This form contains 211 fields organized into 38 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Answering Defendant(s)
Defendant(s) 1 Text
Enter the full name(s) of all defendants for whom this answer is filed.
Attorney or Party Information
State Bar Number Text
Enter the attorney's state bar number.
Attorney or Party Name Text
Enter the full name of the attorney or party.
Firm Name Text
Enter the name of the law firm, if applicable.
Street Address Text
Enter the street address of the attorney or party.
City Text
Enter the city of the attorney or party's address.
State Text
Enter the state of the attorney or party's address.
Max length: 2 characters
ZIP Code Text
Enter the ZIP code of the attorney or party's address.
Telephone Number Text
Enter the telephone number of the attorney or party.
Fax Number Text
Enter the fax number of the attorney or party, if available.
Email Address Text
Enter the email address of the attorney or party.
Attorney For (Name) Text
Enter the name of the party for whom the attorney is appearing.
Case Information
Case Number Text
Enter the official case number assigned to this legal action.
Plaintiff Name Text
Enter the full legal name of the plaintiff in this case.
Defendant Name Text
Enter the full legal name of the defendant in this case.
Case Number Text
Enter the official case number assigned to this legal proceeding.
Plaintiff Name Text
Enter the full name of the plaintiff in this case.
Defendant Name Text
Enter the full name of the defendant in this case.
Case Number Text
Enter the official case number for this legal proceeding.
Plaintiff Name Text
Enter the full name of the plaintiff in this case.
Defendant Name Text
Enter the full name of the defendant in this case.
Case Number Text
Enter the case number associated with this legal action.
Plaintiff Name Text
Enter the full name of the plaintiff.
Defendant Name Text
Enter the full name of the defendant.
Case Number
Case Number Text
Provide the case number for this legal proceeding.
Case Parties
Plaintiff Text
Enter the full name of the plaintiff.
Defendant Text
Enter the full name of the defendant.
Court Filing Status
Court Filing Status: Defendant Filed COVID-19 Financial Distress Checkbox
Check this box if the defendant is currently filing or has already filed a declaration of COVID-19-related financial distress with the court.
Court Information
Court County Text
Enter the name of the county for the Superior Court of California.
Court Street Address Text
Provide the street address of the court.
Court Mailing Address Text
Enter the mailing address for the court.
Court City and Zip Code Text
Enter the city and zip code of the court.
Court Branch Name Text
Provide the name of the specific branch of the court.
COVID-19 Declaration Issues
Plaintiff did not provide an unsigned declaration of COVID-19 related financial distress with the 15-day notice. (Code Civil Procedure, section 1179.03(d).) CheckBox
Plaintiff did not provide an unsigned declaration of COVID-19–related financial distress in the language in which the landlord was required to provide a translation of the rental agreement. (Code Civil Procedure, section 1179.03(d).) CheckBox
Plaintiff identified defendant as a “high-income tenant” in the 15-day notice, but plaintiff did not possess proof at the time the notice was served establishing that defendant met the definition of high-income tenant. (Code Civil Procedure, section 1179.02.5(b).) CheckBox
Defendant Filed COVID-19 Declaration with Court Checkbox
Check this box if the defendant is currently filing or has already filed a declaration of COVID-19-related financial distress with the court.
Plaintiff Did Not Provide Unsigned COVID-19 Declaration with 15-Day Notice Checkbox
Check this box if the plaintiff failed to provide an unsigned declaration of COVID-19-related financial distress with the 15-day notice.
Plaintiff Did Not Provide COVID-19 Declaration in Required Language Checkbox
Check this box if the plaintiff failed to provide an unsigned declaration of COVID-19-related financial distress in the language required for the rental agreement translation.
Plaintiff Identified Defendant as High-Income Tenant Without Proof Checkbox
Check this box if the plaintiff identified the defendant as a 'high-income tenant' in the 15-day notice but lacked proof of this status at the time of service.
Defendant Delivered COVID-19 Declaration(s) and Documentation Checkbox
Check this box if the defendant delivered one or more declarations of COVID-19-related financial distress, and supporting documentation if they were a 'high-income tenant'.
COVID-19 Financial Obligation Defenses
l. Retaliation for COVID-19 Financial Obligation Nonpayment Checkbox
Check this box if the plaintiff's demand for possession of a residential property is in retaliation for nonpayment of rent or other financial obligations due between March 1, 2020, and September 30, 2021.
