Domestic Relations Case Final Disposition Information Form Page 2

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CASE NUMBER:
ESTATE OF (Name):
DECEDENT
PROOF OF SERVICE
1. At the time of service I was at least 18 years of age and not a party to this action, and I served copies of the (specify documents):
2. a. Party served (specify name of party as shown on the documents served):
b. Person served:
party in item 2a
other (specify name and title or relationship to the party named in item 2a):
c. Address:
3. I served the party named in item 2
a.
by personally delivering the copies (1) on (date):
(2) at (time):
by leaving the copies with or in the presence of (name and title or relationship to person indicated in item 2b):
b.
(business) a person at least 18 years of age apparently in charge at the office or usual place of business of the
(1)
person served. I 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 person served. I informed him or her of the general nature of the papers.
(4) at (time):
(3)
on (date):
A declaration of diligence is attached. (Substituted service on natural person, minor, conservatee, or candidate.)
(5)
c.
by mailing the copies to the person served, addressed as shown in item 2c, by first-class mail, postage prepaid,
(2) from (city):
(1) on (date):
(3)
with two copies of the Notice and Acknowledgment of Receipt and a postage-paid return envelope addressed to
me. (Attach completed form.)
(4)
to an address outside California with return receipt requested. (Attach completed form.)
d.
by causing copies to be mailed. A declaration of mailing is attached.
other (specify other manner of service and authorizing code section):
e.
4. The ''Notice to the Person Served" (on the Summons) was completed as follows:
a.
as an individual defendant.
as the person sued under the fictitious name of (specify):
b.
c.
on behalf of (specify):
Code Civ. Proc., § 416.10 (corporation)
Code Civ. Proc., § 416.60 (minor)
under:
Code Civ. Proc., § 416.20 (defunct corporation)
Code Civ. Proc., § 416.70 (conservatee)
Code Civ. Proc., § 416.40 (association
Code Civ. Proc., § 416.90 (individual)
or partnership)
other (specify):
5. Person serving (name, address, and telephone number):
a. Fee for service: $
b.
Not a registered California process server.
Exempt from registration under Business & Professions
c.
Code, § 22350(b).
Registered California process server.
d.
(1)
Employee or independent contractor
(2) Registration No. (specify):
(3) County (specify):
(4) Expiration (date):
6.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
7.
I am a California sheriff or marshal and I certify that the foregoing is true and correct.
Date:
(SlGNATURE)
DE-125 [Rev. January 1, 1998]
Page two
PROOF OF SERVICE
Code of Civil Procedure, § 417.10(f)
(Summons—Probate)
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