PLAINTIFF:
CASE NUMBER:
DEFENDANT:
PROOF OF SERVICE BY MAIL
Instructions: After having the parties served by mail with the Request/Counter-Request to Set Case for Trial—Unlawful Detainer,
(form UD-150), have the person who mailed the form UD-150 complete this Proof of Service by Mail. An unsigned copy of the Proof of
Service by Mail should be completed and served with form UD-150. Give the Request/Counter-Request to Set Case for Trial
—Unlawful Detainer (form UD-150) and the completed Proof of Service by Mail to the clerk for filing. If you are representing yourself,
someone else must mail these papers and sign the Proof of Service by Mail.
1. I am over the age of 18 and not a party to this case. I am a resident of or employed in the county where the mailing took place.
2. My residence or business address is (specify):
3. I served the Request/Counter-Request to Set Case for Trial—Unlawful Detainer (form UD-150) by enclosing a copy in an envelope
addressed to each person whose name and address are shown below AND
a.
depositing the sealed envelope in the United States mail on the date and at the place shown in item 3c with the postage
fully prepaid.
b.
placing the envelope for collection and mailing on the date and at the place shown in item 3c following 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 United States Postal Service in a sealed envelope with postage fully prepaid.
c. (1) Date mailed:
(2) Place mailed (city and state):
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct:
Date:
(SIGNATURE OF PERSON WHO MAILED FORM UD-150)
(TYPE OR PRINT NAME)
NAME AND ADDRESS OF EACH PERSON TO WHOM NOTICE WAS MAILED
Name
Address (number, street, city, and zip code)
4.
5.
6.
7.
8.
9.
List of names and addresses continued on a separate attachment or form MC-025, titled Attachment to Proof of Service by
Mail.
UD-150 [New January 1, 2005]
Page 2 of 2
REQUEST/COUNTER-REQUEST TO SET CASE
FOR TRIAL—UNLAWFUL DETAINER
For your protection and privacy, please press the Clear This Form
Save This Form
Print This Form
Clear This Form
button after you have printed the form.