Fill and Sign the Proof Service Form

PROOF OF SERVICE AFFIDAVIT (Civil Code § 8416(a)(7)) I,       , declare that I have served copies of the       by (check appropriate box below): a. By personally delivering copies to: Name:       Title:       At: Street Address:       City, State and Zip Code:       On:       , 20       , at       am / pm. b. By Certified, Express, or Registered Mail Service, postage prepaid addressed to: Name:       Title:       At: Street Address:       City, State and Zip Code:       On:       , 20       See attached documentation provided by the US Postal Service or express mail service showing the date of delivery and the name of the person accepting delivery; tracking record or other documentation from express carrier showing attempted delivery or delivery of the notice; or, in the event of non-delivery, the returned envelope itself. I declare under penalty of perjury that the foregoing is true and correct. Signed at       , California , on       , 20 ______ . Signature       Print or Type Name ATTACH SERVICE LIST OF CERTIFIED OR REGISTERED MAIL WHEN RETURNED, OR PHOTOCOPY OF POST OFFICE RECORD OF DELIVERY OF RECEIPT. A notary public or other officer completing the certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. SWORN TO AND SUBSCRIBED before me on this the       day of       , 20       . Notary Public My Commission Expires:       Proof of Service Affidavit Page 1 of 1 Proof of Service Affidavit Page 2 of 1