Preview
-— MAREN
Proof of Rivice i
Use this form to serve a person, business, or public entity. To learn more ALAM r MRED unt Y
about proof of service, read Form SC-104B, What Is Proof of Service? To
learn more about how to serve a business or public entity, read Form O6 JUL ~§ AH G1]
SC-104C, How to Serve a Business. cue cymeRIOR COURT
To serve a business, you must serve one of the following people: cHERK OF THE SURES
* Owner (for a sole proprietorship or a business, form unknown) ;
* Partner (for a partnership) or general partner (for a limited partnership) BY . se,
- Any officer or general manager (corporation or association)
+ Any person authorized for service by the business (corporation, association, Fill in court name and street address:
general partnership, limited partnership)
Superior Court of California, County of
¢ Any person authorized for service with the Secretary of State (corporation, Alameda
(LLB) limited partnerships company (LLC), limited-liability partnership 2120 Martin Luther King Jr. Way
° Berkeley, CA 94704
- To serve a public entity, you must serve one of the following people: Berkeley Courthouse
* Clerk (of a city or county)
* Chief officer, director, or agent authorized to accept service (of a public
Fill in case number and case name:
entity, agency, commission, board, district, etc.)
if . ite th bel Case Number:
a. If you are serving a person, write the person’s name below:
Lenora Moore BS05209788 et al
. : . . : Case Name:
b. Ef you are serving a business or public entity, write the name of the .
x ng pud ty, ; 5 Paul Rauber, et al. VS Lenora
business or entity, the person authorized for service, and that person’s
ad. Moore
job title:
Business or Public Entity Name Person Authorized for Service Job Title (}
(2) Instructions to Server
You must be at least 18 years old and not listed in this case. You can use personal or
substituted service. Follow these steps:
a. If you are using personal service, give a copy of the documents checked in@) to the person in@) .
b. Ifyou are using substituted service, give a copy of the documents checked in@) to:
* A competent aduit (at least 18) at the home of and living with the person in @ or
* An adult (at least 18) who seems to be in charge where the person usually works or
* An adult (at least 18) who seems to be in charge at the place where the person receives mail or has a private
mailbox (not a U.S. Postal Service P.O. Box), if there is no known physical address for the person in@).
* THEN mail a copy of the documents to the person in@ at the address where you left the documents.
c. After serving the documents do the following:
* Complete and sign this form and
* Give or mail your completed form to the person who asked you to serve these court papers.
(3) | served the person in (1) a copy of the documents checked below:
a, | SC-100, Plaintiffs Claim and ORDER to Go to Small Claims Court
b. [] SC-120, Defendant’s Claim and ORDER to Go to Small Claims Court
c. Order for Examination (This form must be personally served. Put a check mark next to the form that was
served):
(1) ] SC-134, Application and Order to Produce Statement of Assets and to Appear for Examination
(2) AT-138/EJ-125, Application and Order for Appearance and Examination
Note: The court can issue a civil arrest warrant if the served party does not come to court but only if the
Order for Examination was personally served by a registered process server, sheriff, marshal, or someone
appointed by the court.
d. (1 Other (specify):
Judicial Council of California, www.courtinfo.ca.gov ic -
Revised January 1, 2006, Optional Form Proof of Service SC 104, Page 1 of2
Code of Civil Procedure, §§ 116.340, 415.10, 415,20 (Small Claims) >
American LegalNet, Inc.
www.USCourtForms.com
© umber:
Case name: Paul Rauber, et al. VS Lenora Moore BS05209788 et al
(4) Fill out “a” or “b” below:
a. Personal Service: I personally gave copies of the documents checked in (3) to the person in @ :
At (time): 4:10 Cam pm.
On (date): 06/08/2006
At this address: }©10 Oregon Street
City: Berkeley State. CA Zip: 94703
b. [] Substituted Service: I personally gave copies of the documents checked in@) (a, b, or d) to (check one):
(_] A competent adult (at least 18) at the home of, and living with the person in, 1) or
* LC) An adult (at least 18) who seems to be in charge where the person in@® usually works or
CI An adult (at least 18) who seems to be in charge where the person in @) receives mail, or has a private
mailbox (not a U.S. Postal Service P.O. Box), if there is no known physical address for the person in() .
I told that adult (check one):
|_| “Please give these court papers to (name of person in @)”
| Other (specify):
I did this on (date): At (time): Lam. 2 p.m.
At this address:
City: State: _______ Zip:
Name or description of the person I gave the papers to:
After serving the court papers (check one):
1.L1 I put copies of the documents listed in (3) inan envelope, sealed the envelope, and put first-class prepaid
postage on it. I addressed the envelope to the person in (1) at the address where I left the copies.
I mailed the envelope on (date): from (city, state):
by leaving it at (check one):
a. LJ Ata U.S. Postal Service mail drop, or
b._] At an office or business mail drop where I know the mail is picked up every day
and deposited with the U.S. Postal Service, or
2. (_| I gave copies of the documents to someone else and asked that person to mail the documents to the
person in @), and I have attached that person’s completed Form SC-104A.
(5) Server’s Information
Name: Frank Love Phone: 310-562-9705
Address: 414 Pendleton Way, Suite #2
City: Oakland State: CA Zip: 94621
Fee for service: $
(Ifyou are a registered process server):
County of registration; Alameda Registration number: 196
(6) I declare, under penalty of perjury under California State law, that [ am at least 18 years old and not listed in this
case and that the information above is true and correct.
Date: 06/12/2006
Frank Love > =eZ .
