VN120 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) Telephone Number FOR COURT USE ONLY ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: SHORT TITLE OF CASE: PROOF OF SERVICE CASE NUMBER: 1. At the time of service, I was at least 18 years of age and not a party to this action. 2. I served the following documents: Summons Petition Response Complaint Answer UCCJEA Declaration Notice of Motion Request for Order Temporary Restraining Order Mediation/Orientation Appointment Fact Sheet Responsive Declaration to Request for Order Income & Expense Declaration Order After Hearing Blank Response Blank Answer Blank Responsive Declaration Blank Income and Expense Declaration OTHER _______________________________________ ______________________________________________ ______________________________________________ 3. Party served: 4. Address: 5. Method of service: Personal service: By personal delivery to the person identified in paragraph 3. Date of Service: Time of Service: By Mail: By mailing copies to the person identified in paragraph 3, with postage fully prepaid, by first class mail as follows: Date of Mailing: Place of Deposit: With two copies of the Notice and Acknowledgment of Receipt and stamped return envelope addressed to me. (Attach signed Notice & Acknowledgment of Receipt) To an address outside of California with return receipt requested (Attach Returned Receipt) Optional Form VN120 (Rev. 07/13) PROOF OF SERVICE Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com VN120 PROOF OF SERVICE 6. Person Serving (name, address and telephone number): 7. Person serving, additional information Fee for service Not a registered California process server. Exempt from registration under B & P section 22350(b) Registered California process server: Employee or independent contractor Registration Number: County of Registration: I declare under the penalty of perjury and pursuant to the laws of the State of California that the foregoing is true and correct. Executed on _________________ at ____________________________. _________________________________________ Signature of Declarant I am a California sheriff, marshall or constable, and I certify that the foregoing is true and correct. Executed on ___________________ at ___________________________________________________. _________________________________________ Signature Optional Form VN120 (Rev. 07/13) PROOF OF SERVICE Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com