Proof of Service SubstitutedCal. Super. - 6th Dist.May 15, 2020Proof of Service Use this form to serve a person, business, or public entity. To learn more about proof of service, read What Is Proof of Service?, Form SC-104B, To learn more about how to serve a business or pubhc entity, read How to Serve a Business, Form SC-104C, To serve a business, you must serve one of the following people: ~ Owner (for a sole proprietorship or a business, form unknown) ~ Partner (for a partnership) or general partner (for a limited partnership) ~ Any officer or general manager (corporation or association) ~ Any person authonzed 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-Iiabilitv partnership (LLP), limited partnership) To serve a public entity,you must tirst 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. Oj a. If you are serving a person, write the person's name below: Ri h rd D I ith b. If you are serving a business or public entity, write the name of the business or entity, the person authorized for service, and that person' job title: Superior Court of California, County of SANTA CLARA 191 NORTH FIRST STREET SAN JOSE, CA 95113 Igrll rn co e nvmhcr, af * nom, In onnr dor I i; Irin aiul rtcporfnrenr h lon Case Number. 20SC083351 Case Name: Vaneasa Smith vs. Richard Dale Smith,et al Business or Agency Name Perso AufhonsedforSer ce - Jouxiie O~ Instructions to Server Hearing Date: 8/17/2020 Time: 1:00 PM Dept.: 14 You must be at least 18 years old and not be tkamed in this case. Follow these steps: ~ Give a copy of the documents checked in LBdto the person in Oi. or ~ Give a copy of the documents checked in 0~to a. A competent adult (at least 18) at the home of and living svith the person in 0)or b. An adult (at least 18) who seems to be in charge or c. An adult (at least 18) who seems to be in charge at the place where the person receives mail (not a U.S. Postal Service P.O. Box), if there is no known physical address for the person in 0), and mail a copy of the documents left with one of the adults in a, b. or c above to the person in 0). 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 time fr&r the form to be filed with the court at least 5 days befol e the hearing. ( 03 I s~eed the person in 0) a copy of the documents checked below: a. L+I SC-100, Plaintiffs Claim and ORDER to Go to Smail Claim Court b. SC-120, Det'endants Claim and ORDER to Go to Small Clams Court c. Order for Examination (This form must be pers»nulli* salved. Put a check, mark next tv the form that was served): Note: The court can issue a civil arrest warrant if the served party does not come to court bui only if the Order for Examination was personally served by a registered process server, sheriff, marshal, or .someone appointed by the court. (I) SC-134, Appiicanon and Order I» Pr»duce gtatement »fAssets and lo Appearfor Examinaitun (2) AT-138/EJ-125, Application and Order f»r Appearance and Examination d. Other (specify) J d c al Co nmi of Cai feme,ww courhnfo ce gov Re sed Jenuem 1 2009 Opfionai Form Code of Civil Procedure gg 116 340 415 10 415 20 PROOF OF SERVICE (Small Claims) I 11 'I Jlr SC.104, Page 1 12 Electronically Filed by Superior Court of CA, County of Santa Clara, on 7/9/2020 9:33 AM Reviewed By: D. Pinheiro Case #20SC083351 Envelope: 4572720 20SC083351 Santa Clara - Civil Case nallie: v Recce smith ve Rich rd Dale smith et el aee Number; 20SC083351 O4 Fill out "a" or "bn below: a. Personal Service: I personally gave copies of the documents checked in OSto the person in O~: On (date): At (tisne: At this address: State: Zip: b2f substituted Service: I personally gave copies of the documents checked in 03 (a,P or d) to (check one). Uac A competent adult (at least 18) at the home of, and living with the perAon in, M~ or An adult (at least 18) who seems to be in charge where the person in ) usually works or An adult (at least 18) who seems to be in charge where the person in O& receives mail, or has a private mailbox (not a U.S. Postal Service P.O. Box), if there is no known physical address for the person ino~ I told that adult, "Please give these court papers to fname nfpersan in 0~ ). I did this on (date): 6/24/2020 At (time:3:55 PM At this address: 558 Gaundabert Ln City/State/Zip: San Jose CA 951362821 Name or description of the person I gave the papers to: Chuck Smith - Brother AGE: 40's HEIGHT: 6'0 WEIGHT: 250 HAIR: Brown RACE: C EYES: After serving the court papers, I put copies of the documents listed in OSin an envelope, sealed the envelope, and put first-class prepaid postage on it. I addressed the envelope to the person in O~ at the address where I left the copies. from (city, state) 2 L s An eles CAI mailed the envelope on (date) 2 6/26/2020 by leavin~it t (check one): a. Lvl 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 Li.S. Postal Service, or C.H With someone else I asked to mail the documents to the person in O), and I have attached that person's completed Form SC-I04A. OS Server's Information Name. Phili Hamilton Phone: 213 353-910 Address: 1201 W Tem le Street City; Los An eles CA 90026 Fee for service: $ 110.00 (Ifyon are a registered process server): County of registration: Santa Clara Registration number: PS1663 O6 I declare, under penalty of perjury under California State Iaw. that I am at least 18 years old and not listed in this case and that the information above is true and correct. Date: 6/26/2020 Phili Hamilton Type or print server's name Server signs here after serving Re d Ja dan 1 2009 PROOF OF SERVICE (Small Claims) SC-104, Page 2 of 2 4 Proof of Mailing (Substituted Service) Case Number: 20SC083351 This form is attached to Form SC-104. Use this form ONLY if you mailed the documents in 0& and someone else personally gave them to the person, business, or public entity served. Notice to Server You must: ~ Be at lea~s I 8 And not listed in this lawsuit. ~ Fill out (9- U(i of this form and attach it to Form SC-I04. 0& Documents served by mail: a pf SC-100, Platntip's Claim and ORDER to Ga to Small Claims Court b SC-I 20, Defendant's Claim and ORDER to Ga to Small Claims Court c Other fsPecffyit 02 Name and address of the person, business, or public entity served: a. If you served a person, write the person's name «ntt Ri h rdo I ih Address unde Ln S nd CA 1 -2827 Street city'tate zip b. If you served a business or public entity, vvrite the name and address of the business or public entity, the person authorized for service, and that person's lob title: Bustness or p bsc Entity Name Person a t"prised fc ervice Job t tie Address: Street State Zp 03 I put copies of the documents listed in 0( above in an envelope, sealed the envelope, and~at first-class prepaid postage on it. I addressed the envelope to the person, business, or public entity listed in yazd and mailed the envelope by leaving it at (check one): 04 a. At a U.S. Postal Service mail drop, or b. 8 At an oftice or business mail drop where I know the mail is picked up every day and deposited with the U.S. Postal Service. I mailed the envelope: 0 ts ):s~rs is 4 b. From (city, state): Lo An le O~ Myaddressis:1201 W 7 m I r tL An I s CA 02 06 I declare, under penalty of perjury under Cahfomia State law, that the information above is true and correct. Date; /2 I 2 Carmen Rivera Type or print serve'6 name Server signs here after mailing Judcalco 1 fcasforna ~coom focagov Sensed January 1 2006 Optional Form code of evil procedure 55116340 41520 Proof of Mailing (Substituted Service) (Small Claimsi SC-104A, P ge i ot 1