ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): TELEPHONE NO.: FOR COURT USE ONLY ATTORNEY FOR (NAME): Insert name of court, judicial district or branch court, it any, and post office and street address. Title of Case: CASE NUMBER: PROOF OF SERVICE BY MAIL (1013a, 2015.5 C.C.P.) STATE OF CALIFORNIA COUNTY OF ) SS. ) I am a resident of or employed in the county aforesaid; I am over the age of eighteen years and not a party to the within entitled action; my business/residence address is: On 20 , I served the following documents on the (plaintiff, defendant, petitioner, respondent or other) in said action, by placing a true copy thereof enclosed in a sealed envelope with postage thereon fully prepaid, in the United States mail at (City and State of mailing) addressed as follows: 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 of server 3-1-94 PROOF OF SERVICE BY MAIL 2000 (C) American LegalNet, Inc.