Fill and Sign the Ca Court Appeal Form

APP-009 PROOF OF SERVICE (Court of Appeal) FOR COURT USE ONLY Mail Personal Service Notice: This form may be used to provide proof that a document has been served in a proceeding in the Court of Appeal. Please read Information Sheet for Proof of Service (Court of Appeal) (form APP-009- INFO) before completing this form. Case Name: ––––– Court of Appeal Case Number: ––––– Superior Court Case Number: ––––– 1. At the time of service I was at least 18 years of age and not a party to this legal action. 2. My residence business address is (specify): ––––– ––––– ––––– ––––– 3. I mailed or personally delivered a copy of the following document as indicated below (fill in the name of the document you mailed or delivered and complete either a or b): a. Mail. I mailed a copy of the document identified above as follows: (1) I enclosed a copy of the document identified above in an envelope or envelopes and (a) deposited the sealed envelope(s) with the U.S. Postal Service, with the postage fully prepaid. (b) placed the envelope(s) for collection and mailing on the date and at the place shown in items below, following our ordinary business practices. I am readily familiar with this business's practice of 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(s) with postage fully prepaid. (2) Date mailed: ––––– (3) The envelope was or envelopes were addressed as follows: (a) Person served: ––––– (i) Name: ––––– (ii) Address: ––––– ––––– ––––– (b) Person served: ––––– (i) Name: ––––– (ii) Address: ––––– ––––– ––––– (c) Person served: ––––– (i) Name: ––––– (ii) Address: ––––– ––––– ––––– Additional persons served are listed on the attached page (write “APP-009, Item 3a” at the top of the page) . (4) I am a resident of or employed in the county where the mailing occurred. The document was mailed from (city and state): ––––– Page 1 of 2 Form Approved for Optional Use PROOF OF SERVICE Judicial Council of California APP-009 [New January 1, 2009] (Court of Appeal) elec troni c form ã 2009 WWW.LawCA.co m L a w P u b l i s h e r s APP-009 CASE NAME: ––––– CASE NUMBER: ––––– 3. b. Personal delivery. I personally delivered a copy of the document identified above as follows: (1) Person served: ––––– (a) Name: ––––– (b) Address where delivered: ––––– ––––– ––––– (c) Date delivered: ––––– (d) Time delivered : ––––– (2) Person served: ––––– (a) Name: ––––– (b) Address where delivered: ––––– ––––– ––––– (c) Date delivered: ––––– (d) Time delivered : ––––– (3) Person served: ––––– (a) Name: ––––– (b) Address where delivered: ––––– ––––– ––––– (c) Date delivered: ––––– (d) Time delivered : ––––– Names and addresses of additional persons served and delivery dates and times are listed on the attached page (write “APP-009, Item 3b” at the top of the page) . 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 OF PERSON COMPLETING THIS FORM) (SIGNATURE OF PERSON COMPLETING THIS FORM) APP-009 [New January 1, 2009] PROOF OF SERVIC E Page 2 of 2 (Court of Appeal)