ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, address and telephone #): FOR COURT USE ONLY STATE BAR NO: ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF MARIN 3501 Civic Center Drive P. O. Box 4988 San Rafael, CA 94913-4988 PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: PROOF OF SERVICE BY MAIL CASE NUMBER : 1. 2. I am over the age of 18, and not a party to this cause. I am a resident of or employed in the county where the mailing took place. My residence or business address is: 3. I served a copy of the following documents (specify): by enclosing them in an envelope AND depositing the sealed envelope with the United States Postal Service with the postage fully prepaid. 4. The envelope was addressed and mailed as follows: a. b. Name of person served: Address: c. d. 5. Date mailed: Place of mailing (city and state): I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:______________________20________ .............................................................................. u____________________________________________ (Type or print name) (Signature of person completing this form) ___________________________________________________________________________________________ 026CV (Rev. 7/02) PROOF OF SERVICE BY MAIL 2002 © American LegalNet, Inc.