Plaintiff's demand for possession of a residential property is based on nonpayment of rent or other financial obligations due between March 1, 2020, and September 30, 2021, and (check all that apply) CheckBox
Plaintiff did not serve the general notice or notices of rights under the COVID-19 Tenant Relief Act as required by Code of Civil Procedure section 1179.04 CheckBox
Plaintiff did not serve the required 15-day notice. (Code Civil Procedure, section 1179.03(b) or (c).) CheckBox
m. Possession Based on COVID-19 Financial Obligation Nonpayment Checkbox
Check this box if the plaintiff's demand for possession of a residential property is based on nonpayment of rent or other financial obligations due between March 1, 2020, and September 30, 2021, and any of the following sub-conditions apply.
m.(1) Did Not Serve COVID-19 Tenant Relief Act Notice Checkbox
Check this box if the plaintiff did not serve the general notice or notices of rights under the COVID-19 Tenant Relief Act as required by Code of Civil Procedure section 1179.04.
m.(2) Did Not Serve Required 15-Day Notice Checkbox
Check this box if the plaintiff did not serve the required 15-day notice as per Code of Civil Procedure section 1179.03(b) or (c).
Declaration Delivery Description
6 - Defendant Delivered Declarations Checkbox
Check this box if the defendant delivered to the plaintiff one or more declarations of COVID-19-related financial distress and any required supporting documentation for a 'high-income tenant'.
Declaration Delivery Description Text
Provide a description of when and how the declarations of COVID-19-related financial distress and supporting documentation were delivered.
6a - Demand Includes Late Fees Checkbox
Check this box if the plaintiff's demand for payment includes late fees on rent or other financial obligations that were due between March 1, 2020, and September 30, 2021.
6b - Demand Includes Increased Service Fees Checkbox
Check this box if the plaintiff's demand for payment includes fees for services that were either increased or were not previously charged.
6c - Defendant Paid 25% of Rental Payments Checkbox
Check this box if the defendant, on or before September 30, 2021, paid or offered the plaintiff at least 25% of the total rental payments that were due between September 1, 2020, and September 30, 2021, and were demanded in the termination notices where declarations were delivered.
Defendant Requests
reasonable attorney fees CheckBox
that plaintiff be ordered to (1) make repairs and correct the conditions that constitute a breach of the warranty to provide habitable premises and (2) reduce the monthly rent to a reasonable rental value until the conditions are corrected CheckBox
Defendant Requests - Reasonable Attorney Fees Checkbox
Check this box if the defendant requests reasonable attorney fees.
Defendant Requests - Order Plaintiff to Make Repairs and Reduce Rent Checkbox
Check this box if the defendant requests the plaintiff be ordered to make repairs, correct conditions breaching the warranty to provide habitable premises, and reduce the monthly rent to a reasonable rental value until the conditions are corrected.
Defenses
Plaintiff violated the COVID-19 Tenant Relief Act (Code Civil Procedure, section 1179.01 et seq.) or a local COVID-19 related ordinance regarding evictions in some other way (briefly state facts describing this in item 3w) CheckBox
The property is covered by the federal CARES Act and the plaintiff did not provide 30 days' notice to vacate CheckBox
Plaintiff improperly applied payments made by defendant in a tenancy that was in existence between March 1, 2020, and September 30, 2021 (Code Civil Procedure, section 1179.04.5), as follows (check all that apply) CheckBox
Plaintiff applied a security deposit to rent, or other financial obligations due, without tenant’s written agreement CheckBox
Plaintiff applied a monthly rental payment to rent or other financial obligations that were due between March 1, 2020, and September 30, 2021, other than to the prospective month’s rent, without tenant’s written agreement CheckBox
Plaintiff refused to accept payment from a third party for rent due. (Civil Code, section 1947.3; Governmental Code, section 12955.) CheckBox
Defendant has a disability and plaintiff refused to provide a reasonable accommodation that was requested. 
(Cal. Code Regs., tit. 2, § 12176(c).) CheckBox
Other defenses and objections are stated in item 3w CheckBox
Defenses Details Text
Provide a description of the facts or defenses for the items checked above.
