Proof of Service PersonalCal. Super. - 6th Dist.October 2, 2018Clerk stamps date here when form is filed. Proof of Service I _, Use this form to serve a person, a business, 0r a public entity. To leam more about proof 0f service, read What Is ”ProofofSen'z'ce“?, Form SC-104B. To learn more about how to serve a business or entity, read How :‘o Serve a Business 0r Public Enrify, Form SC-104C. To serve a business, you must serve one of the following people: - Owner (for a sole proprietorship) I. - Palmer (for a partnership) or general partner (for a limited partnership) - Any officer or general manager (corporation or association) - Any person authorized for service by the business (corporation, association, general partnership, limited partnership) t Fill in court name and street address: - Any person authorized for service With the Secretary of State (corporation, Swarm court 0f california’ county °f association, limited liability company [LLC], limited liability partnership [LLP], Iimited pmnership) » 53196119; Com . .. . . _ CIVII Dmsion To serve a pubhc entity, you must first file a clalm Wlth that entlty, then $91 N. First St serve one ofthe following people: van Jose, CA 951 13 - Clerk (of a city or county) - Chief officer or director (of a public agency) - Any person authorized for service by the entity ® a. If you axe serving a person, write the person’s name below: L\ osetgh Peta b. If you are serving a business or entity, write the name of the business or entity, the person authorized for service, and that person’s job title: A ' AL:- Business 0‘: Agency Name Hearing Du" ll. IM 6 Person Authorized for Service Job Title @ Instructions to Server: You must be at least 18 years old and not be named in this case. Follow these steps: - Give a copy of all the documents Checked in® to the person 1116): 0r ° Give a copy of all the documents checked in® to one of the following people: a. A competent adult (at least 18) living with, and at the home ofthe person in , 0r b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in ®, or .. .. ..__..__. __c__An.adul.‘.(at-least_l 8.)-who.seemsutoheineharge.ther_e_the_per&on in musually receives mail (but not a U.S. Post Office box), if there is no known physical address for the person in@. and mail a copy of the documents left with one of the adults in a, b, or c above to the person in@. TEEN - Complete and sign this form, and - Give or mail your completed form to the person who asked you to serve these court papers, in tz'mefor theform :0 befiled with the court (11‘ least 5 days before the hearing. C3D [served the person in ® a copy of the documents checked below: O O Fill in case number, case name, hearing date, day, time, and departmentbelow: Case Number: 'C%e%ameis C 9F? 5 8 E? 6 "'““'“--" aT‘E-Sfirl60719faintifiarGlaim-artd‘GRBER-to-Go-r0-Small€l~avimse60urt / \ l/ \i b. D SC-lZO, Defendant's Claim and ORDER 1‘0 G0 t0 Small Claims Court gM c, D Order for examination (Thisform must be personally served. Check theform that was served): Note: The court can issue a civil arrest warrant z'fthe servedparty does not come t0 court only z'fthe orderfor examination was personally served by a registeredprocess server, sherifif marshal, or someone appointed by the court. (1) D SC-134, Application and Order ['0 Produce Statement OfAssetS and to Appearfor Examination (2) D AT-l38/EJ-l25, Application and Orderfor Appearance and Examination d. D Other (Specifiz): uctciax Council ofcat'emia,nweourtjnr'acagov Pram: Of Service 53-1 04, Page 1 of 2 J. V _ Revised January 1, 2009. Optional Form V _ Code. or' Civil Procedure. §§ 1153a 415.10. 415.20 (S mall Claims) - Case name: (9- 5F?“".5:'t';5;"'*'é'? o:'r_f_.ii5""' infigiafi‘r a. ' 5' .'-”- .. v eIope, sealed fife enveldiJe, I th ddress where I ‘"‘“-"'-"~--W~T~~-'7W‘fErEfi‘i " ' 5] ‘- - 9' . > - L a1 15=p1ckecihp veryT-da and est-itedWiTh-the‘”? , fchéd that person’s ""'-_A“‘‘process server ls somedfie’flffp’a‘y fOTfe'fiVeT-Goufr What is “service”? “Service” or “serving” is when someone-not you or anyone else listed z'rz this case-gives a copy ofyour court papers to the person, business, or public entity you are suing. Service lets the other party know: - What you are asking for” - When and where the trial will be and - What the party can choose to do ~ There are strict rules for serving court papers. This form explains how to serve these forms: ' Form SC-IOO, Plainnfi’s Claim - Form SC-120, Defendant’s Claim How is service done? This form tells you how to serve by personal service or substituted service. Personal service means someone gives the papers directly to the person being sued or to the agent authorized to accept service (business or public entity). Substituted service means someone gives the papers to an adult where the person lives, works, 0r receives mail (including a private post office box, but not a U.S. Postal Service P.O. Box . What i't' the court papers do not get served? The judge cannot hee: your case unless the court papers were served correctly. Can the court serve the papers for me? Yes. You can pay the court to mail your claim to the person you are suing. But if the person you are suing or Postal Service mail receipt with his or her complete name, or if someone else signs the receipt, you will have to serve again using personal or substituted service. Who can serve? You can ask a friend, a process server, or the Sheriff. The server must be at least 18 and not listed in the case. 1 3 What ls “Proof of Service”? t ’- LHow'ts personalservice done? ASk someone who 15 at least 18 and not listed in this case to personally “serve” (give) a copy ofyour court papers to the person or the agent authorized to accept court papers for the person business, or public entity listed on Form SC- 104. Give the server a separate PrbofofSez’vice form for each person, business, or public entity you are suing. And tell the server to: - Walk up to the person to be served. - Say, “These are court papers.” r - Give the person copies of all papers checked on Form SC-104, ProofofServz'ce. Ifthe person won’t take the papers, just leave them near the person. It doesn’t matter if the person tears them up. - Fill out arid sign page 2 of Form SC-104, Proofof Service. JHow is substituted service done? If you don’t want to use personal service or can’t find the person to be served: ask someone Who is at least 18 and not listed in this case to serve the court papers. Give the server a separate ProofofSe’rvice form for each person, business, or public entity you are suing. Tell the server to give the papers to: I I a A competent adult (at least 18) at the home of and living with the person to be served 0r - An adult who seems to be in charge where the person to be served usually works 0r - An adult who seems to be in charge Where the person receives mail (including a private mailbox: but not a “tWWfit‘fWi‘éefio‘esfit‘signThefi-Sf'h "“-“*-"-U:S:"P ostal-S-ervice-P:9 7B ox)flVote:-T1iis-is-OEil-y-fer---v--- cases where the physical address of the person to be served is not known. Then do the following: - Write down that person’s name and say, “Please give these court papers to [name ofperson t0 be served].” 1f the person does not want to give his or her name: describe the person you served. -»~-- forms. Look 1n the Yellow Pages under “Process Serving.” The Sheriff (0r Marshal ifyour county has one) can also deliver court forms. Ask the court ejlerk .how to contact the Sheriff. Or 100k in the county section of your phone book under “Sheriff.” You must pay the server, uniess yOu qualify for a fee waiver. - Give that person copies of all papers checked 0n Form SC-1 O4, Proofof Service. Ifthe person won’t take the papers, just leave them near the person. ' Mail another copy of the papers (by first-class mail) to the person being sued at the same address where you left the papers. ~ Fill out and sign page 2 ofForm SC- 104, P100f0] Service. Judicial Council of California. wwwicour‘fitagov Rev. January 1. 2011 What is “?rdof 0t Service”? (Smali Claims) SC-‘i O48, Pagei o‘ 2 gst deadnn'e'for“ yd'u' can se e ih 5671 0’43, Pageg'of 2