Proof of Service PersonalCal. Super. - 6th Dist.May 7, 2020I 'roof of Service Clerk stamps date lrere whenforrrt isfiIed. Use this form to serve a person, a business, or a public entity. To learn more about proof of service, read 8%at Is 'P'roofofService"?, Form SC-10413. 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 parmership) ~ Any person authorized For service with tile Secretary of State (corporation, association, limited liability company [LLC], limited liability partnership [LLP], liinited partnership) To serve 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 Ql a. If you are serving a person, write the person's name below; MOHAMMED AI&HTAR 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 i n court rrarne and street address: Superior Court of California County of Santa Clara 191 NORTH PlRST STREET SAN JOSE, CA 9S113 Fil! in case number, case nanre, hearing date, day, ti»re, and departnrent below: Case Number; 20SC083288 Case Kame: OPORTUN INC, Against MOHAMlvlED AIG-1TAR Hearing Date: 11/S/2020 Business or Agency Name Time: I:00 PM Dept.: DEPT 1S 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 Qi, or'ive 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 Qt, or b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in Qi, or c. An adult (at least'l8) who seems to be in charge where the person in Qt 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 theform to befiled with the court at least 5 days before the heating. Q3 I serVed the perSOn in Qi a COpy Of the documents checked below: a. H SC-100, I'laintiff'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. ChecIc theform that was served): Voter The court can issue a civil arrest warrant ifthe servedparty does not come to court only ifthe of derfor examination was personally served by a registeredprocess server, sheriff, marshal, or someone appointed by the court. (I) 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 g Other (specify): NOTICE TO LITIGANTS'OTICE TO SMALL CLAIM LITIGANTS'udicial Coundl of California, www.oourrtnfo,ca.gov Revised January 1, 2009, Optional Form Code of Civil Procedure, 8' 1 5.340, 415.10, 415.20 Proof ot'ervice (Small Claims) Case lD: 5844483 SC-i 04, Page 1 of 2 20SC083288 Santa Clara - Civil Electronically filed by Superior Court of CA, County of Santa Clara, on 7/1/2020 3:15 AM Reviewed By:D. Pinheiro Case #20SC083288 Env #4534207 Case Number; 20SC083288 'i11 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): 6/17/2020 At (time): 8:53 PM Gender: MALE Age; 41-45 Skin Tone: DARK BROWN Hair: BLACK Eye Color: BROWN Height: SFT 8IN - 5FT 11IN Weight: 211 LBS - 230 LBS At this address: Home: 2085 JACKSON ST APT 4 City: SANTA CLARA State: CA Zip: 95050 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 mall, 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 Q1)." 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 I asked to mail the documents to the person in Q1, and I have attached that person' completed Form SC-104A. QS Agency Information: Name; LEGAL PURSUIT Address: 22 WEST ST. JOIIN ST. SUITE B City; SAN JOSE State; CA Zip; 95113 County of registration: SANTA CLARA Registration number: PS1654 Fee for service: $ 58.00 Process Server Information: County of registration: SANTA CLARA Registration number: PS1654 Q6 I declai'e under penalty ofperjury 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 aud correct. Date 6/24/2020 MARIANA MORENO Type orprint server's name Server signs here fter serving Rewed January 1, 2009 Proof of Service (Small Claims) Case ID: 5844483 SC-1 G4, Page 2 of 2
