Proof of Service PersonalCal. Super. - 6th Dist.February 27, 2020Proof of ServiceSC-1 04 Use this form to serve a person, business, or a ublic entity. To learn more about proof of semce, read What is ."Proofof ervice”?, Form SC-104B. To learn more about how to serve a busmess or entity, read How to Serve a Business 0r Public Entity, Form SC-104C. To serve a business, you must serve one ofthe following people: ' Owner (for a sole proprietorship) ° Partner (for a partnership) or general partner (for a limited partnership) ' Any officer or general manager (corporation or association) ' Any person authpriz'edfor service bx the business (corporation, association, general partnerhlp, llmlted partnership) ' Any pepson authorizgd fo_r service with the Secreyary Qf State (corporation, assoc1atgon, limited habn]: company [LLC], limlted Inability partnership [LLP], Ilmlted partnership To serve a public entity, you must first file a claim with that entity, then serve one ofthe followmg people: ' Clerk (ofa city or county) ‘ Chief officer or director (ofa public agency) ' Any person authorized for service by the entity ® a. If you are serving a person, write the person's name below: Jane Paolin b. Ifyou are serving a business, or entity,_write the name ofthe business or entity, the person authorized for servuce, and that person‘s job title: Business or Agency Name Person Aukhorizcd for Service Job Till: ® Instructions to Server: Clerk daEhe/eflIorrEd MAR 17 202.3 Cler of, thugnC'oslifla mm Superior Court Santa Clara County, California Small Claims 191 N. 1st St San Jose, California 951 13 Case Number: 20 SC 082768 Case Name: Fahrner vs‘ Paolin Hearing Date: 4/8/2020 Time: 8:30 am I Dept: gf You must be at least l8 years old and not be named in this case. Follow these steps: - Give a copy of all the documents checked in® to the person in®, or - Give a copy of all the documents checked in© to one ofthe following people: a. A competent adult (at least 18) living with, and at the home ofthe person in®, or ' b. An adult (at least l8) who seems to be in charge at the usual workplace of the person in®, or c. An adult (at least 18) who seems to be in charge where the person in® usually 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 ofthe documents lefl with one ofthe adults in a, b, or c above to the person in®. THEN, - Complete and sign this form, and - Give or mail your completed form Io the person who asked you to serve these court papers in timefor theform to befiled with the court at least 5 days before the hearing. ® | served the person in® a copy of the documents checked below: a. E SC-l 00, Plaintiff’s Claim and ORDER to Go t0 Small Claims Court b. D SC-l 20, Defendant's Claim and ORDER to Go Io Small Claims Court c. D Order for examination, (Thisform must be personally served. Check theform that was served): Note: The court can issue a civil arrest warrant iflhe served party does n0! come (o court only ifthe orderfor examination was personally served by a registered process server, sheriff marshal, or someone appointed by the court. (1)D SC-I34, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2) D AT-l 38/EJ-125, Application and Orderfor Appearance and Examination d. E Other, (specifil): Notice to Small Claims Litigants Judidll Couna'l 01 Clflfarnil Ravisod Jlnuuy I, 2009. Opn'oml Form Cod. ol Civil Procodur‘ 116.340‘ 4| 5,10. I 15,20 Proof of Service (Small Claims) SC-104. Page 1 of2 Job Number COP-2020003187 Case Number: Case name: Fahrner vs. Paolin 20 SC 082768 ® Fill out "a" or "b" below: a. Personal Service: I personally gave copies ofthe documents checked in® to the person in®2 On (date): 03/14/2020 At (lime): 12:35 PM At this address: 22368 Santa Paula Ave City: Cupertino State: CA Zip: 95014 b. D Substituted Service: I personally gave copies ofthe documents checked in© (a, b, d) to (check one): D A competent adult (at least 18) at the home of, and living with the person in® , or D An adult who seems to be in charge where the person in® usually works, or D An adult who seems to be in charge where the person in® usually receives mail, or has a private post ofi'lce box (not a U.S. Post Office box), ifthere is no known physical address for the person in® . l told that adult, “Please give these court papers to (name of person in® )." I did this on (date): At (time): At this address: City: State: Zip: Name or description of the person l gave the papers to: Afler sewing the court papers, I put copies ofthe documents listed in@ in an envelope, sealed the envelope, and put first-class prepaid postage on it. l addressed the envelope to the person in© at the address where l lefi the copies. I mailed the envelope on (date): from (city, state): by leaving it (check one): a. D At a U.S. Posta| Service mail drop, or b. D At an omce or business mail drop where l know the mail is picked up every day and deposited with the U.S. Postal Service, or c. D With someone else l asked to mail the documents to the person in® and l have attached that person's completed Form SC-104A © Server's Information Name: Stefan Fahrner Phone: (408) 297-6070 Address: 31 E. Julian Street City: San Jose State: CA Zip: 95112 Fee for service: $ County of registration: Santa Clara County Registration Number: PS1676 ® I declare under penalty of perjury under California state law that I am at least 18 years old and not named in this case and that the information above is true and correct. Date: g l l ?_Z 20 Stefan Fahrner ’- Type or print server's name Server signs here after serving $$$$$ii‘é‘éimwwm Proof of Service 30-104. Page 2 0f 2 Cod. OI CNII Pmcbdurfl HOJIO. 415.10‘ 41520 Job Number COP-20200031 87 (Small Claims)
