ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FOR COURT USE ONLY FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF IMPERIAL 939 Main Street El Centro, CA 92243 PETITIONER: RESPONDENT: DECLARATION AND ORDER FOR SERVICE BY MAILING AND POSTING IN LIEU OF PUBLICATION CASE NUMBER: 1. I am the Petitioner in the above entitled case. The following facts are stated on personal knowledge. 2. I have been granted a fee waiver by this court. I cannot proceed further with this case solely due to my inability to pay the costs of service. 3. I am seeking a dissolution of marriage in good faith. 4. Respondent’s last known address is: _________________________________________. 5. I do not know the present whereabouts of Respondent. 6. I have contacted the following persons and agencies in an attempt to find Respondent: Name/Address Relationship Date of Contact Result of Contact a. b. c. d. Form Approved for Optional Use FL-09 For use with FL-10 (Adopted 1/1/11) Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com CASE NUMBER:______________________________ DECLARATION AND ORDER FOR SERVICE BY MAILING AND POSTING IN LIEU OF PUBLICATION 7. I am not able to pay the costs of publishing the Summons in this case. 8. I request that this court allow Respondent to be served at his/her last known address by mailing and posting, pursuant to Cohen vs. Board of Supervisors (1971) 20 Cal. App. 3d 236 and CCP§ 413.30. I declare under penalty of perjury, under the laws of the State of California, that the foregoing is true and correct, and that this declaration was signed at__________________, California. Date: _________________ Signature: ________________________________ Print Name: _______________________________ ORDER IT IS ORDERED that service of the Summons and Petition in this action be made upon Respondent by mailing to Respondent’s last known address, and by posting in a public place, namely, the bulletin board at the front door of the Superior Court, 939 Main Street, El Centro, CA. Service shall be effective 30 days after posting. IT IS FURTHER ORDERED that a copy of the Summons and Petition be personally served on Respondent if his or her whereabouts be discovered prior to the entry of default. Date: ____________________ _______________________________________ Judge of the Superior Court Form Approved for Optional Use FL-09 For use with FL-10 (Adopted 1/1/11) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com