Proof of Service Summons DLR CivilCal. Super. - 6th Dist.April 28, 202121 CV381 1 34 Santa Clara - Civil ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State, Bar number, and address): FOR COURT USE ONLY System Sy Erin Patterson (SBN# 262285), Kevin Hoang (SBN# 2771 32), Patrick Layman (SBN#59643), Esther Hyun (SBN# 292770), Jason w. Tang (SBN #314337), Nicholas Babillis (SBN# 291676), Thomas Sebourn (SBN 279272), Carina Jordan (SBN 302099), Bora Song (SBN 329308) _ . . Suttell and Hammer IIIGCtronlcally Flled Po Box c-9ooos - Benevue’mgaoog by Superior Court of CA, TELEPHONE No.2 425-455-8220 FAX N0. (Optional): County Of Santa Clara, E-MAIL ADDRESS (Optional): 0n 5/1 7/2021 12.00 AM ATTORNEY FOR N : S h B k . SUPERIOR COU(R'aI'm:F g:L:ZR:InIA COUNTY OF SANTA CLARA REVIewed By: System SYStem STREET ADDRESS: 191 N. First Street ‘:ase #21 CV381 134 MAILING ADDRESS: 191 N. First Street I=nvel°pe: 6452800 CITY AND ZIP CODE: San Jose 95113 BRANCH NAME: Downtown Superior Court PLAINTIFF/PETITIONER: Synchrony Bank CASE NUMBER: DEFENDANT/RESPONDENT: Henry M Lima 21 CV331 134 Ref. No. or File No.: PROOF OF SERVICE OF SUMMONS 771398 1. At the time of service | was at least 18 years of age and not a party to this action. w .< 2. | served copies of (specify documents): -.-. Summons; Complaint; Civil Case Cover Sheet; Civil Lawsuit Notice; Alternative Dispute Resolution (ADR) Packet; a STATEMENT OF VENUE 3. a. Party served (specify name ofparty as shown on documents served): Henry M Lima b. E Person (other than the party in item 3a) served on behalf of an entity or as an authorized agent (and not a person under item 5b whom substituted service was made) (specify name and relationship to the party named in item 3a ).' 4. Address where the party was served: 1626 La Rossa Cir, San Jose, CA 95125-1 251 5. | served the party (check proper box) a_ m by personal service. | personally delivered the documents listed in item 2 to the party or person authorized to receive service of process for the party (1) on (date): 05/1 6/2021 at (time): 11:37 AM Henry M Lima, Who accepted service with direct delivery, with identity confirmed by subject saying yes when named, a brown-haired Hispanic male approx. 45-55 years of age, 5'4“-5'6“ tall and weighing 180-200 lbs with an accent, glasses and a mustache. b. E by substituted service. On (date): at (time): | left the documents listed in item 2 with or in the presence of (name and title or relationship to person indicated in item 3): (1)E (business) a person at least 18 years of age apparently in charge at the office or usual place of business of the person to be served. | informed him or her of the general nature of the papers. (2)E (home) a competent member of the household (at least 18 years of age) at the dwelling house or usual place of abode of the party. | informed him or her of the general nature of the papers. (3)E (physical address unknown) a person at least 18 years of age apparently in charge at the usual mailing address of the person to be served, other than a United States Postal Service post office box. | informed him or her of the general nature of the papers. (4)E | thereafter caused to be mailed (by first class, postage prepaid) copies of the documents to the person to be served at the place where the copies were left (Code Civ. Proc § 415.20). Documents were mailed on (date): from (city): orE a declaration of mailing is attached. (5)E | attach a declaration of diligence stating actions taken first to attempt personal service. Page 1 of2 Forfn'Adopted for Maqdatqry Use Code of Civil Procedure. § 417.10 éfifi'ffiéfiili'a‘r’yffflé‘s’fia POS‘ PROOF 0F SERVICE 0F SUMMONS Tracking #: 0070131543 fl REF; 771398 stem PLAINTIFF/PETITIONER: Synchrony Bank CASE NUMBER: DEFENDANT/RESPONDENT: Henry M Lima 21 CV381 134 c. E by mail and acknowledgement of receipt of service. | mailed the documents listed in item 2 to the party, to the address shown in item 4, by first-class mail, postage prepaid, (1) on (date): (2) from (city): (3)E with two copies of the Notice and Acknowledgement ofReceipt and a postage-paid return envelope addressed to me. (Attach completed Notice and Acknowledgement of Receipt.) (Code Civ. Proc., § 41 5.30) (4)E to an address outside California with return receipt requested. (Code Civ. Proc., § 415.40) d_ E by other means (specify means of service and authorizing code section): E Additional page describing service is attached. 6. The “Notice to the Person Served” (on the summons) was completed as follows: as an individual defendant.9’ DUDE as the person sued under the fictitious name of (specify): P as occupant. P- On behalf of (specify) under the following Code of Civil Procedure section:E 416.10 (corporation)E 416.20 (defunct corporation)E 416.30 (joint stock company/association)E 416.40 (association or partnership)E 416.50 (public entity) 415.95 (business organization, form unknown) 416.60 (minor) 416.70 (ward or conservatee) 416.90 (authorized person) 41 5.46 (occupant) DDDDDD other: 7. Person who sewed papers a. Name: Tasia Stone b. Address: 2021 Fillmore St #2084, San Francisco, CA 94115 c. Telephone number: 530-635-4137 d. The fee for service was: $ 69.50 e. | am: (1)E not a registered California process server. 3 (2)E exempt from registration under Business and Professions Code section 22350(b). E (3) [X] registered California process server: (i) E owner E employee [X] independent contractor. For: ABC Legal Services, LLC (ii) [X] Registration No.: 18-003 Registration #: 6779 (iii)m County: Placer County County: Los Angeles 8_ m I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. or 9_ E I am a California sheriff or marshal and I certify that the foregoing is true and correct. Date: 05/1 6/2021 75/17 gép/f Tasia Stone L Z/ L (NAME OF PERSON WHO SERVED PAPERS/SHERIFF OR MARSHAL) (SIGNATURE) POS-010 [Rev. January 1, 2007] Page 2 of2 PROOF OF SERVICE OF SUMMONS Tracking #: 0070131548fl REF; 771398