Proof of Service PersonalCal. Super. - 6th Dist.March 17, 2020I 'roof of Service Clerk stamps date here when fonrr isfiled. Use this form to serve a person, a business, or a public entity. To learn more about proof of service, read 8'hat 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) ~ Any 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 sense 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 Ol a, If you are serving a person, write the person's name below: JORGE ERNESTO ORTIZ 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: Fil! in court name arid street address: Superior Court of California County of Santa Ciara 191 NORTH FIRST STREPT SAN JOSE, CA 95113 Fit/in case number, case rrame, heardng date, daJr, time, and department below: Case Number: 2GSCG82996 Case )Name: OPORTUN INC. Agairtst JORGE ERNESTO ORTIZ Hearing Date: 8/27/2020 Business or Agency Name Time: I;00 PM Dept.: 15 Person Authorized for Service Job Titie O2 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 Q3 to the person in QI, or ~ Give 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 QI, 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 18) who seems to be in charge where the person in QI usually receives mail (but not a U.S. Post Office box), if there is no known physical address for the person in QI and mail a copy of the documents left with one of the adults in a, b, or c above to the person in QI. THEN ~ Complete and sign this form, and ~ Give or mail your completed form to 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. O3 I served the person in O1 a copy of the documents checked below: a. 2 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 (Thisform must be personally served. Check theform that was served): Xotet The court can issue a civil at rest warrant ifthe served party does not come to court only ifthe orderfor examination was personally served by a registeredprocess server, sheriff, marshal, or someone appointed by the court. (1) SC-134, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2) AT-138/EJ-I25, Application and Orderfor Appearance and Examination d. H Other (specify): NOTICE TO LITIGANTS'OTICE TO SMALL CLAIM LITIGANTS'udicial Caundi ot california, vrvrvrcaurtlnta,ca.gav Revised January 1, 2009, Optional Farm Cade af Civil Procedure, 99 1 1 6,340, 415.10, 415.20 Proof of Service (Small Claims) Case ID: 5783200 SC-1 04, Page 1 of 2 Electronically Filed by Superior Court of CA, County of Santa Clara, on 6/9/2020 1:05 AM Reviewed By: A. Granados Case #20SC082996 Envelope: 4429050 Case Number: 20SC082996 ~ 'ill out "a" or "b" below: a. 2 Personal Service: I personally gave copies of the documents checked in Q3 to the person in Q1 On (date): 5/28/2020 At (ti me); 3:05 PM Gender: MALE Age: 36-40 Skin Tone: LIGHT BROWN Hair: BLACK Kye Color: BROWN Height: 5FT 41N - 5FT 7IN Weight: 111 LBS - 130 LBS At this address; Home; 485 NERDY AVE City: SAN JOSE State: CA Zip: 95111 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 ofperson in Ql)." I did this on (date); At (time): At this address: Zip State: CA Zip: 95113 Registration number: PS1741 City: State: Name or description of the person I gave the papers to: 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 Q1 at 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 Forin SC-104A. Q5 Agency Information: Name; LEGALPURSUIT Phone; 4082884105 Address: 22%EST ST. JOHN ST. SUITE B City: SAN JOSE County of registration; SANTA CLARA Fee for service: $ 58.00 Process Server Information: County of registration: SANTA CLARA Registration number: PS1741 Q6 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 conect. Date 5/29/2020 HECTOR TORRES Type orprint server's name Server signs here after serving Revised January f, 2009 Proof of Service (Small Claims) Case lD: 5783200 SC-104, Page 2of2