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State Bar No: ______
(____) _____ - ________
Attorney for _______ (Or "In Pro Per")
[PLAINTIFF(S) NAMES]
Plaintiffs,
v.
[DEFENDANT(S) NAMES]
Defendants
________________________________
herein mentioned, each of the defendants sued herein was the agent and
employee of each of the remaining defendants and was at all times acting within
the purpose and scope of such agency and employment.
<>. Neither the whole nor part of this sum has been paid [except the sum of $__] although demand
therefor has been made, and there is now due, owing, and unpaid the sum of $___ with interest
thereon at the rate of __ percent per annum from ___, 19__.
<>. Neither the whole nor any part of the above sum has been paid, [except the sum of $__]
although payment has been demanded, leaving a balance due, owing, and unpaid to plaintiff in the
sum of $___, together with interest thereon at the rate of ___ per annum from ___, 19__.
<>. Neither the whole nor any part of the above sum has been paid, [except the sum of $__]
although payment has been demanded, leaving a balance due, owing, and unpaid to plaintiff in the
sum of $___, together with interest thereon at the rate of ___ per annum from ___, 19__.
<>. Neither the whole nor any part of the above sum has been paid, [except the sum of $__]
although demand therefor has been made, and there is now due and owing, and unpaid the sum of
$__, with interest thereon at the rate of ___ percent per annum from ___, 19__.
<>. Neither the whole nor any part of the above sum has been paid [except the sum of $__] not
withstanding that demand has been made for payment, and there is now due, owing, and unpaid
from defendant to plaintiff the sum of $___, together with interest thereon at the rate of __ percent
per annum from ___, 19__.
<>. Within the last __ years on or about ___, 19__ at __, California, plaintiff__ rendered work, labor,
and services to defendant__ at the special request of defendant__ for which defendant__, then and
there, promised to pay plaintiff__ the reasonable value of such services.
<>. At all times herein mentioned, the above services were and are of the reasonable value of $___.
<>. No part of the above sum has been paid, [except the sum of $__] not withstanding that plaintiff
has demanded payment therefor, and there is now due, owing, and unpaid from defendant to
DATED:
_______________
__________________________________________
(Signature)
VERIFICATION
I, ___, am a ___in the above-entitled action. I have read the foregoing___and know
the contents thereof. The same is true of my own knowledge, except as to those
matters which are therein alleged on information and belief, and as to those
matters, I believe it to be true.
I declare under penalty of perjury that the foregoing is true and correct and that
this declaration was executed at Long Beach, California.