Description of facts or defenses are on form MC-025, titled as Attachment 3w CheckBox
Plaintiff's demand for possession is based only on late fees for defendant's failure to provide landlord payment within 15 days of receiving governmental rental assistance. (Health & Safety Code, section 50897.1(e)(2)(B).) CheckBox
Defense q. COVID-19 Tenant Relief Act Violation Checkbox
Check this box if the plaintiff violated the COVID-19 Tenant Relief Act or a local COVID-19-related eviction ordinance.
Defense r. CARES Act Property without 30-Day Notice Checkbox
Check this box if the property is covered by the federal CARES Act and the plaintiff failed to provide the required 30 days' notice to vacate.
Defense s. Improper Payment Application (2020-2021) Checkbox
Check this box if the plaintiff improperly applied payments made by the defendant in a tenancy existing between March 1, 2020, and September 30, 2021, and then select all applicable sub-options.
Defense s(1). Improperly Applied Security Deposit Checkbox
Check this box if the plaintiff applied a security deposit to rent or other financial obligations without the tenant's written agreement.
Defense s(2). Improperly Applied Rental Payment Checkbox
Check this box if the plaintiff applied a monthly rental payment to past due rent or other financial obligations (between March 1, 2020, and September 30, 2021) instead of prospective rent, without the tenant's written agreement.
Defense t. Refusal of Third-Party Payment Checkbox
Check this box if the plaintiff refused to accept a rent payment from a third party.
Defense u. Refusal of Reasonable Accommodation Checkbox
Check this box if the defendant has a disability and the plaintiff refused to provide a requested reasonable accommodation.
Defense v. Other Defenses in Item 3w Checkbox
Check this box if other defenses or objections exist and are described in item 3w.
Attachment 3w: Description of Facts/Defenses Checkbox
Check this box if the description of facts or defenses for any items checked above is provided on Form MC-025, titled as Attachment 3w.
Defense p. Late Fees from Governmental Rental Assistance Checkbox
Check this box if the plaintiff's demand for possession is solely based on late fees because the defendant failed to provide payment within 15 days of receiving governmental rental assistance.
Demand for Possession Details (March 2020 - March 2022)
For a tenancy initially established before October 1, 2021, plaintiff's demand for possession of a residential property is based on nonpayment of rent or other financial obligations due between March 1, 2020, and March 31, 2022, and (check all that apply) CheckBox
Plaintiff did not complete an application for rental assistance to cover the rental debt demanded in the complaint before filing the complaint in this action CheckBox
Plaintiff's application for rental assistance was not denied CheckBox
Plaintiff's application for rental assistance was denied for a reason that does not support issuance of a summons or judgment in an unlawful detainer action (check all that apply) CheckBox
Plaintiff did not fully or properly complete plaintiff's portion of the application. (Code Civil Procedure, section 1179.09(d)(2)(A).) CheckBox
Plaintiff did not apply to the correct rental assistance program. (Code Civil Procedure, section 1179.09(d)(2)(C).) CheckBox
An application for rental assistance was filed before April 1, 2022, and the determination is still pending CheckBox
Rental assistance has been approved and tenant is separately filing an application to prevent forfeiture (form UD-125) CheckBox
Tenancy Established Before Oct 1, 2021, Nonpayment Mar 2020 - Mar 2022 Checkbox
Check this box if the demand for possession is for a tenancy initially established before October 1, 2021, and is based on nonpayment of rent or other financial obligations due between March 1, 2020, and March 31, 2022.
Plaintiff Did Not Complete Rental Assistance Application Checkbox
Check this box if the plaintiff did not complete an application for rental assistance to cover the rental debt demanded in the complaint before filing the complaint in this action.
Plaintiff's Rental Assistance Application Not Denied Checkbox
Check this box if the plaintiff's application for rental assistance was not denied.
Plaintiff's Rental Assistance Application Denied For Specific Reason Checkbox
Check this box if the plaintiff's application for rental assistance was denied for a reason that does not support the issuance of a summons or judgment in an unlawful detainer action.
Plaintiff Did Not Fully Complete Their Application Portion Checkbox
Check this box if the plaintiff did not fully or properly complete their portion of the rental assistance application.
Plaintiff Did Not Apply To Correct Rental Assistance Program Checkbox
Check this box if the plaintiff did not apply to the correct rental assistance program.
Rental Assistance Application Filed Before April 1, 2022, Determination Pending Checkbox
Check this box if an application for rental assistance was filed before April 1, 2022, and the determination is still pending.
