Space Below for Court Use Only Name, Address and Telephone Number of Attomey(s) or Party Without Attorney Attorney for: Attorney Bar # SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE Petitioner/Plaintiff CASE NUMBER vs. PROOF OF SERVICE Respondent/Defendant I, the undersigned, served the following documents (specify exact title of document(s) served): On the following party to the action: 1. Party Served (specify name of party as shown on the documents served) 2. Person served and title: 3. Person with whom left; title or relationship to person served: 4. Date and time of delivery: 5. Mailing date; type of mail: 6. Address, city and state (when required, indicate whether address is home or business): 7. Manner of service: (Check appropriate box.) (Personal service) By handing a copy to the person served. (Substituted service on corporation, unincorporated association [including partnership], or public entity) By leaving, during usual office hours, copies in the office of the person served with the person who apparently was in charge and thereafter mailing (by first-class mail, postage prepaid) copies to the person served at the place where the copies were left. (CCP §415.20(a). Place of mailing: (Substituted service on natural person, minor, incompetent, or candidate) By leaving copies at the dwelling house, usual place of abode, or usual place of business of the person served in the presence of a competent member of the household or a person apparently in charge of his/her office or place of business, at least 18 years of age, who was informed of the general nature of the papers, and thereafter mailing (by first-class mail, postage prepaid) copies to the person served at the place where the copies were left. (CCP §415.20(b). Attach separate declaration or affidavit stating acts relied on to establish reasonable diligence in first attempting personal service.) Place of mailing: (Continued on Reverse) 255 (RI/98) PROOF OF SERVICE PRF 101 2000 (C) American LegalNet, Inc. (Mail and with two copies of the form of notice and acknowledgment and a return envelope, postage prepaid, addressed to the sender. (CCP §415.30. Attach written acknowledgment of receipt.) Place of mailing: (Certified or return receipt of actual delivery to the person served.) Place of mailing: registered requested) (Other – CCP §413.10, 413.30, 417.10-417.30 – Attach separate pages, if necessary): At the time of service, I was at least 18 years of age and not a party to the action. Fee for service $ Notary $ Mileage $ (To be completed in California by sheriff, marshal or constable*) (To be completed in California by process server, other than a sheriff, marshal or constable*) Not a registered California process server (CCP417.40). Registered: County, , Total $ I certify that the foregoing is true and correct and that this certificate was executed on (insert date) , at (insert place) Number: I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. , California. (Type or print name, title, county and, when applicable, Municipal or Justice Court District) (Type or print name, address and telephone no.) Date: Signature: * must be made by affidavit. Signature: This declaration 2000 (C) American LegalNet, Inc.