Preview
BSCR Proof of Service Clerk stamps date here when form is filed.
Use this form to serve a person, a business, or a public entity. To learn more FILED
about proof of service, read What Is "Proof of Service"? , Form SC-104B. To Superior Court of California
County of Los Angeles
learn more about how to serve a business or entity, read How fo Serve a
Business or Public Entity, Form SC-104C.
09/04/2018
Sherri R. Carter, Executive Officer / Clerk!
To serve a business, you must serve one of the following people: By: K. Ramirez Deputy
. Owner (for a sole proprietorship)
. Partner (for a partnership) or general partner (for a limited partnership)
Fill in court name and street address:
. Any officer or general manager (corporation or association)
Superior Court of California, County of
. Any person authorized for service by the business (corporation, association,
Long Beach Courthouse
general partnership, limited partnership) 275 Magnolia Avenue
Any person authorized for service with the Secretary of State (corporation, Long Beach, CA 90802
association, limited liability company [LLC], limited liability partnership
[LLP], limited partnership)
To serve a public entity, you must first file a claim with that entity, then
serve one of the following people:
« Clerk (ofa city or count Fill in case number, case name, hearing date,
« Chief officer or director (of a public a: ency)
« Any person authorized for service by t e entity h day, time, and department below:
Case Number:
a. If you are serving a person, write the person's name below: 18LBSC02111
Case Name:
Rodriguez v. Villa
b. Ifyou are serving a business or entity, write the name of the business
or entity, the person authorized for service, and that person's job title:
Hearing Date:
Git of Long Beach
Business or Agency Name 9/4/18
Matthew Bynma empl 6 Ci st Clerk!" Office Time: Dept.:
Person Authorized for Service Job Title 8:30 a.m. $13
Instructions to Server:
You must be at least 18 years old and not be named in this case. Follow these steps:
« Give a copy of all the documents checked in (3) to the person in (4) , or
Give a copy of all the documents checked in (3) to one of the following people:
a. A competent adult (at least 18) living with, and at the home of the person in@) 5 or
b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in @ or
c. An adult (at least 18) who seems to be in charge where the person in @ usually receives mail
(but not a U.S. Post Office box), if there is no known physical address for the person in @.
and mail a copy of the documents left with one of the adults in a, b, or c above to the person in @.
THEN
e Complete and sign this form, and
¢ Give or mail your completed form to the person who asked you to serve these court papers, in time for
the form to be filed with the court at least 5 days before the hearing.
I served the person in (@ a copy of the documents checked below: C)
a. (J SC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court
b. (2) SC-120, Defendant's Claim and ORDER to Go to Small Claims Court
c. (2) Order for examination (This form must be personally served. Check the form that was served):
Note: The court can issue a civil arrest warrant if the served party does not come to court only if the order for
art)
examination was personally served by a registered process server, sheriff, marshal, or someone appointed by the court.
(1) SC-134, Application and Order to Produce Statement of Assets and to Appear for Examination
(2) CQ AT-138/EJ-125, Application and Order for Appearance and Examination
d. (CC) Other (specify):
"www Courtmo ca. GOV
Renina il vid io008, iBtional Proof of Service SC-104, Page 1 of 2
8 116/340,Form,415.10, 415.20 CEB | Essential (Small Claims)
fe\Forms:
Preview
BSCR Proof of Service Clerk stamps date here when form is filed. Use this form to serve a person, a business, or a public entity. To learn more FILED about proof of service, read What Is "Proof of Service"? , Form SC-104B. To Superior Court of California County of Los Angeles learn more about how to serve a business or entity, read How fo Serve a Business or Public Entity, Form SC-104C. 09/04/2018 Sherri R. Carter, Executive Officer / Clerk! To serve a business, you must serve one of the following people: By: K. Ramirez Deputy . Owner (for a sole proprietorship) . Partner (for a partnership) or general partner (for a limited partnership) Fill in court name and street address: . Any officer or general manager (corporation or association) Superior Court of California, County of . Any person authorized for service by the business (corporation, association, Long Beach Courthouse general partnership, limited partnership) 275 Magnolia Avenue Any person authorized for service with the Secretary of State (corporation, Long Beach, CA 90802 association, limited liability company [LLC], limited liability partnership [LLP], limited partnership) To serve a public entity, you must first file a claim with that entity, then serve one of the following people: « Clerk (ofa city or count Fill in case number, case name, hearing date, « Chief officer or director (of a public a: ency) « Any person authorized for service by t e entity h day, time, and department below: Case Number: a. If you are serving a person, write the person's name below: 18LBSC02111 Case Name: Rodriguez v. Villa b. Ifyou are serving a business or entity, write the name of the business or entity, the person authorized for service, and that person's job title: Hearing Date: Git of Long Beach Business or Agency Name 9/4/18 Matthew Bynma empl 6 Ci st Clerk!" Office Time: Dept.: Person Authorized for Service Job Title 8:30 a.m. $13 Instructions to Server: You must be at least 18 years old and not be named in this case. Follow these steps: « Give a copy of all the documents checked in (3) to the person in (4) , or Give a copy of all the documents checked in (3) to one of the following people: a. A competent adult (at least 18) living with, and at the home of the person in@) 5 or b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in @ or c. An adult (at least 18) who seems to be in charge where the person in @ usually receives mail (but not a U.S. Post Office box), if there is no known physical address for the person in @. and mail a copy of the documents left with one of the adults in a, b, or c above to the person in @. THEN e Complete and sign this form, and ¢ Give or mail your completed form to the person who asked you to serve these court papers, in time for the form to be filed with the court at least 5 days before the hearing. I served the person in (@ a copy of the documents checked below: C) a. (J SC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court b. (2) SC-120, Defendant's Claim and ORDER to Go to Small Claims Court c. (2) Order for examination (This form must be personally served. Check the form that was served): Note: The court can issue a civil arrest warrant if the served party does not come to court only if the order for art) examination was personally served by a registered process server, sheriff, marshal, or someone appointed by the court. (1) SC-134, Application and Order to Produce Statement of Assets and to Appear for Examination (2) CQ AT-138/EJ-125, Application and Order for Appearance and Examination d. (CC) Other (specify): "www Courtmo ca. GOV Renina il vid io008, iBtional Proof of Service SC-104, Page 1 of 2 8 116/340,Form,415.10, 415.20 CEB | Essential (Small Claims) fe\Forms: