TO ATTORNEYS AND PARTIES WITHOUT ATTORNEYS: A dismissal was entered in this action by the clerk as shown on the
Request for Dismissal. (Attach a copy completed by the clerk.)
(SIGNATURE)
PROOF OF SERVICE
2.
a.
b.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
(SIGNATURE OF DECLARANT)
NOTICE OF ENTRY OF DISMISSAL
AND PROOF OF SERVICE
Code of Civil Procedure, § 581 et seq.;
Cal. Rules of Court, rule 3.1390
www.courts.ca.gov
Form Adopted for Mandatory Use
Judicial Council of California
CIV-120 [Rev. January 1, 2012]
Page 1 of 1
1.
3
b.
c.
5.
4.
b.
c. d.
Electronic service address from which I served the documents:
e.
Date:
(TYPE OR PRINT NAME OF
ATTORNEY PARTY WITHOUT ATTORNEY)
I am over the age of 18 and not a party to this cause. My residence or business address is:
I am a resident of or employed in the county where the mailing occurred. I served a copy of the Notice of Entry of Dismissal
and Request for Dismissal by mailing them, in a sealed envelope with postage fully prepaid, as follows:
I deposited the envelope with the United States Postal Service.
I placed the envelope for collection and processing for mailing following this business's ordinary practice with which I am
readily familiar. On the same day correspondence is placed for collection and mailing, it is deposited in the ordinary
course of business with the United States Postal Service.
Date of deposit:
Name of person served:
Place of deposit (city and state):
Addressed as follows (name and address):
I served a copy of the Notice of Entry of Dismissal and Request for Dismissal by personally delivering copies as shown below:
Address at which person served:
On (date):
Electronic service address of person served:
I served a copy of the Notice of Entry of Dismissal and Request for Dismissal by electronically serving copies as shown below
(complete if electronic service is used based on a court order or agreement of the parties):
Proof of electronic service is attached.
At (time):
Proof of service on additional parties is attached.
Date:
(TYPE OR PRINT NAME)
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
FOR COURT USE ONLY
CASE NUMBER:
NOTICE OF ENTRY OF DISMISSAL AND PROOF OF SERVICE
Personal Injury, Property Damage, or Wrongful Death
Motor Vehicle Other
Family Law
Eminent Domain
Other
(specify):
CIV-120
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (Name):
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
d.
At (time):
a.
Name of person served:
a.
On (date):
c.
e.
d.
For your protection and privacy, please press the Clear
This Form button after you have printed the form.
