SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA BARBARA STREET ADDRESS: CITY AND ZIP CODE: BRANCH NAME: FOR COURT USE ONLY PETITIONER: RESPONDENT: CASE NUMBER: CERTIFICATE OF EXECUTION The undersigned authority has the honor to certify that the document(s) described below: 1. Were served on the Respondent (name) On (date) at (time) a.m./p.m., at (address) By one of the following methods authorized by the Letter Rogatory: (Please mark the appropriate box) , By personal Service on the identified address to the Respondent; In the following method in accordance with the law of the State of Destination: Substitute service Posting 2. Publication Other (describe): Were not served, by reason of the following facts (state reasons): . ANNEXES Documents returned: Executed at , this day of , 20 . (Name, signature and/or stamp of the Receiving Authority of the State of Destination) Mark box next to documents served on the Respondent: SUMMONS ORDER AND NOTICE OF CASE ASSIGNMENT PETITION FOR DISSOLUTION OF MARRIAGE BLANK RESPONSE TO PETITION FOR DISSOLUTION OF MARRIAGE PETITION FOR LEGAL SEPARATION BLANK RESPONSE TO PETITION FOR LEGAL SEPARATION PETITION FOR NULLITY BLANK RESPONSE TO PETITION FOR NULLITY PETITION TO ESTABLISH PARENTAL RELATIONSHIP BLANK RESPONSE TO PETITION TO ESTABLISH PARENTAL RELATIONSHIP PETITION FOR CUSTODY AND SUPPORT OF MINOR CHILD BLANK RESPONSE TO PETITION FOR CUSTODY AND SUPPORT OF MINOR CHILD DECLARATION UNDER THE UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT BLANK DECLARATION UNDER THE UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT PROPERTY DECLARATION BLANK PROPERTY DECLARATION BLANK DECLARATION OF DISCLOSURE DECLARATION OF DISCLOSURE (PRELIMINARY) INCOME AND EXPENSE DECLARATION BLANK INCOME AND EXPENSE DECLARATION COPY OF THIS LETTER ROGATORY DECLARATION OF DILIGENCE RE ATTEMPTS TO LOCATE RESPONDENT ESSENTIAL INFORMATION FOR THE RESPONDENT OTHER: Mandatory Form SC-4021 [Rev. January 1, 2015] CERTIFICATE OF EXECUTION American LegalNet, Inc. www.FormsWorkFlow.com