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Here is the text we could read:

ATTORNEY OR PARTY WITHOUT ATTORNEY

STATE BAR NUMBER:

FOR COURT USE ONLY

UD-120

STATE:

FAX NO.:

ZIP CODE:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

EMAIL ADDRESS:

ATTORNEY FOR (name):

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PLAINTIFF:

DEFENDANT:

VERIFICATION BY LANDLORD REGARDING
RENTAL ASSISTANCE—UNLAWFUL DETAINER

CASE NUMBER:

This form must be filed by the plaintiff with any request for default judgment in any unlawful detainer action seeking possession of
residential property based on nonpayment of rent or any other financial obligation under a lease. It may also be used at other times
as appropriate or when requested by a judicial officer.

1. The landlord of the property at issue in this case is (name):

2. All of the following statements are true:

Landlord has not received rental assistance or other financial compensation from any other source corresponding to the
amount demanded in the notice underlying the complaint in this action.

Landlord has not received rental assistance or other financial compensation from any other source for rent accruing after
the date of the notice underlying the complaint in this action.

Landlord does not have any pending application for rental assistance or other financial compensation from any other
source corresponding to the amount demanded in the notice underlying the complaint in this action.

Landlord does not have any pending application for rental assistance or other financial compensation from any other
sources for rent accruing after the date of the notice underlying the complaint in this action.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

(TYPE OR PRINT NAME)

(SIGNATURE)

(TITLE—provide if signing on behalf of corporation or other business entity)

Date:

Form Adopted for Mandatory Use
Judicial Council of California
UD-120 [Rev. July 16, 2022]

VERIFICATION BY LANDLORD REGARDING
RENTAL ASSISTANCE—UNLAWFUL DETAINER

Health & Safety Code, § 50897.3(e)(2)

Page 1 of 1

Verification by Landlord Regarding Rental Assistance—Unlawful Detainer

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 1
Fields(s): 23
Average fields per page: 23
Reading Level: Grade 9
LIST Grouping(s): HO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

u_page_p_caption_case_number was UD-120[0].Page1[0].Page1[0].P1Caption[0].CaseNumber[0].CaseNumber[0] (0.55 conf)
u_page_p_caption_atty_party_info_bar was UD-120[0].Page1[0].Page1[0].P1Caption[0].AttyPartyInfo[0].AttyBarNo[0] (0.39 conf)
u_page_p_caption_atty_party_info_name was UD-120[0].Page1[0].Page1[0].P1Caption[0].AttyPartyInfo[0].Name[0] (0.40 conf)
u_page_p_caption_atty_party_info_firm was UD-120[0].Page1[0].Page1[0].P1Caption[0].AttyPartyInfo[0].AttyFirm[0] (0.40 conf)
u_page_p_caption_atty_party_info_street was UD-120[0].Page1[0].Page1[0].P1Caption[0].AttyPartyInfo[0].Street[0] (0.40 conf)
u_page_p_caption_atty_party_info_city was UD-120[0].Page1[0].Page1[0].P1Caption[0].AttyPartyInfo[0].City[0] (0.40 conf)
u_page_p_caption_atty_party_info_state was UD-120[0].Page1[0].Page1[0].P1Caption[0].AttyPartyInfo[0].State[0] (0.40 conf)
u_page_p_caption_atty_party_info_zip was UD-120[0].Page1[0].Page1[0].P1Caption[0].AttyPartyInfo[0].Zip[0] (0.40 conf)
u_page_caption_party_info_phone was UD-120[0].Page1[0].Page1[0].P1Caption[0].AttyPartyInfo[0].Phone[0] (0.40 conf)
u_page_p_caption_atty_party_info_fax was UD-120[0].Page1[0].Page1[0].P1Caption[0].AttyPartyInfo[0].Fax[0] (0.40 conf)
u_page_caption_party_info_email was UD-120[0].Page1[0].Page1[0].P1Caption[0].AttyPartyInfo[0].Email[0] (0.40 conf)
u_page_p_caption_atty_party_info was UD-120[0].Page1[0].Page1[0].P1Caption[0].AttyPartyInfo[0].AttyFor[0] (0.40 conf)
u_page_caption_court_info_county was UD-120[0].Page1[0].Page1[0].P1Caption[0].CourtInfo[0].CrtCounty[0] (0.41 conf)
u_page_caption_court_info_street was UD-120[0].Page1[0].Page1[0].P1Caption[0].CourtInfo[0].CrtStreet[0] (0.41 conf)
u_page_caption_court_info_add was UD-120[0].Page1[0].Page1[0].P1Caption[0].CourtInfo[0].CrtMailingAdd[0] (0.42 conf)
u_page_caption_court_info_city was UD-120[0].Page1[0].Page1[0].P1Caption[0].CourtInfo[0].CrtCityZip[0] (0.37 conf)
u_page_caption_court_info_branch was UD-120[0].Page1[0].Page1[0].P1Caption[0].CourtInfo[0].CrtBranch[0] (0.41 conf)
u_page_caption_title_party_name__1 was UD-120[0].Page1[0].Page1[0].P1Caption[0].TitlePartyName[0].Party1[0] (0.37 conf)
u_page_caption_title_party_name__2 was UD-120[0].Page1[0].Page1[0].P1Caption[0].TitlePartyName[0].Party2[0] (0.37 conf)
u_page_list_item_text_field was UD-120[0].Page1[0].Page1[0].List1[0].item1[0].TextField1[0] (0.38 conf)
u_page_sign_date was UD-120[0].Page1[0].Page1[0].Sign[0].Date[0] (0.37 conf)
u_page_sign_print_name__1 was UD-120[0].Page1[0].Page1[0].Sign[0].PrintName[0] (0.39 conf)
u_page_sign_print_name__2 was UD-120[0].Page1[0].Page1[0].Sign[0].PrintName1[0] (0.39 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Verification by Landlord Regarding Rental Assistance—Unlawful Detainer

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Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02