Fillable Form 13 21906 360 (Superior Court of California)

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Form 13 21906 360 (Superior Court of California)

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The Form 13 21906 360 (Superior Court of California) form is 2 pages long and contains:

  • 1 signature
  • 17 check-boxes
  • 50 other fields

Country of origin: US
File type: PDF

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ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO.: FAX NO.:
EMAIL ADDRESS:
ATTORNEY FOR (Name):
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
IN THE MATTER OF THE PETITION OF:
CITATION - ADOPTION
CASE NUMBER:
THE PEOPLE OF THE STATE OF CALIFORNIA,
1. TO (name):
_______________________________________________________________________________________
2. You are hereby cited and required to appear at a hearing in this court on
a. Date: Time: Department:
b. Address of court: □ same as noted above □ other (specify):
3. At this hearing you are required to give any legal reason why the relief requested in the verified petition attached to
and served with this citation, and filed with this court, should not be granted.
Date: ___________________ Clerk, by ______________________________, Deputy
NOTICE TO THE PERSON SERVED:
You are served
a. □ as an individual
b. □ as the person cited under
the fictitious name of (specify):
c. □ On behalf of (specify):
under
□ Code Civ. Proc., § 416.10 (corporation)
□ Code Civ. Proc., § 416.20 (defunct corporation)
□ Code Civ. Proc., § 416.40 (association or partnership)
□ Code Civ. Proc., § 416.60 (minor)
□ Code Civ. Proc., § 416.90 (individual)
□ other (specify):
d. by person delivery on (date):
(Seal)
13-21906-360 CITATION – ADOPTION Page 1 of 2
Revised 7/13/2016
IN THE MATTER OF THE PETITION OF:
PROOF OF SERVICE
1. At the time of service I was at least 18 years of age and not a party to this proceeding. I served copies of the Citation for:
2. a. Person cited (name):________________________________________________
b. Person served: (1) person in item 2a
(2) other (specify name and title or relationship to the person named in item 2a): _____________________
___________________________________________________________________________________________
c. Address (specify): __________________________________________________________________________________________
3. I served the person named in item 2
a. by personally delivering the copies (1) on (date): ________________________ (2) at (time):______________________
b. by mailing the copies to the person served, addressed as shown in item 2c, by first-class mail, postage prepaid,
(1) on (date):____________________________ (2) from (city): ______________________________________
c. with two copies of the Notice and acknowledgement of Receipt-Civil and a postage-paid return envelope addressed to me.
(Attach completed Notice and Acknowledgement of Receipt-Civil (form POS-015).)
d. to an address outside California with return receipt requested. (Attach completed return receipt.)
e. other (specify other manner of service, and the authorizing code section and order of the court):____________________
__________________________________________________________________________________________________
4. a. Person serving (name, address, and telephone number):___________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
b. Fee for service: $_____________
c. Not a registered California process server.
d. Exempt from registration under Business and Professions Code section 22350(b)
e. Registered California process server.
f. Employee or independent contractor.
g. Registration No. (specify): ___________________________________________________________________________
(1) County (specify): ______________________________________ (2) Expiration (date):______________________
5. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
6. I am a California Sheriff and I certify that the foregoing is true and correct.
Date: ________________________________________
(SIGNATURE OF PERSON SERVING)
13-21906-360 CITATION – ADOPTION Page 2 of 2
Revised 7/13/2016
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Form 13 21906 360 (Superior Court of California)

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Completed 18 July 2020

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