Proof of Service PersonalCal. Super. - 6th Dist.March 11, 2020SC-1 04 Proof of Service Use this form to serve a person, business, or a ublic entity. To learn more about proofofservnce, read W71at is "Proofof grvice”?, Form SC-104B. To learn more about how t0 serve a business or entlty, read How to Serve a Business or Public Entity, Form SC-104C. To serve a business, you must serve one ofthe following people: ' Owner (for a sole proprietorship) ' Partner (for a pannership) 0r general partner (for a limited partnership) ' Any officer or general manager (corporation 0r association) ' Any person auth‘orizvedfor service by the business (corporation, association, general partnerhlp, 11m1ted partnership) ' Any per_son a_uthorizgd fqr service with the Segreyary of State (corporation, assocuatyon, hmlted l1ab1]1 company [LLC], llmlted liability partnership [LLP], l1m1ted partnership To serve a public entity, you must first file a claim with that entity, then serve one ofthe followmg people: ' Clerk (of a city or county) . ° Chief officer or director (ofa public agency) ' Any person authorized for service by the entity - CD a. If you are serving a person, write the person's name below: Surender Sinqh b. If you_are sewing a businegs, or entity,_write the name ofthq business or entity, the person authorized for servuce, and that person‘s Job tltle: Busincss or Agency Name Parson Authorized for Service Job Title ® Instructions to Server: Clerk stamps date hem when form is filed. fiLE MAR 20 2020 ‘ourt emf?! Santa ClaraCler of th DY Superior Court Santa Clara County. California Small Claims 191 N. 1st St San Jose. California 951 1 3 Case Number: 20 SC 082876 Case Name: Mojica vs. Singh Hearing Date: 5/1/2020 INO Time: 1:00 pm I Dept: \f 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 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 18) who seems to be in charge at the usual workplace of the person in®, or c. An adult (at least l8) who seems to be in charge where the person in® usually receives mail, (but not a U.S. Post Office box), ifthere is no known physical address for the person in®. and mail a copy ofthe documents lefi 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 to the person who asked you to serve these coun papers in timefor theform to befiled with the court at least 5 days before the hearing. a. SC-lOO, Plaintifl’s Claim and ORDER to Go to Small Claims Cour! b. D SC-120, Defendant’s Claim and ORDER to Ga to Small Claims Court | served the person in® a copy of the documents checked below: c. D Order for examination, (Thisform must be personally served. Check (heform (hat was served): Note: The court can issue a civil arrest warrant iflhe served party does no! come (o court only ifthe orderfor examination was personally served by a registered process server, sherifl: marshal, or someone appointed by the court. (1)D SC-l 34, Application and Order to Produce Statement ofAssels and to Appearfor Examination (2)D AT-l 38/EJ-l 25, Application and Orderfor Appearance and Examination d. Other, (specifii): Notice to Small Claims Litigants Judicial Counu‘l ol Cllilomil Ravlnd Janu-ry I. 2009. Opnon-I Form Cod. 01 CM! Pmudun HB‘MO. “5J0, 415.20 Proof of Service (Small Claims) SC-104, Page 1 of 2 Job Number COP-2020003182 Case Number: Case name: Mojica VS. Singh 20 SC 082876 @ Fill out "a" or "b" below: a4 m Personal Service: I personally gave copies ofthe documents checked in® to the person in®z On (date): 03/1 8/2020 At (time): 2:40 PM At this address: 2174 Golden Dew Circle City: San Jose State: CA Zip: 95121 b. D Substituted Service: I personally gave copies ofthe documents checked in@ (a, b, d) to (check one): D A competent adult (at least l8) 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 Ofi'lce box), ifthere is no known physical address for the person in@. I told that adult, "Please give these court papers to (name of person in® )." l did this on (date): At (time): At this address: City: State: Zip: Name or description ofthe person l gave the papers to: Afier 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. I addressed the envelope to the person in© at the address where l lefi the copies. l mailed the envelope on (dale): from (city, state): by leaving it (check one): a. D At a U.S. Postal Service mail drop, or b. D At an ofi‘lce 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 ofregistration: Santa Clara County Registration Number: PS1676 © l declare under penalty of perjury under California state law that I am at least l8 years old and not named in this case and that the infomation above is true and correct. Date; S [20 [2W Stefan Fahrner } Type or print server’s name Server signs here after serving éfl‘fififlfi'fiéflmmm Proof of Service 30-104. Page 2 0f 2 Cod. O'Clvil Pmdull ”6,340,415.10. “5.20 Job Number COP-20200031 82 (Small Claims)
