Proof of Service Personal

Cal. Super. - 6th Dist.January 22, 2020

Proof of Service Clerk stamps date here when form is filed. Use this form to serve a person, a business, or a public entity. To learn more about proof of service, read What Is "ProofofService"?, Form SC-104B. To learn more about how to serve a business or entity, read How to Serve a Business or Public Entity, Form SC-104C. To serve a business, you must serve one of the 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) 'ny person authorized for service by the business (corporation, association, general partnership, limited partnership) ~ Any person authorized for service with the Secretary of State (corporation, association, limited liability company [LLC], limited liability partnership [LLP], limited partnership) To serve a public entity, you must first file a claim with that entity, then serve one of the following people: ~ Clerk (of a city or county) ~ Chief officer or director (of a public agency) ~ Any person authorized for service by the entity O a. If you are serving a person, write the person's name below:Xinyi Li 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: Busmess or Agency Name Fillin court name and street address: Superior Court of California, County of Santa Clara 191 North First Street San Jose, CA 95113 Fillin case number, case name, hearing date, da, time, and de artment below: Case Number: 20SC082868 Case Name: Tae Kim v. Xinyi Li Hearing Date: 08/28/2020 Time: 1:00 PM Dept.: 15 Job Titleperson Authorized for Service 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 QS to the person in Q1, ar 'ive a copy of all the documents checked in Q3 to one of the following people: a. A competent adult (at least 18) living with, and at the home of the person in Q1, or b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in Q1, or c. An adult (at least! 8) who seems to be in charge where the person in Q1 usually receives mail (but not a U.S. Post Office box), if there is no known physical address for the person in Q1. and mail a copy of the documents left with one of the adults in a, b, or c above to the person in Q1. THEN ~ Complete and sign this form, and 'ive or mail your completed form to the person who asked you to serve these court papers, irt timefor the form to be filed with the court at least 5 days before the hearing. Os I served the person in Qt a copy of the documents checked below: Q Q a. x SC-100, Plaintiff'.s Claim and ORDER to Go to Small Claims Court b. SC-120, Defendant 's Claim and ORDER to Go to Small Claims Court c. Order for examination (This form must be personally served. Check the form that was served): Note: The court can issue a civil arrest warrant if the served party does not come to court only if the order for examination was personally served by a registered process server, sheriff, marshal, or someone appointed by the court. (I) SC-134, Application and Order to Produce Statement ofAssets and to Appear for Examination (2) AT-138/EJ-125, Application and Orderfor Appearance and Examination d. g Other (specify): Judicial Council of California, www courts ca.gov Rev January 1, 2009, Optional Form Code of Civil Procedure, gg 116 340, 415 10, 415 20 Proof of Service (Small Claims) SC-104, Page 1 of 2 Electronically Filed by Superior Court of CA, County of Santa Clara, on 5/26/2020 2:47 PM Reviewed By: D. Pinheiro Case #20SC082868 Envelope: 4377780 20SC082868 Santa Clara - Civil Case Name: Tae Kim v. Xinyi Li Case Number: 20SC082868 4 Fill out "a" or "b" below: a. " Personal Service: I personally gave copies of the documents checked in Q3 to the person in Q1 on (date): May 22, 2020 At (time): 6:30 a.m. ~» p.m. At this address: 99 Vista Montana Apt 2326 City: San Jose State: CA Zip: 95134 b. Substituted Service: I personally gave copies of the documents checked in Q3 (a, b, or d) to (check one): A competent adult (at least 18) at the home of, and living with the person in Q1, or An adult who seems to be in charge where the person in Q1 usually works, or An adult who seems to be in charge where the person in Q1 usually receives mail, or has a private post office box (not a U.S. Post Office box), if there is no known physical address for the person in Q1 I told that adult, "Please give these court papers to (name of person in Q1). I did this on (date)'. At (time): a.m. p.m. At this address: City: Name or description of the person I gave the papers to: State: Zip: After serving the court papers, I put copies of the documents listed in Q3 in an envelope, sealed the envelope, and put first-class prepaid postage on it. I addressed the envelope to the person in Q1at the address where I left the copies. I mailed the envelope on (date): from (city, state): by leaving it (check one). a. At a U.S. Postal Service mail drop, or b. At an office or business mail drop where I know the mail is picked up every day and deposited with the U.S. Postal Service, or c. With someone else I asked to mail the documents to the person in Q1, and I have attached that person' completed Form SC-104A. 5 Server's Information Name: Harold Lee Address (ifknown): 1288 Kifer Road, Suite 209 City: Sunnyvale Fee for service: $ 80 Phone: 408-556-0300 State: CA Zip: 94086 Ifyou are a registeredprocess server: County of registration: O I declare under penalty of perjury under California state case and that the information above is true and correct. Date: 05/26/2020 Harold Lee Type or print server s name Registration number: law that I am at least 18 years old and not named in this Server signs here after serving Revised January 1, 2009 Proof of Service (Small Claims SC-104, Page 2 of 2