Free NC-121 PROOF OF SERVICE OF ORDER TO SHOW CAUSE (Change of Name) - California

COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. :
PETITIONER OR ATTORNEY (Name, state bar number, and address):

Index No.
FOR COURT USE ONLY

NC-121

: Plaintiff(s)
TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX -against- NO. (Optional):

Calendar No.

: : : :

JUDICIAL SUBPOENA

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

Defendant(s) : . .BRANCH.NAME: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... ...
FOR CHANGE OF NAME

PETITION OF (Names of each petitioner):

THE PEOPLE OF THE STATE OF NEW YORK PROOF OF SERVICE OF ORDER TO SHOW CAUSE
BY
PERSONAL DELIVERY MAILING (OUTSIDE CALIFORNIA ONLY)

CASE NUMBER:

TO
1. At the time of mailing or personal delivery, I was at least 18 years of age and not a party to this proceeding. 2. My residence or business address is (specify):

GREETINGS:

WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable or mailed a copy of the Order to Show at the for Change of Court as follows (complete either a or b): Cause Name 3. I personally delivered located ata copy to the person served as follows: County of a. Personal delivery. I personally delivered in room Name of person the , on served: day of , 20 , at o'clock in the noon, and at any recessed (1) or adjourned date, to testify and give evidence as a witness in this action on the part of the (2) Address where delivered:
(3) Date delivered: Your failure (4) Time delivered:to

comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a b. result of your failure to comply. Mail. I am a resident of or employed in the county where the mailing occurred.
(1) I enclosed a copy in an envelope and mailed the sealed envelope to the person served by first-class mail, postage prepaid, return receipt requested, to the address outside of California listed below. Witness, Honorable , one of the Justices of the (2) The envelope was addressed and mailed as follows: Court in(a) Name of person served: day of County, , 20 (b) Address on envelope:
(Attorney must sign above and type name below)

(c) Date of mailing: (d) Place of mailing (city and state):

Attorney(s) for
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:

Office and P.O. Address
(TYPE OR PRINT NAME OF DECLARANT) (SIGNATURE OF DECLARANT)

Form Adopted for Mandatory Use Judicial Council of California NC-121 [New January 1, 2001]

Telephone No.: Facsimile No.: E-Mail Address: PROOF OF SERVICEMobile Tel. No.: OF
ORDER TO SHOW CAUSE
(Change of Name)

Code of Civil Procedure, § 1277

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