Preview
Clerk stamps dge: is Eefiorm is filed.
Proof of Service
7R 0R COURT 0F CALlFORNlA
[£51va or: SAN BERNARDlNo
’
Use this form to serve a person, a business, or a public entity. To learn more rsamnm 018mm
about proof of service, read What Is "ProofofService"?, Form SC-104B. To
learn more about how to serve a business or entity, read How t0 Serve a MAY 2 9 2020
Business 0r Public Entity, Form SC-104C.
T0 serve a business, you must serve one of the following people:
. Owner (for a sole proprietorship)
BY Um
TIFFANY MIMS-MUNOZ‘ DEPUTY
. Partner (for a partnership) or general partner (for a limited partnership)
c Any officer or general manager (corporation or association)
o Any person authorized for service by the business (corporation, association,
court name and street address:
Fill in
general partnership, limited partnership)
Superior Court of California, County of
. Any person authorized for service with the Secretary of State (corporation,
limited liability partnership
San Bernardino
association, limited liability company [LLC],
Fontana Superior Court
[LLP], limited partnership)
that entity, then
17780 Arrow Blvd
To serve a public entity, you must first file a claim with
Fontana, Ca 92335
serve one of the following people:
. Clerk (of a city or county)
Fill in case number, case name, hearing date,
o Chief officer or director (of a public agency) and department below:
day, time,
. Any person authorized for service by the entity
Case Number:
a. If you are serving a person, write the person’s name below: SMCF82001522
'
Daniel Gutierrez A
Case Name:
b. If you are serving a business or entity, write the name of the business Bankers Auto Acceptance Corp DBA
or entity, the person authorized for service, and that person’s job title: Time Finance Comgany VS. Daniel Gut
Hearing Date:
Business or Agency Name 5-4—2020
Time: Dept.:
Person Authorized for Service Job Title 10:00AM F6
® Instructions to Server:
You must be at least 18 years old and not be named in this case. Follow these steps:
o Give a copy of all the documents checked in ® to the person in G) ,
or
. Give a copy of all the documents checked in ®
one of the following people:
to
®
a. A competent adult (at least 18) living with, and at the home of the person in 0r ,
b. An adult (at least 18) who seems to be in charge at the usual workp
lace of the person in G), 0r
c. An adult (at least 18) who seems to be in chargewhere the person in (D usually receives mail
(but not a U.S. Post Office box), no known physical address for the person in Q)
if there is
and mail a copy of the documents left with one of the adults in a, b, or c above to the person in CD.
THEN
- Complete and sign this form, and
- Give or mail your completed form to the person who asked you to serve these court papers, in timefor
theform t0 befiled with the court at least 5 days before the hearing.
® I
a.
served the person in
SC-lOO, Plaintiff’s Claim and
® a copy of the documents checked below:
ORDER t0 G0 t0 Small Claims Court
O
b. E SC—120, Defendant’s Claim and ORDER t0 Go t0 Small Claims Court
c. E Order for examination (This form must be personally served. Check the form that was served):
Note: The court can issue a civil arrest warrant ifthe servedparty does not come t0 court only ifthe
orderfor
examination was personally served by a registeredprocess server, sheriff marshal, 0r someone appointed by the court.
(1) E SC-134, Application and Order t0 Produce Statement ofAssets and t0 Appearfor Examination
(2) D AT—138/EJ-125, Application and Orderfor Appearance and Examination
d. D Other (specifi):
sc-1 o4, Page 1 of 2
Judicial Council of California.
PrOOf Of se_rVIce {leggal
So ut, ns~ .9
Revised January 1, 2009, Opfional Form
Code or Civil Procedure, §§ 116.340, 415.10, 415.20
(Small Clalms)
% P uS
Case Num ber: ‘
i
Case name: Bgnkers Auto Accgptancg Cory DBA s MCF s 2 O 015 2 2
Time Finange Comgany
® Fill
a.
out “a” or “b” below:
Personal Service: I personally gave copies of the documents checke
d in® to the person in Q) 2
On (date): At (time): a.m. p.m.
At this address:
City: '
State: Zip:
b. x Substituted Service: Ipersonally gave copies of
x
the documents checked in
A competent adult (at least 18) at the home of, and living with the person in
© (a, b, 0r d) to (check one):
I
‘—‘
An adult who seems to be in charge where the person in
(D usually works, or
or ® ,
An adult who seems to be in charge where the person in
post office
(D usually receives mail, or has a private
box (not a U.S. Post Office box), if there is no known physical address for the person in G) .
I
Idid
told that adult, "Please give these court papers
this on (date): 3-18—2020
to (name of person in ® )."
At (time): 10 22
: x lam. p.m.
At this Scenic Dr
addressz924
City: San Bernardino
State: Ca Zip: 924/98
Name or description ofthe person I gave the papers to: Jasmin
Gutierre z Cous i n ,
After serving the court papers,
and put first-class prepaid postage 0n
I put copies of the documents listed in
®
in an envelope, sealed the envelope,
addressed the envelope to the person
it. I
in®
at the address where I
left the copies.
I
Imailed the envelope on (date): 3—18—2020 from (city, state): 5am Bernardino. Cg
by leaving it (check one):
a. E At a U.S. Postal Service mail drop, or
b. C] At an office 0r business mail drop where I know the mail is picked up every day and deposited with the
U.S. Postal Service, or
c. D With someone else I asked to mail the documents to the
completed Form SC-104A.
person in ® ,
alld 1 have attaChed that person’s
© Server’s Information .
I
Name:Clark Miller
Phone: $909) 224—2131
Address: 1 358 N Omalley Way
City: Upland State: Ca Zip: 91786
Fee for service: $ 20 . OO
Ifyou are a registeredprocess server:
County of registration:
Registration number:
® I declare under penalty of
perjury under California state law that
case and that the information above is true and correct.
I am at least 18 years old and not named in this
‘
Date: 3-19—2020
Type 0r print server ’s name Server szgns here after serving
Revised January 1, 2009
Proof of Service SC-1 O4, Page 2 of 2
(Small Claims)