Fill and Sign the Proof Service Notice Form

T RUS T O T HER I serve d with th e att a c h e d Not i c e o f Hearing—Deced e nt ' s Estat e o r Trus t a copy of t he p et i ti on o r othe r d ocumen t referr e d to in th e Notice. 4 . I a m (check all t h at ap p ly): NA M E OF EACH P ERSO N PERSONALL Y SERVED, ADDRES S W H E RE S E R V ED , AN D DAT E AND TI M E S E RVIC E WA S MADE Name Address where serv e d (n u m b e r, street , city, a n d state ) Date and tim e service ma d e 2 . I d eclar e under pen a lty o f p e r j ury un d e r the laws of t he Stat e o f Cal i forn i a tha t th e foregoi n g is tr u e a n d c o rrect. Date: 6 . Dat e : Tim e:5 . Dat e : Tim e:– – ––––– ––––– ––––– – – – – – – – – – ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– – ––––– –––––E S T A T E OF (Name): IN T H E MATTER O F (Name): C A S E NUMB E R: DE- 120(P) DECEDEN T 1 . 2 . PROO F OF PERSONAL SERVIC E O F N O T I CE O F H EARING—DECEDENT'S ESTATE OR TRUST (Attac h a sep a r a te completed and sign ed co p y o f t h is for m o r other proo f o f p ers o nal servic e t o Notice of Hearin g — D e c e dent's Estate o r T r us t for each person who personal ly serve d a c o py of th e Notice.) I a m o v e r th e a ge of 18 an d n o t a p arty to thi s ca u s e . I served th e att a c h e d Not i c e of Hearing—Dece d ent's Estat e o r Trus t b y persona l ly d eliverin g a cop y to each person listed bel ow at t h e a ddress a n d o n th e dat e an d t i m e in d icat e d b elow. a . b . c . d . e . n ot a registered Califo r nia proces s server. a Ca l if o r n ia s h eriff o r marshal. a reg i stere d Cal i forn i a p r o c e s s server. a n e m p l oye e or i n depe n dent co n tractor o f a reg i stere d Cal i forn i a p r o c e s s server. e x e m p t fro m re g istration (Bus. & Prof. Code, § 2 2 350(b)). 5 . My name , a d dress, te l epho ne n um b er, and , i f app l icab l e, c o unty o f re g istration an d number , a r e (specify): 1 . Dat e : Tim e: Dat e : Tim e: 3 . Dat e : Tim e: 4 . Dat e : Tim e: L ist o f n a mes and ad d r e sses o f p e rso n s person a ll y served by th e u n de r signe d contin u ed on a n a ttachment. (You ma y us e Attachment t o Notice of Hearin g Proof of P e rs o na l Serv i c e , f o rm DE-1 2 0(PA)/GC-020(PA), f o r thi s p urpose.) (F or C a lifor n ia s h eriff or mar s ha l u se o n ly) I cert i f y th a t t he forego i ng i s true and corr e c t Date: ( SIGN A TUR E) ( S IGN A TUR E) P a ge 1 of 1 F o rm A p pr ov e d f or O p t io n al U s e J u dici a l Co u ncil o f Ca l if o r n ia D E - 1 2 0 (P ) [ New Jul y 1 , 2 0 0 5 ] PROOF O F P E R S ONAL S E R V I C E OF NOTI CE O F HEARING—DECEDENT ' S ESTATE OR TRUST ( P roba t e — Decedents' Estates) P ro b a te C o de , § § 8 5 1, 1 2 1 6 , 1 2 64elec troni c form ã 2005 WWW.LawCA.co m L a w P u b l i s h e r s