Rental Assistance Approved, Tenant Filing UD-125 Checkbox
Check this box if rental assistance has been approved and the tenant is separately filing an application to prevent forfeiture using Form UD-125.
Demand for Possession Details (October 2021 - March 2022)
Plaintiff's demand for possession of a residential property is based on nonpayment of rent or other financial obligations due between October 1, 2021, and March 31, 2022, and (check all that apply) CheckBox
Plaintiff's notice to quit was served before April 1, 2022, and CheckBox
Did not contain the required contact information for the pertinent governmental rental assistance program, or the other content required by Code of Civil Procedure section 1179.10(a) CheckBox
Did not did not include a translation of the statutorily required notice. (Code Civil Procedure, section 1179.10(a)(2) and Civil Code, section 1632.) CheckBox
Plaintiff's notice to quit was served between April 1, 2022, and June 30, 2022, and did not contain the required information about the government rental assistance program and possible protections, as required by Code of Civil Procedure section 1179.10(b) CheckBox
Demand for Possession (Oct 2021 - Mar 2022) Checkbox
Check this box if the plaintiff's demand for possession of a residential property is based on nonpayment of rent or other financial obligations due between October 1, 2021, and March 31, 2022.
Notice to Quit Served Before April 1, 2022 Checkbox
Check this box if the plaintiff's notice to quit was served before April 1, 2022.
Notice Lacked Rental Assistance Info (1a) Checkbox
Check this box if the notice to quit served before April 1, 2022, did not contain the required contact information for the pertinent governmental rental assistance program or other content required by Code of Civil Procedure section 1179.10(a).
Notice Lacked Required Translation (1b) Checkbox
Check this box if the notice to quit served before April 1, 2022, did not include a translation of the statutorily required notice as per Civil Code section 1632.
Notice to Quit Served Apr 1 - Jun 30, 2022, Lacked Info (2) Checkbox
Check this box if the plaintiff's notice to quit was served between April 1, 2022, and June 30, 2022, and did not contain the required information about the government rental assistance program and possible protections, as required by Code of Civil Procedure section 1179.10(b).
Demand for Possession with Pending Rental Assistance
Defendant provided plaintiff with a declaration under penalty of perjury for the Centers for Disease Control and Prevention's temporary halt in evictions to prevent further spread of COVID-19 (85 Federal Register 55292 at 55297), and plaintiff's reason for termination of the tenancy is one that the temporary halt in evictions applies to CheckBox
Plaintiff received or has a pending application for rental assistance from a governmental rental assistance program or some other source relating to the amount claimed in the notice to pay rent or quit. (Health & Safety Code, sections 50897.1(d)(2)(B) and 50897.3(e)(2).) CheckBox
Plaintiff received or has a pending application for rental assistance from a governmental rental assistance program or some other source for rent accruing since the notice to pay rent or quit. (Health & Safety Code, sections 50897.1(d)(2)(B) and 50897.3(e)(2).) CheckBox
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Plaintiff Received/Pending Rental Assistance (Noticed Amount) Checkbox
Check this box if the plaintiff received or has a pending application for rental assistance from a governmental rental assistance program or other source for the rental amount claimed in the notice to pay rent or quit.
Plaintiff Received/Pending Rental Assistance (Accrued Since Notice) Checkbox
Check this box if the plaintiff received or has a pending application for rental assistance from a governmental rental assistance program or other source for rent that has accrued since the notice to pay rent or quit was issued.
Denial Explanation
Denial Explanation Text
Provide a detailed explanation of why the defendant denies the statements, or list the specific paragraph numbers from form UD-101 that are being denied.
Explanation is on form MC-025, titled as Attachment 2b(2)(d) CheckBox
Explanation on Form MC-025 Checkbox
Check this box if the explanation for the denial is provided on Form MC-025, titled as Attachment 2b(2)(d).
Denial of Allegations in Mandatory Cover Sheet
Defendant did not receive plaintiff's Mandatory Cover Sheet and Supplemental Allegations (form UD-101). (If not checked, complete (b) and (c), as appropriate.) CheckBox
Defendant claims the statements in the Verification required for issuance of summons—residential, item 3 of plaintiff's Mandatory Cover Sheet and Supplemental Allegations (form UD-101), are false CheckBox
2.b.(2).(c) Denial Explanation Text
Provide an explanation for the denial of allegations in the Mandatory Cover Sheet and Supplemental Allegations, or list the paragraph numbers from form UD-101 that are being denied, as referred to in section 2.b.(2).(c).
