Free Misc-275 - California

CASE #

CASE TITLE: PROOF OF SERVICE BY MAIL - CCP 1013a, 2015.5

STATE OF CALIFORNIA COUNTY OF
I am a citizen of the United States and resident of the county aforesaid; I am over the age of eighteen years and not a party to the within above entitled action; my (business) residence address is:

On
(DATE)

, I served the within

on the
(PLAINTIFF/DEFENDANT)

in said action, by placing a true copy thereof enclosed in a sealed

envelope with postage thereon fully prepaid, in the United States mail at addressed as follows:

I declare under penalty of perjury, * that the foregoing is true and correct, and that this declaration was executed on
(Date)

at
(Place)

, California.

(Type or Print Name)

(Signature)

*proof of service by mail forms, being signed under penalty of perjury, do not require notarization.

(Rev. January 1, 1999)

MISC-275