Type or print server's name Server signs here after serving
Revised January 1, 2006 Proof of Service SC-104, Page 2 of 2
(Smali Claims)
Preview
-— MAREN Proof of Rivice i Use this form to serve a person, business, or public entity. To learn more ALAM r MRED unt Y about proof of service, read Form SC-104B, What Is Proof of Service? To learn more about how to serve a business or public entity, read Form O6 JUL ~§ AH G1] SC-104C, How to Serve a Business. cue cymeRIOR COURT To serve a business, you must serve one of the following people: cHERK OF THE SURES * Owner (for a sole proprietorship or a business, form unknown) ; * Partner (for a partnership) or general partner (for a limited partnership) BY . se, - Any officer or general manager (corporation or association) + Any person authorized for service by the business (corporation, association, Fill in court name and street address: general partnership, limited partnership) Superior Court of California, County of ¢ Any person authorized for service with the Secretary of State (corporation, Alameda (LLB) limited partnerships company (LLC), limited-liability partnership 2120 Martin Luther King Jr. Way ° Berkeley, CA 94704 - To serve a public entity, you must serve one of the following people: Berkeley Courthouse * Clerk (of a city or county) * Chief officer, director, or agent authorized to accept service (of a public Fill in case number and case name: entity, agency, commission, board, district, etc.) if . ite th bel Case Number: a. If you are serving a person, write the person’s name below: Lenora Moore BS05209788 et al . : . . : Case Name: b. Ef you are serving a business or public entity, write the name of the . x ng pud ty, ; 5 Paul Rauber, et al. VS Lenora business or entity, the person authorized for service, and that person’s ad. Moore job title: Business or Public Entity Name Person Authorized for Service Job Title (} (2) Instructions to Server You must be at least 18 years old and not listed in this case. You can use personal or substituted service. Follow these steps: a. If you are using personal service, give a copy of the documents checked in@) to the person in@) . b. Ifyou are using substituted service, give a copy of the documents checked in@) to: * A competent aduit (at least 18) at the home of and living with the person in @ or * An adult (at least 18) who seems to be in charge where the person usually works or * An adult (at least 18) who seems to be in charge at the place where the person receives mail or has a private mailbox (not a U.S. Postal Service P.O. Box), if there is no known physical address for the person in@). * THEN mail a copy of the documents to the person in@ at the address where you left the documents. c. After serving the documents do the following: * Complete and sign this form and * Give or mail your completed form to the person who asked you to serve these court papers. (3) | served the person in (1) a copy of the documents checked below: a, | SC-100, Plaintiffs Claim and ORDER to Go to Small Claims Court b. [] SC-120, Defendant’s Claim and ORDER to Go to Small Claims Court c. Order for Examination (This form must be personally served. Put a check mark next to the form that was served): (1) ] SC-134, Application and Order to Produce Statement of Assets and to Appear for Examination (2) AT-138/EJ-125, Application and Order for Appearance and Examination Note: The court can issue a civil arrest warrant if the served party does not come to court but only if the Order for Examination was personally served by a registered process server, sheriff, marshal, or someone appointed by the court. d. (1 Other (specify): Judicial Council of California, www.courtinfo.ca.gov ic - Revised January 1, 2006, Optional Form Proof of Service SC 104, Page 1 of2 Code of Civil Procedure, §§ 116.340, 415.10, 415,20 (Small Claims) > American LegalNet, Inc. www.USCourtForms.com © umber: Case name: Paul Rauber, et al. VS Lenora Moore BS05209788 et al (4) Fill out “a” or “b” below: a. Personal Service: I personally gave copies of the documents checked in (3) to the person in @ : At (time): 4:10 Cam pm. On (date): 06/08/2006 At this address: }©10 Oregon Street City: Berkeley State. CA Zip: 94703 b. [] Substituted Service: I personally gave copies of the documents checked in@) (a, b, or d) to (check one): (_] A competent adult (at least 18) at the home of, and living with the person in, 1) or * LC) An adult (at least 18) who seems to be in charge where the person in@® usually works or CI An adult (at least 18) who seems to be in charge where the person in @) receives mail, or has a private mailbox (not a U.S. Postal Service P.O. Box), if there is no known physical address for the person in() . I told that adult (check one): |_| “Please give these court papers to (name of person in @)” | Other (specify): I did this on (date): At (time): Lam. 2 p.m. At this address: City: State: _______ Zip: Name or description of the person I gave the papers to: After serving the court papers (check one): 1.L1 I put copies of the documents listed in (3) inan envelope, sealed the envelope, and put first-class prepaid postage on it. I addressed the envelope to the person in (1) at the address where I left the copies. I mailed the envelope on (date): from (city, state): by leaving it at (check one): a. LJ Ata U.S. Postal Service mail drop, or b._] At an office or business mail drop where I know the mail is picked up every day and deposited with the U.S. Postal Service, or 2. (_| I gave copies of the documents to someone else and asked that person to mail the documents to the person in @), and I have attached that person’s completed Form SC-104A. (5) Server’s Information Name: Frank Love Phone: 310-562-9705 Address: 414 Pendleton Way, Suite #2 City: Oakland State: CA Zip: 94621 Fee for service: $ (Ifyou are a registered process server): County of registration; Alameda Registration number: 196 (6) I declare, under penalty of perjury under California State law, that [ am at least 18 years old and not listed in this case and that the information above is true and correct. Date: 06/12/2006 Frank Love > =eZ . Type or print server's name Server signs here after serving Revised January 1, 2006 Proof of Service SC-104, Page 2 of 2 (Smali Claims)