Explanation is on form MC-025, titled as Attachment 2b(2)(c) CheckBox
Did not receive Mandatory Cover Sheet and Supplemental Allegations Checkbox
Check this box if the defendant did not receive the plaintiff's Mandatory Cover Sheet and Supplemental Allegations (form UD-101).
Statements in Verification for summons are false Checkbox
Check this box if the defendant claims that the statements in the Verification required for issuance of summons-residential, item 3 of the plaintiff's Mandatory Cover Sheet and Supplemental Allegations (form UD-101) are false.
Explanation on Form MC-025 (Attachment 2b(2)(c)) Checkbox
Check this box if an explanation for statements on the Mandatory Cover Sheet and Supplemental Allegations being false is provided on Form MC-025, titled as Attachment 2b(2)(c).
Denial Type
General Denial (Do not check this box if the complaint demands more than $1,000.) Defendant generally denies each statement of the complaint and of the Mandatory Cover Sheet and Supplemental Allegations—Unlawful Detainer (form UD-101) CheckBox
Specific Denials (Check this box and complete (1) and (2) below if complaint demands more than $1,000.) Defendant admits that all of the statements of the complaint and of the Mandatory Cover Sheet and Supplemental Allegations—Unlawful Detainer (form UD-101) are true EXCEPT CheckBox
General Denial Checkbox
Check this box if the defendant generally denies every statement in the complaint and the complaint demands $1,000 or less.
Specific Denials Checkbox
Check this box if the defendant admits most statements in the complaint but denies specific ones, and the complaint demands more than $1,000. You must also complete sections (1) and (2).
Denied Complaint Allegations due to Insufficient Information
Explanation is on form MC-025, titled as Attachment 2b(1)(b) CheckBox
Denied Allegation (Insufficient Information) Details Text
Enter the paragraph numbers from the complaint or an explanation for statements denied due to insufficient information or belief.
Explanation on Form MC-025, Attachment 2b(1)(b) Checkbox
Check this box if an explanation for denying statements of the complaint due to lack of information or belief is provided on Form MC-025, titled as Attachment 2b(1)(b).
False Complaint Allegations
False Allegations Paragraph Numbers or Explanation Text
Enter the paragraph numbers from the complaint that the defendant claims are false, or provide an explanation.
Explanation is on form MC-025, titled as Attachment 2b(1)(a) CheckBox
Explanation on Form MC-025 Checkbox
Check this box if the explanation for the false allegations in the complaint is provided on form MC-025, titled as Attachment 2b(1)(a).
First Defendant/Attorney Printed Name
First Defendant or Attorney Printed Name Text
Enter the printed name of the first defendant or their attorney for whom this answer is filed.
First Verification
First Verification Date Date
Enter the date of the first verification.
First Verification Printed Name Text
Enter the printed name of the person providing the first verification.
General
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General Defenses
(Nonpayment of rent only) Plaintiff has breached the warranty to provide habitable premises CheckBox
(Nonpayment of rent only) Defendant made needed repairs and properly deducted the cost from the rent, and plaintiff did not give proper credit CheckBox
Plaintiff waived, changed, or canceled the notice to quit CheckBox
Plaintiff served defendant with the notice to quit or filed the complaint to retaliate against defendant CheckBox
By serving defendant with the notice to quit or filing the complaint, plaintiff is arbitrarily discriminating against the defendant in violation of the Constitution or the laws of the United States or California CheckBox
Plaintiff accepted rent from defendant to cover a period of time after the date the notice to quit expired CheckBox
Plaintiff seeks to evict defendant based on an act against defendant or a member of defendant's household that constitutes domestic violence, sexual assault, stalking, human trafficking, or abuse of an elder or a dependent adult. (This defense requires one of the following: (1) a temporary restraining order, protective order, or police report that is not more than 180 days old; OR (2) a signed statement from a qualified third party (e.g., a doctor, domestic violence or sexual assault counselor, human trafficking caseworker, or psychologist) concerning the injuries or abuse resulting from these acts).) CheckBox
Plaintiff seeks to evict defendant based on defendant or another person calling the police or emergency assistance (e.g., ambulance) by or on behalf of a victim of abuse, a victim of crime, or an individual in an emergency when defendant or the other person believed that assistance was necessary CheckBox
Plaintiff breached warranty of habitability Checkbox
Check this box if the plaintiff has breached the warranty to provide habitable premises.
