Fill and Sign the Notice and Acknowledgment of Receipt Civil Form

   P O S-0 15ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address)FO R C O URT U SE O NLYTELEPHONE NO.F A X N O . ( O ptio nal) :E-MAIL ADDRESS (Optional):ATTORNEY FOR (Name) :SU PER IO R C O URT O F C ALIF O RNIA , C O UNTY O FSTREET ADDRESS:MAILING ADDRESS:CITY AND ZIP CODE:BRANCH NAME: PLA IN TIF F/P E TIT IO NER : DEFE N DAN T/R ESPO NDEN T CASE N UM BERNOTICE AND ACKNOWLEDGMENT OF RECEIPT-CIVILTO (insert name of party being served):N O TIC EThe summons and other documents identified below are being served pursuant to section 415.30 of the California Code of Civil Procedure. Your failure to complete this form and return it within 20 days from the date of mailing shown below may subject you (or the party on whose behalf you are being served) to liability for the payment of any expenses incurred in serving a summons on you in any other manner permitted by law.If you are being served on behalf of a corporation, an unincorporated association (including a partnership), or other entity, this form must be signed by you in the name of such entity or by a person authorized to receive service of process on behalf of such entity. In all other cases, this form must be signed by you personally or by a person authorized by you to acknowledge receipt of summons. If you return this form to the sender, service of a summons is deemed complete on the day you sign the acknowledgment of receipt below.Date o f m ailin g:(T Y PE O R P R IN T N AM E)(S IG NATU RE O F S EN DER -M UST N O T B E A P AR TY IN T H IS C ASE)A CKNO W LE D G M EN T O F R EC EIP TThis acknowledges receipt of (to be completed by sender before mailing):1.2.A c o py o f t h e s u m mons a nd o f t h e c o m pla in t. Oth er ( s p ecif y ):( T o b e c o m ple te d b y r e cip ie nt) :Date this form is signed:(T Y PE O R P R IN T Y O UR N AM E A N D N AM E O F E N TIT Y , IF A N Y, ON W HO SE B E H ALF T H IS F O RM IS S IG NED ) (SIGNATURE OF PERSON ACKNOWLEDGING RECEIPT WITH TITLE IF IS MADE ON BEHALF OF ANOTHER PERSON OR ENTITY) Page 1 o f 1F orm A dopte d fo r M andato ry U se Ju dic ia l C ouncil o f C alif o rn ia PO S-0 15 [R ev. J a nuary 1 , 2 005]NOTICE AND ACKNOWLEDGMENT OF RECEIPT - CIVILCode o f C iv il P ro ce dure§ § 4 1 5.3 0, 4 17.1 0ele ctr o nic f o rm  2 005 WWW.LawCA.com La w P ublis h ers