:ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
FOR COURT USE ONLY
ATTORNEY FOR (Name):
STREET ADDRESS:
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
NOTICE OF ENTRY OF DISMISSAL AND PROOF OF SERVICE
Personal Injury, Property Damage, or Wrongful Death
CASE NUMBER:
Motor Vehicle
Other
Family Law
Eminent Domain
Other (specify):
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.)
Date:
ATTORNEY PARTY WITHOUT ATTORNEY) (SIGNATURE)
(TYPE OR PRINT NAME OF
PROOF OF SERVICE
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:
2.
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
a.
b.
in the ordinary course of business with the United States Postal Service.
c. Date of deposit: d. Place of deposit (city and state):
e. 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:
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME) (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]
CIV-120
Page 1 of 1
1.
3
TELEPHONE NO.:
E-MAIL ADDRESS:
FAX NO.:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
a. Name of person served:
b.
c. d.
Address at which person served:
On (date):
At (time):
Proof of service on additional parties is attached.
5.
4.
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):
a. Name of person served:
b.
c. d.
Electronic service address of person served:
On (date): At (time):
Proof of electronic service is attached.
Electronic service address from which I served the documents:
e.
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
end of the form when finished.
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
