CIV-152: CIV 152 Form | CA Small Claims

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Atty Name

Atty Firm

Atty Street

Atty City

Atty State

Atty Zip

Phone

Fax

Email

Atty For

Crt County

Street

Mailing Add

City Zip

Branch

Party

Case Number

Party

Jud Officer

Department

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Party Indicate Cb

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Attachment

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Mail Cb

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Party Sig Date

Party Print Name

Declarant Date

Declarant Print Name

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Party

Case Number

Party

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