Proof Service SummonsCal. Super. - 3rd Dist.June 9, 2021Attorney or Party without Attorney (Name, State Bar number, and address): For Court Use Only Patenaude & Felix, APC Michael R. Boulanfer, Esq #226924/ Michael D. Kahn #236898 4545 Murphy Canyon Road, 3” FI San Diego, CA 92123 Telephane No: (858)244-7600 Fax No. (Cptional): (858)836-0318 E-mail Address (Optional): Attorney for (Name): Plaintiff SUPERIOR COURT OF CALIFORNIA, COUNTY OF PLACER 10820 JUSTICE CENTER DRIVE ROSEVILLE CA 95678 PLACER COURTHOUSE PLAINTIFF/PETITIONER: TD Bank USA, N.A. DEFENDANT/RESPONDENT: JASON L HAYES Case Number: | M-CV-0079262 1. At the time of service | was at least 18 years of age and not a party to this action. 2. | served copies of: SUMMONS; COMPLAINT; CIVIL CASE COVER SHEET: DECLARATION RE: VENUE 3. a. Party served (specify name of party as shown on documents served): JASON L HAYES b. 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 on whom substituted service was made) (specify name and relationship to the party named in item 3a): 4, Address where the party was served: 1801 EUREKA RD APT 397 , ROSEVILLE, CA 95661 5. | served the party (check proper box) a. 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 on (date): 06/19/21 10:13 AM White / Male / 50-65 / Hair:Gray / 6ft + / 161-200Ibs b. 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): (4) (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) (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) (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) | thereafter 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). | mailed the documents on (date): from (city): or a declaration of mailing is attached. (5) | attach a declaration of diligence stating actions taken first to attempt personal [a] bi [a] service. oe ks Wa Page 1 of 2 PROOF OF SERVICE OF SUMMONS PLAINTIFF/PETITIONER: TD Bank USA, N.A. Case Number; M-CV-0079262 DEFENDANT/RESPONDENT: JASON L HAYES c. by mail and acknowledgment 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) with two copies of the Notice and Acknowledgment of Receipt and a postage-paid return envelope addressed to me. (Attach completed Notice and Acknowledgement of Receipt.) (Code Civ. Proc., §415.30.) (4) to an address outside California with return receipt requested. (Code Civ. Proc., 8 415.40.) d. by other means (specify means of service and authorizing code section): Additional page describing service is attached. 6. The "Notice to the Person Served" (on the summons) was completed as follows: a.l¥j as an individual defendant. b. as the person sued under the fictitious name of (specify): C. as occupant. d. On behalf of (specify): under the following Code of Civil Procedure section: 416.10 (corporation) 415.95 (business organization, form unknown) 416.20 (defunct corporation) 416.60 (minor) 416.30 (joint stock company/association) 416.70 (ward or conservatee) 416.40 (association or partnership) 416.90 (authorized person) 416.50 (public entity) 415.46 (occupant) other: other: 7. Person who served papers a. Name: LISA KRYML b, Address: 1055 Wilshire Blvd St 1550, Los Angeles, CA 90017 c. Telephone number: 323-443-0032 d. The fee for service was: $85.00 e.} am: (1) not a registered California process server. (2) exempt from registration under Business and Professions Code section 22350(b). (3)4 aregistered California process server: (i) owner employee independent contractor. (ii) Registration No.: 2019-69 (iii) County: SACRAMENTO 8{1 declare under penalty of perjury under the laws of the State of California that the foregoing is true and | correct. 9. lam a California sheriff or marshal and | certify that the foregoing is true and correct. Date: 06/19/21 10:13 AM | Lise Ky -~ | om Poms, a LISA KRYML igffature) | Page 2 of 2 PROOF OF SERVICE OF SUMMONS