Defendant made repairs and deducted cost Checkbox
Check this box if the defendant made needed repairs, properly deducted the cost from the rent, and the plaintiff did not give proper credit.
Plaintiff waived/changed notice to quit Checkbox
Check this box if the plaintiff waived, changed, or canceled the notice to quit.
Plaintiff retaliated against defendant Checkbox
Check this box if the plaintiff served the defendant with the notice to quit or filed the complaint to retaliate against the defendant.
Plaintiff discriminated against defendant Checkbox
Check this box if the plaintiff is arbitrarily discriminating against the defendant in violation of the Constitution or the laws of the United States or California by serving the notice to quit or filing the complaint.
Plaintiff accepted rent after notice expired Checkbox
Check this box if the plaintiff accepted rent from the defendant for a period of time after the date the notice to quit expired.
Eviction based on domestic violence/abuse Checkbox
Check this box if the plaintiff seeks to evict the defendant based on an act against the defendant or a member of the defendant's household that constitutes domestic violence, sexual assault, stalking, human trafficking, or abuse of an elder or a dependent adult, and the required documentation is available.
Eviction based on calling police/emergency Checkbox
Check this box if the plaintiff seeks to evict the defendant based on the defendant or another person calling the police or emergency assistance for a victim of abuse, a victim of crime, or an individual in an emergency.
Retaliation for nonpayment of specific rent period Checkbox
Check this box if the plaintiff's demand for possession is in retaliation for nonpayment of rent or other financial obligations due between March 1, 2020, and September 30, 2021, despite other alleged reasons.
Local Ordinance Violation
Plaintiff's demand for possession violates the local rent control or eviction control ordinance of CheckBox
Local Ordinance Violation Details Text
Enter the city or county, the title of the ordinance, and the date of its passage that the plaintiff's demand for possession violates.
Local Ordinance Violation Checkbox
Check this box if the plaintiff's demand for possession violates a local rent control or eviction control ordinance.
Number of Pages Attached
Number of Pages Attached Number
Enter the total number of pages attached to this document.
Other Requests
Other (specify below or on form MC-025) CheckBox
All other requests are stated on form MC-025, titled as Attachment 5e CheckBox
Other Requests Details Text
Provide a detailed description for any other requests not listed elsewhere, as indicated in section 5e.
Other Requests - Other Checkbox
Check this box if you have other requests that are not listed elsewhere on this form and will specify them either below this section or on form MC-025.
Other Requests - All Requests on Form MC-025 Checkbox
Check this box if all other requests you are making are fully stated on form MC-025, which should be attached and titled as Attachment 5e.
Other Statements
Other (specify below or, if more room needed, on form MC-025) CheckBox
Other statements are on form MC-025, titled as Attachment 4c CheckBox
Other Statement Details Text
Provide specific details or explanations for any other statements or information not covered elsewhere in the form.
Other (c) Checkbox
Check this box if there are other statements to include, and you will specify them below or on form MC-025.
Other statements on Attachment 4c Checkbox
Check this box if the other statements for item 4c are provided on form MC-025, titled as Attachment 4c.
Payment Demand Details
Payment Demand Includes Late Fees Checkbox
Check this box if the plaintiff's demand for payment includes late fees on rent or other financial obligations due between March 1, 2020, and September 30, 2021.
Payment Demand Includes Increased or New Service Fees Checkbox
Check this box if the plaintiff's demand for payment includes fees for services that were increased or not previously charged.
Defendant Paid/Offered 25% of Rent Due by Sep 30, 2021 Checkbox
Check this box if the defendant, on or before September 30, 2021, paid or offered the plaintiff payment of at least 25% of the total rental payments that were due between September 1, 2020, and September 30, 2021, and were demanded in the termination notices for which defendant delivered the declarations described in (a).
Rent Offer Details
(Nonpayment of rent only) CheckBox
Offer Date Date
Enter the date the defendant offered the rent due before the notice to pay or quit expired.
Nonpayment of Rent - Rent Offered But Refused Checkbox
Check this box if, before the notice to pay or quit expired, the defendant offered the rent due but the plaintiff would not accept it.
