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Proof Of Service Of Order To Show Cause (California)

This form is proof of mailing service of order to show cause in California. The form provided here is simply a sample of what the actual form looks like.

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FOR COURT USE ONLY

PETITIONER OR ATTORNEY (Name, state bar number, and address):

____________________________

____________________________

TELEPHONE NO.: ____________________________

FAX NO. (Optional): ____________________________

E-MAIL ADDRESS (Optional): ____________________________

ATTORNEY FOR (Name): ____________________________

SUPERIOR COURT OF CALIFORNIA, COUNTY OF _____________________

STREET ADDRESS: ____________________________

MAILING ADDRESS: ____________________________

CITY AND ZIP CODE: ____________________________

BRANCH NAME: ____________________________

PETITION OF (Name of petitioner): ____________________________ FOR CHANGE OF NAME

PROOF OF SERVICE OF ORDER TO SHOW CAUSE BY

____ PERSONAL DELIVERY ____ MAILING (OUTSIDE CALIFORNIA ONLY)

CASE NUMBER: ____________________________

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1. At the time of mailing or personal delivery, I was at least 18 years of age and not a party to this proceeding.

2. My residence or business address is (specify): ____________________________

3. I personally delivered or mailed a copy of the Order to Show Cause for Change of Name as follows (complete either a or b):

a. ____ Personal delivery. I personally delivered a copy to the person served as follows:

(1) Name of person served: ____________________________

(2) Address where delivered: ____________________________

____________________________

____________________________

(3) Date delivered: ____________________________

(4) Time delivered: ____________________________

b. ____ Mail. I am a resident of or employed in the county where the mailing occurred.

(1) I enclosed a copy in an envelope and mailed the sealed envelope to the person served by first-class mail, postage prepaid, return receipt requested, to the address outside of California listed below.

(2) The envelope was addressed and mailed as follows:

(a) Name of person served: ____________________________

(b) Address on envelope: ____________________________

____________________________

____________________________

(c) Date of mailing: ____________________________

(d) Place of mailing (city and state): ____________________________


Date: ____________________________

____________________________ (TYPE OR PRINT NAME OF DECLARANT)

____________________________ (SIGNATURE OF DECLARANT)

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