AFFIDAVIT OF SERVICE BY MAIL STATE OF CALIFORNIA County of SS. being first duly sworn deposes and says: I am a citizen of the United States, over the age of 18 years and am not a party to the above-entitled proceeding. I am a resident of the County of My residence/business address is Number Street City , State of California. California. On the County of hereinafter named: NAME ADDRESS day of , 20 , at , California, I served the within Notice upon the person by placing a copy of this Notice in sealed envelopes, addressing one envelope as hereinabove indicated to each of said persons, sealing said envelopes and then depositing the same in the United States mail with postage fully prepaid thereon; that there is a delivery service by United States mail at each of the places so addressed, or that there is a regular communication by mail between the said place of mailing and each of the said places so addressed. Subscribed and sworn to before me this of ,20 Notary Public day In and for the ACIS Code 1017(1) 13-19719-360 County of , State of California SB-19719 2000 (C) American LegalNet, Inc. NOTES (1) Fill in the name of the county in which you have filed your Petition. (2) Fill in name of the California county in which you were convicted of a felony. If this is the same as (1), you need not duplicate. If you have more than one felony conviction, fill in the county where last convicted. (3) Fill in the name of any other county in which you were convicted of a felony. (4) Fill in the name of any other county in which you were convicted of a felony. INSTRUCTIONS (a) Prepare this Notice and enough copies to serve all of the persons you have named. The Notice shall be given (1) to the Governor of California, (2) the District Attorney of the county in which you filed your petition, and (3) to the District Attorney of each county in which you were convicted of a felony. (b) This Notice must be served at least 30 days prior to the date set for the hearing. (c) On the reverse side of this Notice are forms for proof of service upon various persons indicated above. This can be done by delivering a copy to each one, and having them sign for the same in the blanks indicated, or by having someone, other than yourself, mail a copy to each and making the affidavit of mailing, which is also set out on the reverse side of this Notice. Mailing procedure is explained in the affidavit itself. (d) After you have served all of the persons indicated, personally or by mail, or a combination of both, file this Notice with the County Clerk, together with the admission of service or the affidavit of mailing, or a combination of both, as the case may be. (e) If the county is San Francisco, insert the words "City and" in front of the word "County." Law reference: Sections 4852.01 to 4852.2, inclusive, Penal Code of California. 2000 (C) American LegalNet, Inc.