
Attach to Judicial Council Form or Other Court Paper
Form Approved for Optional Use
Judicial Council of California
MC-020 [New January 1, 1987]
CRC 201, 501
www.ceb.com
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Form 1: 2 3 4 5 (CEB)

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Completed 14 April 2022

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