Proof of Service SubstitutedCal. Super. - 6th Dist.April 23, 2020I 'roof of Service Clerk stamps date here wlien form isft/ed. Use this form to serve a person, a business, or a public entity. To learn more about proof of seivice, read @%at ls "Pi oofofSeivice "?, 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-I orlC. To serve 6 business, you must serve one of the following people; ~ Owner (for a sole proprietorship) ~ Partner (for a partnership) or general partner (for 6 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 [LLP1, limited partnership) To serve a public entity, you must first file 6 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 OI a. If you are serving a person, write the person's name below: SALVADOR JACOBO PALMERIN 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 Court of California County of Santa Clara l9l NORTH PIRST STREPT SAN JOSE, CA 95li3 Fill iri case nmrrber, case name, /rearing date, day, rirne, arrd department below: Case Number: 20SC083239 Case Name: OPORTUN INC. Against SALVADOR JACOBO PALMERIN Hearing Date: 10/29/2020 Business or Agency Name Time: I:00 PM Dept,: I5 Person Authorized for Service Job Title 02 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 QI, or Give a copy of all the documents checked in QS to one of the following people: a. A competent adult (at hast 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 Ql, 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 rfritlr the court at least 5 days before the lr earing. O3 I served the person in O1 a copy of the documents checked belovir: 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 examination (This form must be personally served. Check theform that was served): Note: The court can issue a civil arrest warrant ifthe servedparty does not come to court only if the orderfor examination v/as personally served by a registeredprocess server, sheriff, mar shal, 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, Application and Orderfor Appearance and Examination d. H Other (zpec)fy)l NOTICE TO LITIGANTSI NOTICE TO SMALL CLAIM LITIGANTSr'udicial Coundl of California, www,courtinfo,ca,gov Revised January 1, 2609, Optional Form Code of Civil Procedure, SS 11 6.340, 435.10, 415.20 Proof of Service (Small C(aims) Case ID: 5808679 SC-104, Page 1 of 2 20SC083239 Santa Clara - Civil Electronically filed by Superior Court of CA, County of Santa Clara, on 5/29/2020 5:25 AM Reviewed By:D. Pinheiro Case #20SC083239 Env #4390415 Case Number: 20SCOS3239 - 'ill out "a" or "b" below: a. Personal Service: I personally gave copies of the documents checked in Q3 to the person in QI On (date): At (time): At this address: City: State: Zip: b. H Substituted Service: I personally gave copies of the documents checked in Q3 (a, b, or d) to (check one): H 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 QI. I told that adult, "Please give these court papers to (name of person in Q1)." I did this on (date): 5/18/2020 At (time): 4:34 PM At this address: 1546 S WHITE RD Phone: 4082884105 City; SAN JOSE State: CA Z': 95127 Name or description of the person I gave the papers to: OLIVIA DO SISTER ender; MALE Age; 71-80 Skin Tone: HISPANIC Hair: BLACK Eye Color: BROWN Heig: 5FT 0 - 5FT 3IN Weight: 151 LBS -»«aspliirifl'~vviiiI 1diiv0dev l~vss HvJtre bvt-~di'ni-in. 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 Qi at the address where I left the copies, I mailed the envelope on (date): 05/18/2020 from (city, state): SAN JOSE, CALIFORNIA by leaving it (check one): a. g At aU.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. Q5 Agency Information: Name: LEGAL PURSUIT Address: 22 WEST ST. JOHN ST. SUITE B City: SAN JOSE State: CA Zip: 95113 County of registration: SANTA CLARA Registration number: PS1719 Fee for service: $ 58.00 Process Server Information: County of registration: SANTA CLARA Registration number; PS1719 Q6 I declare under penalty of perjury under California state law that I am at least 18 years old aiid not named in this case and that the information above is true and correct. Date 05/18/2020 PAULINA A. ROCHA Type orprint sefver 's name Server signs /i re after serving / Revised Jaauap 1, 2009 Proof of Service (Small Claims) Case lD: 5808679 SC-104, Page 2 of 2
