UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF CALIFORNIA SACRAMENTO DIVISION In re ) ) ) Debtor(s). ) ) ) ) ) ) ) Bankruptcy Case No. Plaintiff(s), v. Adversary Proceeding No. Defendant(s). ) CERTIFICATION OF SERVICE OF SUMMONS AND NOTICE OF STATUS CONFERENCE AND COMPLAINT I, the undersigned, certify that I am, and at all times hereinafter mentioned was, not less than 18 years of age and not a party to the above-captioned matter. I further certify that I served the attached Summons and Notice Status Conference in an Adversary Proceeding, together with a copy of the complaint, as follows: Service was made on , 20 , by: MAIL SERVICE: Regular, first class United States mail, postage fully pre-paid, addressed to: PERSONAL SERVICE: By leaving the process with defendant or with an officer or agent of defendant at: RESIDENCE SERVICE: By leaving the process with the following adult at: PUBLICATION: The defendant was served as follows [describe briefly]: STATE LAW: The defendant was served pursuant to the laws of [describe briefly]: , as follows Under penalty of perjury, I declare that the foregoing is true and correct. Dated: Signature: Print Name: Address: EDC 2-080 (New 2/98) 2001 © American LegalNet, Inc.