Merced — MSC-PR-004

Source: https://www.merced.courts.ca.gov/system/files/forms-and-filings/msc-pr-004-proof-service-mail-ada-comp.pdf

MSC-PR-004 PARTY WITHOUT AN ATTORNEY (Name and Address): TELEPHONE NO: FOR COURT USE ONLY

In Pro Per SUPERIOR COURT OF CALIFORNIA, COUNTY OF MERCED STREET ADDRESS: 627 W. 21 st Street MAILING ADDRESS: 627 W. 21st Street CITY AND ZIP CODE: Merced, CA 95340 BRANCH NAME: Probate GUARDIANSHIP OF THE PERSON ESTATE OF (NAME):

MINOR CASE NUMBER

PROOF OF SERVICE BY MAIL

I declare that:

1. At the time of service I was at least 18 years of age and not a party to this legal action.

2. I am a resident of or employed in the county where the mailing occurred.

3. My business or residence address is: _____________________________________________________________

   ---

4. I served copies of the following paper(s):
   Petition for Appointment of Guardian of Minor Petition for Appointment of Temporary Guardian
   Notice of Hearing for ______________________ UCCJEA
   Notice of Hearing for ______________________ Waiver of Notice
   Consent of Guardian Nomination of Guardian
   Petition for Visitation – Guardianship Petition for Modification of Visitation - Guardianship
   Petition for Termination of Guardianship Other: ___________________________________

5. I served the above listed documents on each person named below by enclosing a copy in an envelope addressed
   as shown below AND
   a. depositing the sealed envelope with the United States Postal Service on the date and at the place
   shown in item 6 with the postage fully prepaid.
   b. placing the envelope for collection and mailing on the date and at the place shown in item 6 following
   our ordinary business practices. I am readily familiar with this business’s practices for collection 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.

6. a. Date Mailed: _________________ b. Place mailed (city & state): _______________________________

I declare under the penalty of perjury under the laws of the State of California that the foregoing is true and correct.

DATE: __________ _________________________________ ______________________________________SIGN (Type or Print Name) (Signature of Person who Served Papers)

NAME AND ADDRESSES OF EACH PERSON TO WHOM NOTICE WAS MAILED
Name of person served Address (number, street, city, state, and zip code)

Continued on page 2.

For Optional Use PROOF OF SERVICE BY MAIL Page 1 of 1 MSC-PR-004 [Rev. Mar. 6, 2019]

MSC-PR-004 GUARDIANSHIP OF THE PERSON ESTATE OF (NAME): CASE NUMBER

MINOR

ADDITIONAL PERSONS TO WHOM NOTICE WAS MAILED:

Name of person served Address (number, street, city, state, and zip code)

For Optional Use PROOF OF SERVICE BY MAIL Page 2 of 2 MSC-PR-004 [Rev. Mar. 6, 2019]