ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF IMPERIAL 939 W. Main Street El Centro, CA 92243 PETITIONER: RESPONDENT: PROOF OF SERVICE FOR STEPPARENT ADOPTION CASE NUMBER: 1. I served the person cited (name): citation and petition as follows: a. by serving Person cited. b. Delivery at: 1. date: 3. address: 2. Serviced: Adoption Citation a. home business 2. time: with the Petition to declare free Request for Adoption Request for Order (Personal Service) by personally delivering copies 3. At the time of service I was at least 18 years of age and not a party to this action. 4. Fee for service: $ 5. I am: a. Not a registered California process server c. Exempt from registration under Business and Professions Code §22350(b) California sheriff or marshal b. A registered California process server d. 6. Person Serving (name, address and telephone number): I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (SIGNATURE OF PERSON SERVING) Form Approved for Optional Use AD-05 (Adopted 01/01/12, Revised 01/01/13) PROOF OF SERVICE FOR STEPPARENT ADOPTION American LegalNet, Inc. www.FormsWorkFlow.com