California Proof of Service of Summons

PROOF OF SERVICE OF SUMMONS

FL-115

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, and Mailing Address):

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:

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 Uniform Child Custody jurisdiction and Enforcement Act (form FL-105)

(2) Completed and blank Declaration of Disclosure (form FL-140)

(3) Completed and blank Schedule of Assets and Debts (form FL-142)

(4) Completed and blank Income and Expense Declaration (form FL-150)

(5) Completed and blank Financial Statement (Simplified) (form FL-155)

(6) Completed and blank Property Declaration (form FL-160)

(7) Order to Show Cause (form FL-300), Application for order and Supporting Declaration (form FL-310), and blank Responsive Declaration to Order to Show Cause or Notice of Motion (form 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 age 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.

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: