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Name:
Address:
City/State/Zip:
Phone Number:
SUPERIOR COURT OF CALIFORNIA
COUNTY OF SAN FRANCISCO
UNIFIED FAMILY COURT
Petitioner,
and
Respondent
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Case No.:
DECLARATION REGARDING
ACCEPTANCE OF SERVICE AT P.O.
BOX
1. I am the Petitioner Respondent in this matter.
2. I request that the Court file my Petition/Response with a P.O. Box. I am unable to provide a
physical address on my Petition/Response for the following reason:
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3. I understand that California Code of Civil Procedure § 1013 requires that documents served
by mail must be served at a physical address, not at a P.O. Box. I further understand that by
failing to provide a physical address on my pleading, the opposing party in this case may not
be able to comply with that requirement.
4. Therefore, I agree to accept service of documents related to this matter at the P.O. Box listed
on my Petition Response.
5. I declare under penalty of perjury under the laws of the State of California that the foregoing
is true and correct.
Dated:
Print Name Signature
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