Fill and Sign the Proof of Service by Personal Service Change of Name Form

PROOF OF SERVICE BY PERSONAL SERVICE (NAME CHANGE) Electronic form © 1998 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): TELEPHONE NO.: , on behalf of , a minor ATTORNEY FOR PETITIONER PETITIONER IN PROPRIA PERSONA (Check applicable box.) FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:Superior IN THE MATTER OF THE PETITION OF (Type or print name of person whose name is being changed): , on behalf of , a minor PROOF OF SERVICE BY PERSONAL SERVICE (NAME CHANGE) CASE NUMBER: PERSONAL SERVICE Instructions: After having the other party served with Order to Show Cause for Change of Name and Petition for Change of Name, have the person who served the document complete this Proof of Personal Service. Give the completed Proof of Personal Service to the clerk for filing. The petitioner cannot serve these papers.1.I served a copy of the the Order to Show Cause for Change of Name and Petition for Change of Name.2. Person served (name): 3. By personally delivering copies to the person served, as follows:a. Date: b. Time: c. Address: 4. At the time of service I was at least 18 years of age and not a party to this cause.a.Name: b. Telephone: c. Address: I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.D ate : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(TYPE OR PRINT NAME) (SIGNATURE OF PROCESS SERVER)