Free FL-115 PROOF OF SERVICE OF SUMMONS (Family Law--Uniform Parentage--Custody and Support) - California

COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. :
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):

Index No.
FL-115

: : : : :

Calendar No.

FOR COURT USE ONLY

Plaintiff(s)
TELEPHONE NO.: E­MAIL ADDRESS (Optional): ATTORNEY FOR (Name):

JUDICIAL SUBPOENA

-against-FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE:

Defendant(s) : BRANCH NAME: ......................................................
PETITIONER:

RESPONDENT:

THE PEOPLE OF THE STATE OF NEW YORK TO
PROOF OF SERVICE OF SUMMONS

CASE NUMBER:

1. At the time of service I was at least 18 years of age and not a party to this action. I served the respondent with copies of: Family Law: Petition (form FL-100), Summons (form FL-110), and blank Response (form FL-120) a. ­or­ GREETINGS: Family Law--Domestic Partnership: Petition--Domestic Partnership (form FL-103), Summons (form FL-110), and blank Response--Domestic Partnership business and excuses being laid aside, you and each of you attend before WE COMMAND YOU, that all (form FL-123) ­or­ the Honorable at the Court c. Uniform Parentage: Petition to Establish Parental Relationship (form FL-200), Summons (form FL-210), and blank located at Relationship (form FL-220) County of Response to Petition to Establish Parental in room , on the day of ,­or­ , at 20 o'clock in the noon, and at any recessed or adjourned date,Support: Petition for Custody and Support of Minor Children (form FL-260), Summons (form FL-210), and to testify and give evidence as a witness in this action on the part of the Custody and d. blank Response to Petition for Custody and Support of Minor Children (form FL-270) and e. Completed (5) Completed and blank Declaration Under Your failure to comply with this subpoena is punishable as a contemptand court Financial Statement liable to of blank and will make you (Simplified) (form FL-155) Uniform Child Custody Jurisdiction and the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Enforcement Act (form FL-105) Completed and blank Property (6) result of your failure to comply. Declaration (form FL-160) (1) (2) (3) (4) Completed and blank Declaration of Disclosure (form FL-140) b.

,

Witness, Honorable blank Schedule of Assets Completed and and Debts (form FL-142) of Court in County, day , 20
Completed and blank Income and Expense Declaration (form FL-150)

(7)

(8)

Order to Show Cause (form FL-300), Application , one of the Justices of the for Order and Supporting Declaration (form FL-310), and blank Responsive Declaration to Order to Show Cause or Notice of Motion (form FL-320) Other (specify):
(Attorney must sign above and type name below)

2. Address where respondent was served:

Attorney(s) for
3. I served the respondent by the following means (check proper box): a. b. Personal service. I personally delivered the copies to the respondent (Code Civ. Proc., § 415.10) on (date): at (time):

Office Substituted service. I left the copies with or in the presence of (name): and who is (specify title or relationship to respondent):
(1) (2)

P.O. Address

(Business) a person at least 18 years of age who was apparently in charge at the office or usual place of business of the respondent. I informed him or her of the general nature of the papers Telephone No.: (Home) a competent member of the household (at least 18 years of age) at the home of the respondent. I Facsimile No.: informed him or her of the general nature of the papers Page 1 of 2 E-Mail Address:

Form Approved for Optional Use Judicial Council of California FL-115 [Rev. January 1, 2005]

Mobile Tel. PROOF OF SERVICE OF SUMMONS No.:
(Family Law--Uniform Parentage--Custody and Support)

Code of Civil Procedure, § 417.10 www.courtinfo.ca.gov

American LegalNet, Inc. www.USCourtForms.com

PETITIONER: RESPONDENT:

CASE NUMBER:

3. b. (cont.) on (date):

at (time):

c.

I thereafter mailed additional copies (by first class, postage prepaid) to the respondent at the place where the copies were left (Code Civ. Proc., § 415.20b) on (date): A declaration of diligence is attached, stating the actions taken to first attempt personal service. Mail and acknowledgment service. I mailed the copies to the respondent, addressed as shown in item 2, by first-class mail, postage prepaid, on (date): from (city): with two copies of the Notice and Acknowledgment of Receipt (Family Law) (form FL-117) and a (1) postage-paid return envelope addressed to me. (Attach completed Notice and Acknowledgment of Receipt (Family Law) (form FL-117).) (Code Civ. Proc., § 415.30.) to an address outside California (by registered or certified mail with return receipt requested). (Attach signed return receipt or other evidence of actual delivery to the respondent.) (Code Civ. Proc., § 415.40.) Other (specify code section): Continued on Attachment 3d. (2)

d.

4. The "NOTICE TO THE PERSON SERVED" on the Summons was completed as follows (Code Civ. Proc., §§ 412.30, 415.10, 474): a. As an individual or b. On behalf of respondent who is a (1) minor. (Code Civ. Proc., § 416.60.) (2) ward or conservatee. (Code Civ. Proc., § 416.70.) other (specify): (3)

5. Person who served papers Name: Address:

Telephone number: This person is a. exempt from registration under Business and Professions Code section 22350(b). b. not a registered California process server. c. a registered California process server: an independent contractor an employee or (1) Registration no.: (2) County: d. The fee for service was (specify): $ 6. 7. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. ­or­ I am a California sheriff, marshal, or constable, and I certify that the foregoing is true and correct.

Date:

(NAME OF PERSON WHO SERVED PAPERS)

(SIGNATURE OF PERSON WHO SERVED PAPERS)

FL-115 [Rev. January 1, 2005]

PROOF OF SERVICE OF SUMMONS
(Family Law--Uniform Parentage--Custody and Support)

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