Fillable POS-030 SUPERIOR COURT OF CALIFORNIA, COUNTY OF (Santa Clara University)

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POS-030 SUPERIOR COURT OF CALIFORNIA, COUNTY OF (Santa Clara University)

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POS-030
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY
CASE NUMBER:
PROOF OF SERVICE BY FIRST-CLASS MAIL—CIVIL
I am over 18 years of age and not a party to this action. I am a resident of or employed in the county where the mailing
took place.
My residence or business address is:
On (date): I mailed from (city and state):
the following documents (specify):
I served the documents by enclosing them in an envelope and (check one):
a. depositing the sealed envelope with the United States Postal Service with the postage fully prepaid.
b.
The envelope was addressed and mailed as follows:
Name of person served:
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 OF PERSON COMPLETING THIS FORM) (SIGNATURE OF PERSON COMPLETING THIS FORM)
Form Approved for Optional Use
Judicial Council of California
POS-030 [New January 1, 2005]
PROOF OF SERVICE BY FIRST-CLASS MAIL—CIVIL
Code of Civil Procedure, §§ 1013, 1013a
1.
2.
3.
placing the envelope for collection and mailing following our ordinary business practices. I am readily familiar with this
business’s practice for collecting and processing correspondence for mailing. On the same day that correspondence is
placed for collection and mailing, it is deposited in the ordinary course of business with the United States Postal Service in
a sealed envelope with postage fully prepaid.
4.
Address of person served:b.
a.
www.courtinfo.ca.gov
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
TELEPHONE NO.:
A
TTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
FAX NO. (Optional):
(Do not use this Proof of Service to show service of a Summons and Complaint.)
The name and address of each person to whom I mailed the documents is listed in the Attachment to Proof of Service
by First-Class Mail—Civil (Persons Served) (POS-030(P)).
The documents are listed in the Attachment to Proof of Service by First-Class Mail—Civil (Documents Served)
(form POS-030(D)).
5.
E-MAIL ADDRESS (Optional):
(Proof of Service)
Pro Se
191 North First Street
San Jose, CA 95113
DTS
KGACLC; 1030 The Alameda; San Jose, CA 95126
San Jose, CA
General Denial
✔
Reuben Castillo
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INFORMATION SHEET FOR PROOF OF SERVICE BY FIRST-CLASS MAIL—CIVIL
Use these instructions to complete the Proof of Service by First-Class Mail—Civil (form POS-030).
A person over 18 years of age must serve the documents. There are two main ways to serve documents:
(1) by personal delivery and (2) by mail. Certain documents must be personally served. You must determine whether
personal service is required for a document. Use the Proof of Personal Service–Civil (form POS-020) if the documents
were personally served.
INSTRUCTIONS FOR THE PERSON WHO SERVED THE DOCUMENTS
Complete the top section of the proof of service form as follows:
Second box, left side
: Print the name of the county in which the legal action is filed and the court’s address in this box.
The address for the court should be the same as on the documents that you served.
Third box, left side
: Print the names of the Petitioner/Plaintiff and Respondent/Defendant in this box. Use the same names
as are on the documents that you served.
First box, top of form, right side
: Leave this box blank for the court’s use.
Complete items 1–5 as follows:
You are stating that you are over the age of 18 and that you are not a party to this action. You are also stating that
you either live in or are employed in the county where the mailing took place.
Print your home or business address.
Provide the date and place of the mailing and list the name of each document that you mailed. If you need more
space to list the documents, check the box in item 3, complete the Attachment to Proof of Service by First-Class
Mail—Civil (Documents Served) (form POS-030(D)), and attach it to form POS-030.
Check box a if you personally put the documents in the regular U.S. mail.
Check box b if you put the documents in the mail at your place of business.
At the bottom, fill in the date on which you signed the form, print your name, and sign the form. By signing,
you are stating under penalty of perjury that all the information you have provided on form POS-030 is true
and correct.
POS-030 [New January 1, 2005]
First box, left side: In this box print the name, address, and telephone number of the person for whom you served the
documents.
Second box, right side
: Print the case number in this box. The case number should be the same as the case number on
the documents that you served.
2.
1.
3.
4.
(This information sheet is not part of the Proof of Service and does not need to be copied, served, or filed.)
The person who served the documents by mail must complete a proof of service form for the documents served. You
cannot serve documents if you are a party to the action.
Provide the name and address of each person to whom you mailed the documents. If you mailed the documents to
more than one person, check the box in item 5, complete the Attachment to Proof of Service by First-Class
Mail—Civil (Persons Served) (form POS-030(P)), and attach it to form POS-030.
NOTE: This form should not be used for proof of service of a summons and complaint. For that purpose, use Proof of
Service of Summons (form POS-010).
PROOF OF SERVICE BY FIRST CLASS MAIL—CIVIL
The proof of service should be printed or typed. If you have Internet access, a fillable version of the Proof of Service
form is available at www.courtinfo.ca.gov/forms.
For item 4:
5.
(Proof of Service)
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POS-030 SUPERIOR COURT OF CALIFORNIA, COUNTY OF (Santa Clara University)

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Completed 24 August 2021

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