Free ATTORNEY OR PARTY WITHOUT AN ATTORNEY (Name, State bar number, and address) - California

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ATTORNEY OR PARTY WITHOUT AN ATTORNEY (Name and address)

FOR COURT USE ONLY

TELEPHONE NO.: ATTORNEY FOR (Name):

FAX NO.:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CRUZ FAMILY DIVISION 1 Second Street, Room 300 Watsonville, CA (5076 PETITIONER:

RESPONDENT:

VERIFICATION OF SERVICE BY POSTING OF SUMMONS

CASE NUMBER

1. I am over the age of 18 and not a party to this case. My name is _________________________________. My address is __________________________________________________________________________________. (Write in street address, city and state where you live) 2. On _____________________ (date) from _____________________________ (city and state), I mailed a filed copy of the Summons and Petition to Respondent's last known address. I mailed the Petition and Summons to Respondent's last known address at: ___________________________________________________________________________________________.

3. On _____________________ (date) at ____________________ (time) I posted a filed copy of the Summons and Petition on the designated bulletin board at: ______________________________________________________________________________________________ (name of location posted and address).

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date: ______________________

________________________________ Print Your Name Here

_______________________________ Sign Your Name Here

Notice to Petitioner: This verification must be attached to Proof of Service of Summons, Form FL-115, before filing.

VERIFICATION OF SERVICE BY POSTING (FAMILY/UNIFORM PARENTAGE/PETITION FOR CUSTODY AND SUPPORT OF MINOR CHILDREN)
Santa Cruz Superior Court Adopted for Optional Use New January 1, 2009 Page 1 of 1 SUP CV 1067

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VERIFICATION OF SERVICE BY POSTING (FAMILY/UNIFORM PARENTAGE/PETITION FOR CUSTODY AND SUPPORT OF MINOR CHILDREN)
Santa Cruz Superior Court Adopted for Optional Use New January 1, 2009 Page 1 of 1 SUP CV 1067