Name, Address, Telephone No. FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANG(
G Central - 700 Civic Center Dr. West, Santa Ana, CA 92701-4045
G Harbor-Laguna Hills Facility - 23141 Moulton Pkwy., Laguna Hills, CA 92653-1251
G Harbor-Newport Beach Facility - 4601 Jamboree Rd., Newport Beach, CA 92660-2595
G North - 1275 N. Berkeley Ave., P. O. Box 5000, Fullerton, CA 92838-0500
G West - 8141 13
th
Street, Westminster, CA 92683-4593
PLAINTIFF:
DEFENDANT:
APPLICATION AND ORDER TO SERVE THE CALIFORNIA
SECRETARY OF STATE
(Small Claims)
CASE NUMBER:
DECLARATION SUPPORTING MY REQUEST FOR THIS APPLICATION
1. I am the plaintiff in this action.
2. I request that the court make an order to serve the Office of the Secretary of State on behalf of
, a corporation in the above-entitled action. Address for service is:
.
My request is based on this declaration and records or evidence on file with the court.
3. The facts supporting this application are that defendant corporation is subject to this courts’ jurisdiction because
.
The party has verified with the Office of the Secretary of State that:
9 The corporation has no designated agent for service of process nor any officers or agents in the State of California.
9 The designated agent resigned and has not been replaced or is no longer authorized to act.
9 The agent cannot with reasonable diligence be found at the address designated for personally delivering the process, and
that process against the defendant corporation cannot be served with reasonable diligence upon the designated agent by
hand.
9 Facts continued on attached declaration.
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 APPLICANT)
COURT ORDER
The Court having considered the application and good cause appearing: IT IS ORDERED:
1. That the Secretary of State accept service on behalf of
which has been doing business in the State of California, but has no designated Agent for Service of Process nor are any
officers or agents located in California, or has a designated agent that has resigned and has not been replaced or is no
longer authorized to act, or has an agent that cannot with reasonable diligence be found at the address designated for
personally delivering process; and
2. That the Secretary of State shall promptly give notice to the above-referenced corporation of the service of process of the
claim filed against it. In the case of a foreign corporation, this order shall set forth an address to which the process shall
be sent by the Secretary of State. The address for service is:
.
Date:
JUDICIAL OFFICER
APPLICATION AND ORDER TO SERVE THE CALIFORNIA SECRETARY OF STATE
(Small Claims)
Approved for Optional Use Page 1 of 2
L1189 (Rev. July 1, 2013) Corporations Code 1702, 2111
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JUSTICE CENTER:
Central - 700 Civic Center Dr. West, Santa Ana, CA 92701-4045
Harbor - Newport Beach Facility - 4601 Jamboree Rd, Newport Beach, CA 92660-2895
North - 1275 N. Berkeley Ave., P. O. Box 5000, Fullerton, CA 92838-0500
West - 8141 13th Street, Westminster, CA 92683-4593