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California Probate Code Section 2954

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A declaration issued by a peace officer under this chapter
shall not be valid unless it substantially complies with the
following form:


                               DECLARATION

PRINT OR TYPE

1.  My name is:
_____________________________________________________.
    My badge number is:
_____________________________________________.
    My office address and telephone number are:

__________________________________________________________________

__________________________________________________________________
    _______________________________________________________________.
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Last modified: January 12, 2009