MSC-PR-004 For Optional Use MSC-PR-004 [Rev. . , 201 P ROOF OF SERVICE BY MAIL Page 1 of 1 PARTY WITHOUT AN ATTORNEY (Name and Address): TELEPHONE NO: In Pro Per FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF MERCED STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: 627 W. 21st Street 627 W. 21st StreetMerced, CA 95340 BRANCH NAME: Probate GUARDIANSHIP OF THE PERSON ESTATE OF (NAME): MINOR PROOF OF SERVICE BY MAIL CASE NUMBER 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.3.My business or residence address is: 4.I served copies of the following paper(s):Petition for Appointment of Guardian of MinorPetition for Appointment of Temporary GuardianNotice of Hearing for UCCJEANotice of Hearing for Waiver of NoticeConsent of GuardianNomination of GuardianPetition for Visitation GuardianshipPetition for Modification of Visitation - GuardianshipPetition for Termination of GuardianshipOther: 5.I served the above listed documents on each person named below by enclosing a copy in an envelope addressedas shown below AND a. depositing the sealed envelope with the United States Postal Service on the date and at the place shown in item 6 with the postage fully prepaid. b. placing the envelope for collection and mailing on the date and at the place shown in item 6 following our ordinary business practices. I am readily familprocessing 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 postage fully prepaid. 6. a. Date Mailed: b. Place mailed (city & state): 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) NAME AND ADDRESSES OF EACH PERSON TO WHOM NOTICE WAS MAILED Name of person served Address (number, street, city, state, and zip code) 1. 2. 3. Continued on page 2. American LegalNet, Inc. www.FormsWorkFlow.com MSC-PR-004 For Optional Use MSC-PR-004 [Rev. . , 201] P ROOF OF SERVICE BY MAIL Page 2 of 2 GUARDIANSHIP OF THE PERSON ESTATE OF (NAME): MINOR CASE NUMBER ADDITIONAL PERSONS TO WHOM NOTICE WAS MAILED: Name of person served Address (number, street, city, state, and zip code) 4. 5. 6. 7. 8. 9. 10. American LegalNet, Inc. www.FormsWorkFlow.com