FOR COURT USE ONLY Name, Address, Phone # & State Bar # of Attorney or Party without Attorney Attorney for: SUPERIOR COURT OF CALIFORNIA, COUNTY OF YOLO 725 Court Street, #103 Woodland California 95695 530/406-6704 Plaintiff(s): Case Number: Defendant(s): PROOF OF SERVICE BY MAIL CCP 1013a, 2015.5 I am a citizen of the United States and a resident of the County aforesaid; I am over the age of eighteen years and not a party to the within entitled action; my business address is: On ____________________, I served the within ______________________________ on the ___________________ 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 ________________________________________, addressed as follows: I certify or declare under penalty of perjury that the foregoing is true and correct. Executed on __________________ at ________________________, California. ______________________________________ Signature of Declarant YOCV 0190 (Rev. 10/01/04) Page 1 of 1 Proof of Service by Mail American LegalNet, Inc. www.USCourtForms.com