Proof of Service PersonalCal. Super. - 6th Dist.April 20, 2020Proof of Service Clerk stamps date her e whenfarm isfiled, Use this form to serve a person, a business, or a public entity. To learn more about proof of service, read @%at 1s "ProofofService "?, Form S C-104B. To learn more about how to serve a business or entity, read How to Sen e a Business ot 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 hmited partnership) ~ Any officer or general manager (corporation or association) ~ Any person authorized for service by the business (corporation, association, generai partnership, liniited partnership) ~ Any person authorized for service with the Secretary of State (corporation, association, limited liability company [LLCj, limited liability partnership [LLPj, limited partnership) To serve 6 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 QI a. If you are serving a person, write the person's name below: EZE UIEL GUTIERREZ CHAIRES 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 and street address: Superior Cour t of California County of Santa Clara 191 NORTH FIRST STREET SAN JOSE, CA 95113 Fill in case number, case name, hearing date, day, time, and department below: Case Number: 20SC083188 Case Name: OPORTUN INC. Against EZEKIEL GUTIERREZ CHAIRES Hearing Date: 10/15/2020 Business or Agency Name Time: 1:00 Plvl 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 Q3 to the person in Ql, 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 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 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 Q1, 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 the forni to befiled ivith the court at least S 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, Defendant's Claim and ORDER to Go to Small Claims Court c. Order for exaIIIiflatiori (Thisform must be personally served, Check the form that was served); Note: The court can issue a civil at7est warrant if the servedpartv does not cotne 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-125, Applicati on and Orderfor Appearance and Examination d. H Other (specify): NOTICE TO LITIGANTS NOTICE TO SMALL CLAIM LITIGANTS'udicial Council of California, rvrvrv.covrtinto.ca.gov Revised January 1, 2009, Optional Form Code of Civil Procedure, I 116.340, 415.10, 416.20 Proof of Service (Small Claims) Case ID: 5838520 SC-104, Page 1 of 2 Electronically Filed by Superior Court of CA, County of Santa Clara, on 5/29/2020 8:08 AM Reviewed By: A. Granados Case #20SC083188 Envelope: 4391012 Case %umber: 20SC083188 " 'ill out "a" or "b" below: a. H Personal Service: I personally gave copies of the documents checked in Q3 to the person in Q1 On (date): 5/15/2020 At(time): 12:04 PM Gender: MALE Age: 26-30 Skin Tone: MODERATF. BROWN Hair: BLACK/GRAY Eye Color: BROWN Height; 5FT 4IN - 5FT 71N Weight: 151 LBS - 170 LBS At this address: Home: 3223 IMPALA DR APT 14 City: SAN JOSE State: CA Zip; 95117 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 Ql 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 ofperson in Q1)." I did this on (date): At (time); At this address: Phone: 4082884105 State: CA 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 I asked to mail the documents to the person in Q1, and I have attached that person' comp!eted Form SC-104A. Q5 Agency Information: Name: LEGAL PURSUIT Address: 22 WEST ST, JOHN ST. SUITE 8 City; SAN JOSE Zip: 95113 County of registration: SANTA CLARA Registration number: 1585 Fee for service; $ 58.00 Process Server Information: County of registration; SANTA CLARA Registration number; 1585 Q6 I declare under penalty of perjury under California state Iaw that I am at least 18 years old and not named in this case and that the information above is true and correct, Date 5/15/2020 HECTOR TORRES Type orprint server 's name Server signs here after serving Revised dansap 1, 2009 Proof of Service (Smail Claims) Case ID: 5838520 SC-104, Page 2 of 2