Form Ca 114 – Fill Out and Use This PDF

A.

B.

The defendant is not in any of the above named branches of the military service AND the defendant has not received notice of induction or notice to report for military service, AND, if this is an action for possession of real property, the premises are not occupied chiefly for dwelling purposes by the spouse, children, or other dependents of a person in military service. The facts supporting this conclusion are as follows (check all that apply and attach additional pages and documentation as necessary):

I have proof of the defendant’s military status from the Department of Defense Manpower Data Center, and the certificate of non-military status is attached.

I have contacted each branch of the military and have received confirmation from each branch that the defendant is not in military service. The responses I received are attached.

The defendant is not an individual. It is a ____________________________________ and, therefore,

no investigation of military service is required.

I asked the defendant personally on (date) _______________________.

I spoke on (date) __________ with (name and relationship with defendant)______________________________

who has reason to know the defendant’s military status because _______________________________

__________________________________________________________________________________.

For the following reasons (explain):_______________________________________________________

_____________________________________________________________________________________.

After a careful investigation, I could not determine whether the defendant is in any of the above named branches of the military service, whether the defendant received notice of induction or notice to report for military service, or, if this is an action for possession of real property, whether an occupant of the property is the spouse, child, or other dependent of a person in military service. I have made the following efforts to investigate the defendant’s military status (attach additional pages and documentation as necessary):_____________

______________________________________________________________________________________

______________________________________________________________________________________

C.

The defendant is in one of the above named branches of the military service. The facts supporting this conclusion are as follows (attach additional pages and documentation as necessary): __________________________

______________________________________________________________________________________

______________________________________________________________________________________

D.

The defendant executed a waiver of rights under Section 107 of the Servicemembers Civil Relief Act (2003) (50 U.S.C. App. § 517). A copy of the waiver, in at least 12 point type, signed by the defendant during or after his/her military service, is attached.