Notice And Motion To Cancel Support Order Based On Presumed Income Page 2
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1
2FL-640
CASE NUMBER:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT:
PROOF OF SERVICE
1.
At the time of service I was at least 18 years of age and not a party to the legal action.
My residence or business address is (specify):
2.
3.
I served a copy of the foregoing Notice and Motion to Cancel (Set Aside) Support Order Based on Presumed Income
(Governmental) and all attachments as follows (check either a, b, or c for each person served):
a.
Personal delivery. I personally delivered a copy and all attachments as follows:
(1)
Name of local child support agency served:
Name of party or attorney served:
(2)
(a) Address where delivered:
(a) Address where delivered:
(b) Date delivered:
(b) Date delivered:
(c) Time delivered:
(c) Time delivered:
b.
Mail. I am a resident of or employed in the county where the mailing occurred.
(1) I enclosed a copy in an envelope and
(a)
deposited the sealed envelope with the U.S. Postal Service with the postage fully prepaid.
placed the envelope for collection and mailing on the date and at the place shown below, following our
(b)
ordinary business practices. I am readily familiar with this business’s practice for collecting and processing
correspondence for mailing. On the same day that correspondence is placed for collection and mailing, it is
deposited in the ordinary course of business with the U.S. Postal Service in a sealed envelope with
postage fully prepaid.
(2)
Name of local child support agency served:
Name of party or attorney served:
(3)
(a) Address:
(a) Address:
(b) Date mailed:
(b) Date mailed:
(c) Place of mailing (city and state):
(c) Place of mailing (city and state):
(3)
Address Verification (please specify):
(a)
I served a request to modify a child custody, visitation, or child support judgment or permanent order,
which included an address verification declaration (Declaration Regarding Address Verification—
Postjudgment Request to Modify a Child Custody, Visitation, or Child Support Order (form FL-334) may
be used for this purpose).
(b)
The address for each individual identified in items 3a and 3b was
(i)
verified by the California Child Support Enforcement System (CSE) as the current primary mailing
address on file.
(ii)
other (specify):
c.
Other (specify code section):
Additional page is attached.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF PERSON WHO SERVED MOTION)
NOTICE AND MOTION TO CANCEL (SET ASIDE) SUPPORT
Page 2 of 2
FL-640 [Rev. January 1, 2012]
ORDER BASED ON PRESUMED INCOME
(Governmental)
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