FOR COURT USE ONLY Attorney or party without attorney Name, Address & Telephone No. Attorney for (name) SUPERIOR COURT OF CALIFORNIA County of Sacramento 720 Ninth Street, Room 102 Sacramento, CA 95814-1380 (916) 874-5522 Case Title Case No. Proof of Service I served a copy of the following documents (list the title of each document served): On (person served): [] By personally delivering copies to the person served, as follows: Date: Time: Address: By mailing copies to the person served, as follows: Date: Place of mailing (address): [] At the time of service I was at least 18 years of age and not a party to this cause. I declare under penalty of perjury, under the laws of the State of California, that the foregoing is true and correct. Date: Type or Print Name and Address Signature Proof of Service CV/E-118 (REV. 02.17.06) American LegalNet, Inc. www.USCourtForms.com