Proof of Service SubstitutedCal. Super. - 6th Dist.April 9, 2020sc_1 04 Proof of Service Clerk stamps date here when form is filed. Use this form to serfve a person, business, or a ublic entity. To learn more about proof ofservxce, read What is "Proofof ervice"?, Form SC-104B. To learn more about how to serve a business or entity, read How t0 Serve a Business 0r Public Entity, Form SC-IO4C. To serve a business, you must serve one ofthe following people: ° Owner (for a sole proprietorship) ' Partner (for a partnership) 0r 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 partnerhip, limited partnership) J ° Any peqson apthorizgd fqr service with the Segreyary qf Sitgte (corporation, Superior Court l assocnatgoq, I1m1ted 11ab1_11 company [LLC], llmned hablllty partnershlp Santa Clara County, California [LLP], llmned partnershlp Small Claims . . . . . 191 N. 1st St T0 serve a public entlty, you must first file a clalm w1th that entlty, then San Jose. California 95113 serve one ofthe followmg people: ° Clerk (ofa city or county) ° .Chief officer or director (ofa public agency) ' Any person authorized for service by the entity Case Number: G) - - . 20 sc 083448 a. Ifyou are servmg a person, wnte the persons name below: Nicole E. DeICastillo Case Name: Santa Clara County Federal Credit Union vs. DelCastIllo. Scott L.; DeICastlllo. Nicole E. b. Ifyou'are serving a business, or entity,_write the name ofthq business 0r entlty, the person authonzed for serv1ce, and that person's Job mle: Business or Agency Name Hearing Date: 4/13/2021 Person Authorized for Service Job Tit]: Time: 1:00 pm Dept: \f ® 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© to the person in© , or ° Give a ccpy of all the documents checked in® to one ofthe following people: a. A competent adult (at least 18) I'iving with, and at the home ofthe person in® , or b. An adult (at least 18) who seems t0 be in charge at the usual workplace ofthe person in®, or c. An adult (at least 18) who seems to be in charge where the person in® usually receives mail, (but not a U.S. Post Office box), ifthere is no known physical address for the person in®. and mail a copy ofthe documents left with one ofthe adults in a, b, 0r c above t0 the person in®. THEN, - Complete and sign this form, and - Give 0r mail your completed form t0 the person who asked you to_serve these court papers in timefor theform to befiled wuh the court at least 5 days before the hearmg. ® l served the person in® a copy of the documents checked below: a. SC-IOO, Plaintifl's Claim and ORDER t0 Go t0 Smali Claims Cour! b. D SC-I20, Defendant’s Claim and ORDER to Go r0 Small Claims Court c. D Order for examination, (Thisform must be personally served. Check (hefarm that was served): Note: The court can issue a civil arrest warrant iflhe servedparty does not come t0 court only Ifthe orderfor examination was personally sewed by a registered process server, sheriffi marshal, 0r someone appointed by the court. (I)D SC- 1 34, Application and Order lo Produce Statement ofAssets and t0 Appearfor Examination (2) D AT- 1 38/EJ-125, Applicarion and Orderfor Appearance and Examination d. Other, (speafl): Other Plaintiffs or Defendants: Re uest to Partici ate in On-Line Dis ute Resolution EUDRS Tor Small C atms Elflganfs; Ncoflce f0 Small DClaIm Elflganfs Jumcjal Council o! Cafiromia Revised January 1, 2009, Optionm Form PrOOf Of semice SC'1 O4. Page 1 0f 3 CodeoYCivileoedure116.340.415,l0.415.20 (small Claims) Job NUmber COP_2021001587 Case Number: Case name: Santa Clara County Federal Credit Union vs. 20 SC 083448 DeICastmo. Scott L.; Masullo, Nicole E. ® Fill out "a" or "b" below: a. D Personal Service: Ipersonally gave copies ofthe documents checked in© to the person in©: On (dale): At (time): At this address: ' City: State: Zip: b. Substituted Service: I personally gave copies 0fthe documents checked in© (a, b, d) to (check one): A competent adult (at least 18) at the home of, and living with the person in©, or D An adult who seems to be in charge where the person in® usually works, or D An adult who seems t0 be in charge where the person in® usually receives mail, 0r has a private post office box (not a U.S. Post Office box), ifthere is no known physical address for the person in® . Itold that adult, "Please give these court papers to (name ofperson in® )." Idid this on (date): 02/24/2021 At (time): 3:25 PM At this address: 332 Mira Vista Way City: South San Francisco State: CA Zip: 94080 Name or description ofthe person I gave the papers to: Jane Doe (refused name) I Mother & Co-Occupant Age: 60, Sex: f, Race/Skin Color: cauc, Height: 5'8", Weight: 175, Hair: brown, Glasses: n After serving the court papers, I put copies ofthe documents listed in© in an envelope, sealed the envelope, and put first-cIass prepaid postage on it. I addressed the envelope to the person in® at the address where I lefi the copies. I mailed the envelope on (dare): 02/25/2021 from (city, state): San Jose CA by leaving it (check one): a. D 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, 0r c. D With someone else I asked to mail the documents to the person in® and I have attached that person's completed Form SC-104A © Server's Information Name: Stefan Fahrner Phone: (408) 297-6070 Address: 31 E. Julian Street City: San Jose State: CA Zip: 95112 Fee for service: $ 70.00 County ofregistration: Santa Clara County Registration Number: P531676 © I declare under penalty ofperjury under California state law that I am at least 18 years old and not named in this case and 11171 the information above is true and correct. Date; 7 7542] Stefan Fahrner ) fiifiijifigfifli'flgagggfnéapuana:Farm Proof of Service 80-104. Page 2 of 3 Coda or CIVII Procedure 116.340. 415.10, 415 20 Job Number COP-2021 001 587 (Small Claims) Case Number: 20 SC 083448 Case name: Santa Clara Coun Federal Credit Union vs. UeICasfilIo, Scofi E1; UelCasflllo, Nlcole E. Type 0r print sewer‘s name Server signs here after serving JRingzldgg:::!yoggeolgostngptionmForm PrOOf 0f semice 80-1 04' Page 3 Of 3 Code 01 Civil Pmcauum 116.340. 415.10. 415 20 Job NUmber COP_2021 001 587 (Small Claims)
