Sample Declaration of Service of Notice to Resident

This sample document below is a “Declaration of Service of Notice to Resident,” which you need to complete and use when you serve any legal notice to a tenant. It helps confirm and document that you have properly delivered the notice. _______________________________________________________________________________________________________________

DECLARATION OF SERVICE OF NOTICE TO RESIDENT

I, __________________________ [Your Name], declare that I am over the age of eighteen (18) years and not a party to this action. I am employed by __________________________ [Law Firm/Landlord/Property Management Company] located at __________________________ [Company Address], in the County of __________________________ [County], State of California.

On __________________________ [Date of Service], I served the attached notice on the following residents and all other occupants in possession of the premises located at __________________________ [Property Address], Los Angeles, CA __________________________ [ZIP Code].

The type of notice served was (check one):

☐ Three-Day Notice to Pay Rent or Quit ☐ Three-Day Notice to Quit ☐ Thirty-Day Notice of Termination of Tenancy ☐ Sixty-Day Notice of Termination of Tenancy ☐ Thirty-Day Notice of Change of Terms of Tenancy (Except Changes in Monthly Rent) ☐ Thirty-Day Notice of Change of Monthly Rent ☐ Sixty-Day Notice of Change of Monthly Rent ☐ Notice to Enter Dwelling Unit ☐ Other: __________________________ [Specify Other Notice]

The notice was served as follows (check one):

☐ Personal Service: I handed the notice to __________________________ [Resident's Name] at __________________________ [Time of Service] on __________________________ [Date of Service].

☐ Substituted Service: I left the notice with __________________________ [Name of Person], a person of suitable age and discretion, at the premises on __________________________ [Date of Service] at __________________________ [Time of Service]. Subsequently, I mailed a copy of the notice to the residents at the premises on __________________________ [Date of Mailing] in a sealed envelope with postage fully prepaid via first-class mail.

☐ Post and Mail: I affixed the notice in a conspicuous place on the premises on __________________________ [Date of Posting] at __________________________ [Time of Posting]. Subsequently, I mailed a copy of the notice to the residents at the premises on __________________________ [Date of Mailing] in a sealed envelope with postage fully prepaid via first-class mail.

☐ For Notice of Change of Monthly Rent and Notice to Enter Dwelling Unit ONLY: By mailing, by first class mail on __________________________ [Date of Mailing], a copy to each Resident by depositing said copies in the United States Mail, in a sealed envelope, with postage fully prepaid, addressed to the above-named resident(s) at their place of residence. (NOTE: This Service by Mail-Only option is permitted for Notice of Change of Monthly Rent and Notice to Enter Dwelling Unit. It is not allowed for Three-Day Notice to Pay Rent or Quit, the Thirty or Sixty-Day Notice of Termination of Tenancy, or for the Thirty-Day Notice of Change of Terms of Tenancy (Except Changes in Monthly Rent).)

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. If called as a witness to testify thereto, I could do so competently.

Executed on __________________________ [Date of Execution], at __________________________ [City], California.

__________________________ [Signature] __________________________ [Printed Name] __________________________ [Address] __________________________ [Phone Number]

Attached Notice: Attached as Exhibit A

State law permits former tenants to reclaim abandoned personal property left at the former address of the tenant subject to certain conditions. You may or may not be able to reclaim property without incurring additional costs depending on the cost of storing the property and the length of time before it is reclaimed. In general, these costs will be lower the sooner you contact your former landlord after being notified that property belonging to you was left behind after you moved out.​​​​

Proof of Mailing: I deposited the notice with the United States Postal Service, in a sealed envelope with postage fully prepaid, addressed to the residents at the premises as follows:

__________________________ [Resident’s Name] __________________________ [Property Address] Los Angeles, CA __________________________ [ZIP Code]

__________________________ [Signature of Person Mailing] __________________________ [Printed Name] __________________________ [Date of Mailing]