PARTY WITHOUT AN ATTORNEY (Name and Address): TELEPHONE NO: FOR COURT USE ONLY In Pro Per SUPERIOR COURT OF CALIFORNIA, COUNTY OF MERCED STREET ADDRESS: 2260 N. STREET MAILING ADDRESS: 2222 M. STREET CITY AND ZIP CODE: MERCED, CA 95340 BRANCH NAME: GUARDIANSHIP OF THE PERSON ESTATE OF (NAME): MINOR CASE NUMBER PROOF OF SERVICE FOR PERSONAL SERVICE OR BY NOTICE AND ACKNOWLEDMENT OR RECEIPT (CCP sections 415.10, 415.30) I declare that: 1. At the time of service I was at least 18 years of age and not a party to this legal action. 2. I am a resident of or employed in the county where the mailing occurred, if served by mail. 3. My business or residence address is: __________________________________________________________ 4. 5. __________________________________________________________________________________________ I served copies of the following paper(s) in the manner shown below: Petition for Appointment of Guardian of Minor Petition for Appointment of Temporary Guardian Notice of Hearing for ______________________ UCCJEA Notice of Hearing for ______________________ Waiver of Notice Consent of Guardian Nomination of Guardian Petition for Visitation – Guardianship Petition for Modification of Visitation - Guardianship Petition for Termination of Guardianship Other: Manner of service: a. Personal Service. I personally delivered the above papers to: (1) Name of person served: ___________________________________________________ (2) Address where served: ____________________________________________________ (3) Date served: ____________________________________________________________ (4) Time served: ____________________________________________________________ b. Mailed Service. I placed a sealed envelope containing the papers listed above, along with two copies of a Notice and Acknowledgement of Receipt and a self-addressed, stamped envelope, deposited with the United States Postal Service with postage fully prepaid to: (1) Name of person served: ___________________________________________________ (2) Address to which documents where mailed: ____________________________________ (3) Date documents were mailed: ______________________________________________ (4) City and State where mailing occurred: ________________________________________ I declare under the penalty of perjury under the laws of the State of California that the foregoing is true and correct. DATE: __________ _________________________________ ______________________________________ (Type or Print Name) (Signature of Person who Served Papers) American LegalNet, Inc. www.FormsWorkFlow.com