Second Defendant/Attorney Printed Name
Second Defendant/Attorney Printed Name Text
Enter the printed name of the second defendant or their attorney.
Second Verification
Second Verification Date 1 Date
Enter the date for the first verification in the second verification section.
Second Verification Date 2 Date
Enter the date for the second verification in the second verification section.
Statement of Vacated Premises
Defendant vacated the premises on CheckBox
Date Vacated Premises Date
Enter the date the defendant vacated the premises.
Defendant vacated premises Checkbox
Check this box if the defendant has vacated the premises, and specify the date.
Statement on Excessive Fair Rental Value
The fair rental value of the premises alleged in the complaint is excessive (explain below or, if more room needed, on form MC-025) CheckBox
Explanation is on form MC-025, titled as Attachment 4b CheckBox
Explanation of Excessive Fair Rental Value Text
Provide a detailed explanation for why the fair rental value of the premises is considered excessive.
Fair Rental Value Is Excessive Checkbox
Check this box if you believe the fair rental value of the premises alleged in the complaint is excessive.
Explanation on Form MC-025, Attachment 4b Checkbox
Check this box if the explanation for the excessive fair rental value is provided on Form MC-025, titled as Attachment 4b.
Tenant Protection Act Violations
Plaintiff's demand for possession is subject to the Tenant Protection Act of 2019, Civil Code section 1946.2 or 1947.12, and is not in compliance with the act. (Check all that apply and briefly state in item 3w the facts that support each.) CheckBox
Plaintiff failed to state a just cause for termination of tenancy in the written notice to terminate CheckBox
Plaintiff failed to provide an opportunity to cure any alleged violations of terms and conditions of the lease (other than payment of rent) as required under Civil Code section 1946.2(c) CheckBox
Plaintiff failed to comply with the relocation assistance requirements of Civil Code section 1946.2(d) CheckBox
Plaintiff has raised the rent more than the amount allowed under Civil Code section 1947.12, and the only unpaid rent is the unauthorized amount CheckBox
Plaintiff violated the Tenant Protection Act in another manner that defeats the complaint CheckBox
Demand Not in Compliance with Tenant Protection Act Checkbox
Check this box if the plaintiff's demand for possession is subject to the Tenant Protection Act of 2019, Civil Code section 1946.2 or 1947.12, and is not in compliance with the act.
(1) Failed to State Just Cause Checkbox
Check this box if the plaintiff failed to state a just cause for termination of tenancy in the written notice to terminate.
(2) Failed to Provide Opportunity to Cure Checkbox
Check this box if the plaintiff failed to provide an opportunity to cure any alleged violations of terms and conditions of the lease (other than payment of rent) as required under Civil Code section 1946.2(c).
(3) Failed to Comply with Relocation Assistance Checkbox
Check this box if the plaintiff failed to comply with the relocation assistance requirements of Civil Code section 1946.2(d).
(4) Raised Rent More Than Allowed Checkbox
Check this box if the plaintiff has raised the rent more than the amount allowed under Civil Code section 1947.12, and the only unpaid rent is the unauthorized amount.
(5) Violated Act in Another Manner Checkbox
Check this box if the plaintiff violated the Tenant Protection Act in another manner that defeats the complaint.
Third Defendant/Attorney Printed Name
Third Defendant/Attorney Printed Name Text
Enter the printed name of the third defendant or their attorney.
Third Verification
Third Verification Date Date
Enter the date for this third verification.
Third Verification Printed Name Text
Enter the typed or printed name for the third verification.
Unlawful Detainer Assistant Information
did not CheckBox
did CheckBox
Assistant's Name Text
Enter the full name of the unlawful detainer assistant.
Assistant's Telephone Number Text
Enter the telephone number of the unlawful detainer assistant.
Assistant's Street Address, City, and Zip Code Text
Enter the full street address, city, and zip code of the unlawful detainer assistant.
Assistant's County of Registration Text
Enter the county where the unlawful detainer assistant is registered.
Assistant's Registration Number Text
Enter the registration number of the unlawful detainer assistant.
Assistant's Registration Expiration Date Date
Enter the expiration date of the unlawful detainer assistant's registration.
Did not assist Checkbox
Check this box if an unlawful detainer assistant did not, for compensation, provide advice or assistance with this form.
Did assist Checkbox
Check this box if an unlawful detainer assistant did, for compensation, provide advice or assistance with this form.