Fillable Form FL-115 PROOF OF SERVICE OF SUMMONS

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Form FL-115 PROOF OF SERVICE OF SUMMONS

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At the time of service I was at least 18 years of age and not a party to this action. I served the respondent with copies of:
PROOF OF SERVICE OF SUMMONS
(Family Law—Uniform Parentage—Custody and Support)
Form Approved for Optional Use
Judicial Council of California
FL-115 [Rev. January 1, 2015]
FL-115
1.
and
a.
(1)
(2)
(3)
(7)
b.
c.
–or–
–or–
(5)
(6)
(4)
a.
I served the respondent by the following means (check proper boxes):
on (date): at (time):
b.
(1)
(2)
(name):
d.
Page 1 of 2
(8)
Code of Civil Procedure, § 417.10
www.courts.ca.gov
who is (specify title or relationship to respondent):
PROOF OF SERVICE OF SUMMONS
FOR COURT USE ONLY
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
PETITIONER:
RESPONDENT:
CASE NUMBER:
Family Law—Marriage/Domestic Partnership: Petition—Marriage/Domestic Partnership (form FL-100), Summons (form
FL-110), and blank Response—Marriage/Domestic Partnership (form FL-120)
Uniform Parentage: Petition to Establish Parental Relationship (form FL-200), Summons (form FL-210), and blank
Response to Petition to Establish Parental Relationship (form FL-220)
Custody and Support: Petition for Custody and Support of Minor Children (form FL-260), Summons (form FL-210), and
blank Response to Petition for Custody and Support of Minor Children (form FL-270)
Completed and blank Declaration Under
Uniform Child Custody Jurisdiction and
Enforcement Act (form FL-105)
Completed and blank Declaration of
Disclosure (form FL-140)
Completed and blank Schedule of Assets
and Debts (form FL-142)
Completed and blank Income and
Expense Declaration (form FL-150)
Completed and blank Financial Statement
(Simplified) (form FL-155)
Completed and blank Property
Declaration (form FL-160)
Request for Order (form FL-300), and blank
Responsive Declaration to Request for Order (form
FL-320)
Other (specify):
2.
3.
Personal service. I personally delivered the copies to the respondent (Code Civ. Proc., § 415.10)
Substituted service. I left the copies with or in the presence of
(Business) a person at least 18 years of age who was apparently in charge at the office or usual place of
business of the respondent. I informed him or her of the general nature of the papers.
(Home) a competent member of the household (at least 18 years of age) at the home of the respondent. I
informed him or her of the general nature of the papers.
on (date):
A declaration of diligence is attached, stating the actions taken to first attempt personal service.
I thereafter mailed additional copies (by first class, postage prepaid) to the respondent at the place where the
copies were left (Code Civ. Proc., § 415.20b) on
(date):
at (time):
Address where respondent was served:
Person who served papers
The fee for service was (specify): $
a.
b.
c.
(1)
Registration no.:
County:
5.
6.
PROOF OF SERVICE OF SUMMONS
(Family Law—Uniform Parentage—Custody and Support)
FL-115 [Rev. January 1, 2015]
4.
This person is
(2)
c.
(1)
(2)
(specify code section):
d.
–or–
Name:
Telephone number:
d.
Page 2 of 2
CASE NUMBER:
RESPONDENT:
PETITIONER:
FL-115
3.
Mail and acknowledgment service. I mailed the copies to the respondent, addressed as shown in item 2, by
first-class mail, postage prepaid, on
Other
with two copies of the Notice and Acknowledgment of Receipt (form FL-117) and a postage-paid return
envelope addressed to me. (Attach completed Notice and Acknowledgment of Receipt (form FL-117).)
(Code Civ. Proc., § 415.30.)
to an address outside California (by registered or certified mail with return receipt requested). (Attach signed
return receipt or other evidence of actual delivery to the respondent.) (Code Civ. Proc., §§ 415.40, 417.20.)
Continued on Attachment 3d.
Address:
exempt from registration under Business and Professions Code section 22350(b).
not a registered California process server.
a registered California process server:
an employee or an independent contractor
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
I am a California sheriff, marshal, or constable, and I certify that the foregoing is true and correct.
Date:
(NAME OF PERSON WHO SERVED PAPERS)
(SIGNATURE OF PERSON WHO SERVED PAPERS)
(date):
from (city):
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Form FL-115 PROOF OF SERVICE OF SUMMONS

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Completed 14 January 2020

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