Proof of Service PersonalCal. Super. - 6th Dist.March 17, 2020I '1'OOf Of 88W1Ge Clerk stamps date lrere when for m isI'r led. Use this form to serve a person, a business, or a public entity. To learn more about proof of service, read lit%at Is "ProofofService" ?, Form SC-1048. 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 (foi 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 pMnership (LLP], limited parmership) To serve a public entity, you must first file a claim with that entity, then serve one of the fallowing people: ~ Clerk (of a city or county) ~ Chief officer or director (of a public agency) ~ Any person authorized for service by the entity Qi a, If you are serving a person, write the person's name below: LUIS DAVID BANUELOS 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: Fill in court name arrd street addr ess: Superior Court of California County of Santa Clara 191 NORTH PIRST STREET SAN JOSE, CA 95113 Fill irr case rrumber, case name, hearing date, day, time, and department below: Case Number; 20sc082997 Case Name: OPORTUN INC, Against LUIS DAVID BANUELOS Hearing Date: g/27/2020 Business or Agency Name Time: I:00 PM Dept.: 15 Person Authorized for Service Job Title Q2 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 O3 to the person in Pl, or ~ Give a copy of all the documents checked in O3 to one of the following people: a. A competent adult (at least 18) living with, and at the home of the person in Ol, or b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in O1, or c. An adult (at least 18) who seems to be in charge where the person in OI usually receives mail (but not a U.S. Post Office box), if there is no known physical address for the person in O1 and mail a copy of the documents left with one of the adults in a, b, or c above to the person in O1. THEN ~ Complete and sign this foim, and ~ Give or mail your completed form to the person who asked you to serve these court papers, in time for the form to befiled nrith the court at least 5 days before the hearing. Q3 I served the person in Q1 a copy of the documents checked below: a. H SC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court b, SC-120, Defend/2nt's Claim and ORDER to Go to Small Claims Court c. Order for examination (This form must be personally served, Check theform that was served): 1Votel The court can issue a civil arrest warrant ifthe servedparty does not come to court only if the orderfor examination was personally served by a registeredprocess server, sheriff, marshal, or someone appointed by the court. (I) SC-134, Application tznd Order to Produce Statement ofAssets and to Appear for Examination (2) AT-138/EJ-125, Application and Orderfor Appearance /2nd Examination d. H Other (specify) NOTICE TO LITIGANTS; NOTICE TO SMALL CLAIM LITIGANTS; Judicial Council of Celiforni, www,couninfo,ca,gov Revised January 1, 2009, Optional Form Code of Civil Procedure, S5 116.340, 415.10, 415.20 Proof of Service (Small Claims) Case ID: 5816525 SC-104, Page 1 af 2 Electronically filed by Superior Court of CA, County of Santa Clara, on 6/19/2020 1:55 PM Reviewed By:D. Pinheiro Case #20SC082997 Env #4480685 Case Number: 20SC082997 ; 'ill out "a" or "b" belw'. H Personal Service: I personally gave copies of the documents checked in Q3 to the person in Q1 On (date): 6/11/2020 At (time); 11.'08 AM Gender: MALE Age: 41-45 Skin Tone: LIGHT BROWN Hair: BLACK Eye Color: BROWN Height: 5FT 4IN - 5FT 7IN Weight: 151 LBS - 170 LBS At this address: Home: 490 COYOTE RD City: SAN JOSE State; CA Zip: 95111 2514 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 Ql 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 Ql. I told that adult, "Please give these court papers to (name of person in QI)." I did this on (date): At (time): At this address: Phone: 4082884105 City: State: Zip: 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 1 asked to mail the documents to the person in Q1, and I have attached that person' completed Form SC-104A. Q5 Agency Information: Name: LEGAL PURSUIT Address: 22 WEST ST. JOHN ST, SUITE 8 City: SAN JOSE State: CA Zip; 95113 County of registration: SANTA CLARA Registration number; PS1741 Fee for service: $ 58.00 Process Server Information: County of registration: SANTA CLARA Registration number: PS 1741 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 correct. Date 6/IS/2020 HECTOR TORRES Type orprint server 's name Server signs here after serving Revised January i, 2009 Proof of Service (Small Claims) Case [0; 5816525 SC-104, Page 2 of 2