PROOF OF SERVICE BY FIRST-CLASS MAIL
I served a copy of the Notice of Entry of Judgment or Order by enclosing it in a sealed envelope with postage
fully prepaid and (check one):
NOTICE OF ENTRY OF JUDGMENT OR ORDER
The Notice of Entry of Judgment or Order was mailed:
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 JUDGMENT OR ORDER
CIV-130 [New January 1, 2010]
3.
a.
b.
1.
2.
(NOTE: You cannot serve the Notice of Entry of Judgment or Order if you are a party in the action. The person who served
the notice must complete this proof of service.)
b.
a.
The envelope was addressed and mailed as follows:4.
Page 2 of 2
5.
I am at least 18 years old and not a party to this action. I am a resident of or employed in the county where the mailing took
place, and my residence or business address is (specify):
deposited the sealed envelope with the United States Postal Service.
placed the sealed envelope for collection and processing for mailing, following this business's usual practices,
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.
on (date):
from (city and state):
Name of person served:
Street address:
City:
State and zip code:
a.
Number of pages attached:
Date:
(TYPE OR PRINT NAME OF DECLARANT)
CASE NUMBER:
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
CIV-130
Names and addresses of additional persons served are attached. (You may use form POS-030(P).)
Name of person served:
Street address:
City:
State and zip code:
b.
Name of person served:
Street address:
City:
State and zip code:
c.
Name of person served:
Street address:
City:
State and zip code:
d.
For your protection and privacy, please press the Clear
This Form button after you have printed the form.
