California > Local County > Riverside > Small Claims
Small Claims Declaration RI-SCL006 - California
| Small Claims Declaration Form. This is a California form and can be used in Small Claims Riverside Local County . |
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SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE BANNING 135 N. Alessandro Rd., Banning, CA 92220 BLYTHE 265 N. Broadway, Blythe, CA 92225 HEMET 880 N. State St., Hemet, CA 92543 INDIO 46-200 Oasis St., Indio, CA 92201 MORENO VALLEY 13800 Heacock St., Ste. D201, Moreno Valley, CA 92553 MURRIETA 30755-D Auld Road, Suite 1226, Murrieta, CA 92563 RIVERSIDE 4050 Main St., Riverside, CA 92501 TEMECULA 41002 County Center Dr., Ste. 100, Temecula, CA 92591 RI-SCL006 PARTY (Name and Address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional); ATTORNEY FOR (Name); FAX NO. (Optional): PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: CASE NUMBER: SMALL CLAIMS DECLARATION (CCP§ 170.6) I, Plaintiff/Petitioner in this action. Defendant/Respondent Other: declare that I am the The Judge/Commissioner: of the above entitled court before whom the trial of the aforesaid action is assigned, is prejudiced against the interest of said party cannot, or he/she believes that he/she cannot, have a fair and impartial trial or hearing before said Judge/Commissioner. I, the undersigned declare under penalty of perjury under the laws of the State of California that I am the judgment debtor and the above statements are true and correct. Date: (SIGNATURE OF DECLARANT) The declaration having been timely filed; the clerk may proceed to send case for re-assignment. The declaration not having been timely filed; the case will not be reassigned. Date: (JUDGE OF THE SUPERIOR COURT) Approved for Optional Use Riverside Superior Court RI-SCL006 [Rev. 09/13/12] SMALL CLAIMS DECLARATION (CCP§ 170.6) Code of Civil Procedure §170.6 riverside.courts.ca.gov/localfrms/localfrms.shtml Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com
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