PROOF OF SERVICE Kings County Local Form CIV 5 (Rev. 03-24-16) Optional UsePage 1 of 1 (optional form) ATTORNEY ORPARTY WITHOUT ATTORNEY (Name, state bar number (if applicable), and address), Telephone Number:()FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA COUNTY OF KINGS1640 Kings County DriveHanford, CA 93230 PLAINTIFF/PETITIONER:DEFENDANT/RESPONDENT:OTHER PARENT: PROOF OF SERVICECASE NUMBER: 1.I am over the age of 18 years, and not a party to this cause. I am a resident of or employed in thecounty where the mailing occurred.2.My residence or business address is as follows: , 3.I served a copy of the following document(s)(specify the name of each form served): Manner of service (check onebox): 4. [MAIL]- By enclosing copies in an envelope with the United States Postal Service with postage fully prepaid. The envelope was addressed and mailed as follows: a.Name of person served: b.Address: , c.Date of deposit: //d.Place of mailing (city and state): , 5. [PERSONAL]- By personally delivering copies to the person served as follows:a.Name of person served: b.Address: , c.Date of service: //d.Time of service: a.m. p. m.6.I declare under penalty of perjury under the laws of the State of California that the foregoing is trueand correct:Date: // (TYPE OR PRINT NAME) (SIGNATURE OF SERVER) American LegalNet, Inc. www.FormsWorkFlow.com