Free CH-131 Proof of Service by Mail (Civil Harassment) - California

COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. :

Index No.
Clerk stamps date here when form is filed.

CH-131
1 2 3

Proof of Service by Mail
Plaintiff(s)

: : : :

Calendar No.

Name of person asking for protection:

JUDICIAL SUBPOENA

-againstYour name:

Notice to Server : The server must: Defendant(s) : . . .·. . .Be . over. 18 .years. of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . age. Be a resident or employed in the · county where the mailing took place. · Not be a party in the case. THE PEOPLE OF of all STATE OF NEW YORK · Mail a copy THE documents checked in 4 to the person in TO 1 . Complete and sign this form and give it to the person in 2 . PROOF OF SERVICE BY MAIL

Fill in court name and street address: Superior Court of California, County of

Fill in case number: Case Number:

4 GREETINGS: years of age and am a resident or employed in the county where the mailing took place. I mailed I am over 18 the person in 1 a copy of all documents checked below: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before a. , the HonorableCH-110, Answer to Request for Orders to Stop Harassment at the Court b. Other (specify): located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed 5 or adjourned date, of the documents checked above witness in this actionand the partthem as described below: I placed copies to testify and give evidence as a in a sealed envelope on mailed of the a. Mailed from (City):_________________________________________ (State): ____________________ b. On (Date):________________________________________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to c. To this Address:______________________________________________________________________ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result City: ________________________________________State:_________________ Zip:_____________ of your failure to comply. 6

, one of the Justices of the Name:_______________________________________________________________________________ Court in County, day of , 20 Address:______________________________________________________________________________
City: ______________________________________________State:_______________ Zip:___________ Telephone:__________________________ (If you are a registered process server): County of registration: _______________________________Attorney(s) for Registration number:__________________
(Attorney must sign above and type name below)

Server's Information Witness, Honorable

Date:_________________________

I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Office and P.O. Address

Type or print server's name
Judicial Council of California, www.courtinfo.ca.gov Rev. January 1, 2005, Optional Form Code of Civil Procedure, §§ 527.6 and 527.9

Telephone No.: Server to sign here Facsimile No.: E-Mail Address: Proof of Service by MailTel. No.: Mobile
(Civil Harassment)

CH-131, Page 1 of 1
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