Fill and Sign the Proof Service Summons Form

FL-115 ATTORNEY OR PARTY WITHOUT ATTORNEY ( Name, and Mailing Address):                         TELEPHONE NO.:       FAX NO. (Optional) :       E-MAIL ADDRESS ( Optional)       ATTORNEY FOR (Name):       FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF       STREET ADDRESS:       MAILING ADDRESS:       CITY AND ZIP CODE:       BRANCH NAME:       Petitioner:       Respondent:       PROOF OF SERVICE OF SUMMONS CASE NUMBER:       1. At the time of service I was at least 18 years of age and not a party to this action. I served the respondent with copies of: a. Family Law: Petition (form FL-100). Summons (form FL-110), and blank Response (form FL-120). -or b. Family Law – Domestic Partnership: Petition – Domestic Partnership (form FL-103), Summons (form FL-110), and blank Response – Domestic Partnership (form FL-123) -or- c. Uniform Parentage: Petition to Establish Parental Relationship (form FL-200), Summons (form FL-210), and blank Response to Petition to establish Parental Relationship (form FL-220) -or- d. Custody and Support: Petition for Custody and Support of Minor Children (form FL-260), Summons (form FL-210), and blank Response to Petition for Custody and Support of Minor Children (form FL-270) and e. (1) Completed and blank Declaration Under (5) Completed and blank Financial Statement Uniform Child Custody jurisdiction and (Simplified) (form FL-155) Enforcement Act (form FL-105) (2) Completed and blank Declaration o f (6) Completed and blank Property Disclosure (form FL-140) Declaration (form FL-160) (3) Completed and blank Schedule of Assets (7) Order to Show Cause (form FL-300), Application and Debts (form FL-142) for order and Supporting Declaration (form FL-310), and blank Responsive Declaration to (4) Completed and blank Income and Order to Show Cause or Notice of Motion (form Expense Declaration (form FL-150) FL-320) (8) Other (Specify):       2. Address where respondent was served:       3. I served the respondent by the following means (check proper box): a. Personal Service. I personally delivered the copies to the respondent (Code civ. Pro., § 415.10) on (date):       at (time)       b. Substituted Service . I left the copies with or in the presence of (name):       who is (Specify title or relationship to respondent): (1) (Business) a person at least 18 years of ago who was apparently in charge at the office or usual place of business of the respondent. I informed him or her of the general nature of the papers. (2) (Home) a competent member of the household (at least 18 years of age) at home of the respondent. I informed him or her of the general nature of the papers. Page 1 of 2 Form Adopted for Mandatory Use Judicial Council of California FL-115 [Rev. January 1, 2005] PROOF OF SERVICE OF SUMMONS (Family Law – Uniform Parentage – Custody and Support) Code of Civil Procedure, §§ 417.10 www.courtinfo.ca.gov American LegalNet, Inc. www.USCourtForms.com PETITIONER:       RESPONDNET:       CASE NUMBER:       3. b. (cont.) on (date) :       at (time):       I thereafter mailed additional copies (by first class, postage prepaid) to the respondent at the place where the Copies were left (Code Civ. Proc., §415.20b) on (date):       A declaration of diligence is attached, starting the actions to first attempt personal service. c. Mail and acknowledgment service. I mailed the copies to the respondent, addressed as shown in item 2, by first-class mail, postage, prepaid, on (date):       from (city):       (1) with two copies of the Notice and Acknowledgment of Receipt (Family Law) (form FL-117) and a postage-paid return envelope addressed to me. (Attach completed Notice and Acknowledgment of Receipt (Family Law) (form FL-117).) (Code Civ., § 415.30.) (2) to an address outside California (by registered or certified mail with return receipt requested). (Attach signed return receipt or other evidence of actual delivery to the respondent.) (Code Civ. Proc., § 415.40.) d. Other (specify code section): Continued on Attachment 3d. 4. The “NOTICE TO THE PERSON SERVED” on the Summons was completed as follows (Code Civ. Proc., §§ 412.30,415.10,474): a. As an individual or b. On behalf of respondent who is a (1) minor. (Code Civ. Proc., § 416.60.) (2) ward or conservatee. (Code Civ. Proc., §416.70.) (3) other (specify): 5. Person who served papers Name:       Address:       Telephone:       This person is a. exempt from registration under Business and Professions Code section 22350(b) b. not a registered California Process server. c. a registered California process server: an employee or an independent contractor (1) registration no:       (2) Country:       d. The fee for service was (specify): $       6. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 7. I am a California sheriff, marshal, or constable, and I certify that the foregoing is true and correct. Date:             _____________________________________ (NAME OF PERSON WHO SERVED PAPERS) SIGNATURE OF PERSON WHO SERVED PAPERS) FL-100 [ Rev. January 1, 2005] PROOF OF SERVICE OF SUMMONS (Family Law – Uniform Parentage – Custody and Support) Page 2 of 2