ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): TELEPHONE NO.: FOR COURT USE ONLY ATTORNEY FOR (Name): NAME OF COURT: STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: DECLARATION OF PERSONAL SERVICE CASE NUMBER: declares: I am and was on the dates herein mentioned over the age of eighteen years and not a party to this action; I served the (insert name of paper(s) served): in this action by personally delivering to and leaving with the following person in the County of State of California, on the date set opposite their respective names, a true copy thereof, to-wit: Name: Address: Name: Address: Name: Address: Date served: Time served: Date served: Time served: Date served: Time served: I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on (date) at (place) , California. Signature Revised June 1,1992 DECLARATION OF PERSONAL SERVICE 2000 (C) American LegalNet, Inc.