Declaration Of Lost Summons After Service
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1
2SUM-300
FOR COURT USE ONLY
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state number, and address):
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
TELEPHONE NO.:
FAX NO.:
end of the form when finished.
ATTORNEY FOR (Name):
NAME OF COURT:
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PLAINTIFF/ PETITIONER:
DEFENDANT/ RESPONDENT:
DECLARATION OF LOST SUMMONS
CASE NUMBER:
AFTER SERVICE
At the time of service, I was at least eighteen (18) years of age and not a party to this action.
1.
2.
On (date):
, I served a copy of a Summons together with (specify documents):
on defendant/cross-defendant/respondent in this proceeding, in the manner described below.
3.
Name of party served and title, if any:
4.
Person with whom a copy of the Summons was left, and title or relationship to party served:
5.
Mailing date and type of mail:
6.
Address, city, and state (when required, indicate whether address is home or business):
Manner of service:
7.
Personal service. By personally delivering copies to person served. (Code Civ. Proc., § 415.1 0.)
a.
Substituted service on a corporation or unincorporated association (including partnership or public entity). By
b.
leaving, during usual office hours, copies in the office of the person served, with the person who apparently was in charge
and thereafter mailing (by first-class mail, postage prepaid) copies to the person served at the place where the copies
were left. (Code Civ. Proc., § 415.20(a).
Place of mailing (specify):
c.
Substituted service on natural person, minor, or incompetent. By leaving copies at the dwelling house, usual place of
abode, or usual place of business of the person served with or in the presence of a competent member of the household
or a person apparently in charge of the office or place of business, at least 18 years of age, who was informed of the
general nature of the papers, and thereafter mailing (by first-class mail, postage prepaid) copies to the person served at
the place where the copies were left. (Code Civ. Proc., § 415.20(b).) Attached is a separate declaration or affidavit stating
acts relied on to establish reasonable diligence in first attempting personal service.
Place of mailing (specify):
d.
Mail and acknowledgment of service. By mailing (by first-class mail, postage prepaid) copies to the person served,
together with two copies of the notice and acknowledgment provided for in Code of Civil Procedure section 415.30(b) and
a return envelope, postage prepaid, addressed to the sender. (Code Civ. Proc., § 415.30.) Attached is a completed copy
of the notice and acknowledgment of receipt mailed to the sender. Place of mailing (specify):
Page 1 of 2
DECLARATION OF LOST SUMMONS
Form Adopted for Mandatory Use
Judicial Council of California
AFTER SERVICE
SUM-300 [Rev. January 1, 2007]
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