Fl 115 Proof Of Service Of Summons

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FL-115
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
FOR COURT USE ONLY
To keep other people from seeing
what you entered on your form,
TELEPHONE NO.:
FAX NO. (Optional):
please press the Clear This Form
E–MAIL ADDRESS (Optional):
button at the end of the form when
ATTORNEY FOR (Name):
finished.
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER:
RESPONDENT:
CASE NUMBER:
PROOF OF SERVICE OF SUMMONS
1.
At the time of service I was at least 18 years of age and not a party to this action. I served the respondent with copies of:
a.
Family Law—Marriage: Petition—Marriage (form FL-100), Summons (form FL-110), and blank Response—Marriage
(form FL-120)
–or–
b.
Family Law—Domestic Partnership: Petition—Domestic Partnership (form FL-103), Summons (form FL-110), and
blank Response—Domestic Partnership (form FL-123)
–or–
c.
Uniform Parentage: Petition to Establish Parental Relationship (form FL-200), Summons (form FL-210), and blank
Response to Petition to Establish Parental Relationship (form FL-220)
–or–
d.
Custody and Support: Petition for Custody and Support of Minor Children (form FL-260), Summons (form FL-210), and
blank Response to Petition for Custody and Support of Minor Children (form FL-270)
and
Completed and blank Financial Statement
(1)
(5)
Completed and blank Declaration Under
e.
(Simplified) (form FL-155)
Uniform Child Custody Jurisdiction and
Enforcement Act (form FL-105)
Completed and blank Property
(6)
Declaration (form FL-160)
Completed and blank Declaration of
(2)
Disclosure (form FL-140)
Request for Order (form FL-300), and blank
(7)
Responsive Declaration to Request for Order
Completed and blank Schedule of Assets
(3)
(form FL-320)
and Debts (form FL-142)
Other (specify):
(8)
Completed and blank Income and
(4)
Expense Declaration (form FL-150)
2. Address where respondent was served:
3. I served the respondent by the following means (check proper box):
a.
Personal service. I personally delivered the copies to the respondent (Code Civ. Proc., § 415.10)
on (date):
at (time):
Substituted service. I left the copies with or in the presence of (name):
b.
who is (specify title or relationship to respondent):
(1)
(Business) a person at least 18 years of age who was apparently in charge at the office or usual place of
business of the respondent. I informed him or her of the general nature of the papers.
(Home) a competent member of the household (at least 18 years of age) at the home of the respondent. I
(2)
informed him or her of the general nature of the papers.
Page 1 of 2
Form Approved for Optional Use
Code of Civil Procedure, § 417.10
PROOF OF SERVICE OF SUMMONS
Judicial Council of California
(Family Law—Uniform Parentage—Custody and Support)
FL-115 [Rev. July 1, 2012]

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