PO S-020 Proof of Personal Service - Civil/Information Sheet

POS-020
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar numb er , an d address):
PROOF OF PERSONAL SERVICE—CIVIL
I am over 18 years of age and not a party to this action.
I served the following documents (specify):
I personally served the following persons at the address, date, and time stated:
Name:
b.
Address:
I am
registered California process server.
exempt from registration under Business & Professions
a.
d.
My name, address, telephone number, and, if applicable, county of registration and number are (specify):
6.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
7.
Date:
(TYPE OR PRINT NAME OF PERSON WHO SERVED THE PAPERS) (SIGNATURE OF PERSON WHO SERVED THE PAPERS)
Code of Civil Procedure, § 1011
www.courtinfo.ca.gov
Form Approved for Optional Use
Judicial Council of California
POS-020 [New January 1, 2005]
PROOF OF PERSONAL SERVICE—CIVIL
FOR COURT USE ONLY
CASE NUMBER:
1.
2.
3.
a.
c.
4.
not a registered California process server.
a registered California process server.
an employee or independent contractor of a
b.
c.
Code section 22350(b).
5.
I am a California sheriff or marshal and certify that the foregoing is true and correct.
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
FAX NO. (Optional):
(Do not use this Proof of Service to show service of a Summons and Complaint.)
The documents are listed in the Attachment to Proof of Personal Service—Civil (Documents Served) (form POS-020(D)).
d.
Date:
Time:
The persons are listed in the Attachment to Proof of Personal Service—Civil (Persons Served) (form POS-020(P)).
TELEPHONE NO .:
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