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Attachment To Form SC-104 Proof Of Mailing After Substituted Service Small Claims Form. This is a California form and can be use in Small Claims Judicial Council.
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Tags: Attachment To Form SC-104 Proof Of Mailing After Substituted Service Small Claims, SC-104A, California Judicial Council, Small Claims
COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:
PLAINTIFF:
Index No.
SC-104A
CASE NUMBER:
:
DEFENDANT:
Plaintiff(s)
Calendar No.
:
JUDICIAL SUBPOENA
-againstATTACHMENT TO FORM SC-104: PROOF OF MAILING AFTER :
SUBSTITUTED SERVICE (Small Claims)
(This form must be (1) filled out, (2) signed by the person who mailed the documents, and (3) attached to form SC-104, Proof of
:
Service (Small Claims), when the mailing required to complete substituted service under Code of Civil Procedure section 415.20 (item
5b(5) on form SC-104) is performed by a different person than the person who left copies of documents to be served with suitable
persons as required by that section.)
:
1. I am over the age of 18 and not a party to this case. I am a resident of or employed in the county where the mailing took place.
Defendant(s)
:
. ...... . ...... ..... . ......
2. My .residence. or. business.address. is .(specify): . . . . . . . . . . . . . . . . . . . . . .
3.
4.
I served the documents listed in item 2 of the attached Proof of Service (Small Claims), form SC-104, on each person named
THE PEOPLE a copy in an envelope NEW YORK
below by enclosingOF THE STATE OFaddressed to each person whose name and address are shown below AND
a.
depositing the sealed envelope with the United States Postal Service on the date and at the place shown in item 4
with first class postage fully prepaid.
TO
b.
placing the envelope for collection and mailing on the date and at the place shown in item 4 following our
ordinary business practices. I am readily familiar with this business's practice for collecting and processing
correspondence for mailing. On the same day that correspondence is placed for collection and mailing, it is
deposited in the ordinary course of business with the United States Postal Service in a sealed envelope with first
GREETINGS:
class postage fully prepaid.
a. Date mailed:
b. Place mailed (city, state):
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
theunder penalty of perjury under the laws of the State of at the
Honorable
Court
I declare
California that the foregoing is true and correct.
located at
County of
Date:
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
(SIGNATURE OF DECLARANT)
(TYPE OR PRINT NAME)
Your failure AND ADDRESS OF EACH PERSON TO WHOMas a contempt WERE MAILED make you liable to
NAME to comply with this subpoena is punishable DOCUMENTS of court and will
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
Address (number, street, city, and zip code)
Name
result of your failure to comply.
1.
2.
Witness, Honorable
Court in
County,
3.
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
4.
Attorney(s) for
5.
Office and P.O. Address
6.
Telephone No.:
List of names and addresses continued on separate attachment or Attachment to Judicial Council Form (form MC-025).
Form Approved for Optional Use
Judicial Council of California
SC-104A [New January 1, 2005]
Facsimile No.:
E-Mail Address:
ATTACHMENT TO FORM SC-104: PROOF OF MAILING
Mobile Tel. No.:
AFTER SUBSTITUTED SERVICE (Small Claims)
Page 1 of 1
Code of Civil Procedure
ยงยง 116.340, 415.20
www.courtinfo.ca.gov
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