Fill and Sign the Proof Service for Form

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) : TELEPHONE NO.:                               ATTORNEY FOR PETITIONER PETITIONER IN PROPRIA PERSONA (Check applicable box.) FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES STREET ADDRESS:       MAILING ADDRESS:       CITY AND ZIP CODE:       BRANCH NAME:       IN THE MATTER OF THE PETITION OF (Type or print name of person whose name is being changed) :             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. Date:             . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  (TYPE OR PRINT NAME) (SIGNATURE OF PROCESS SERVER) PROOF OF SERVICE BY PERSONAL SERVICE (NAME CHANGE) Electronic form © 1998