Santa Clara — Answer Verification Form and Proof of Service

Source: https://santaclara.courts.ca.gov/system/files/self-help/answer-breach-k-verificationpos_rem.pdf

VERIFICATION STATE OF CALIFORNIA, COUNTY OF

I have read the foregoing

and know its contents.
CHECK APPLICABLE PARAGRAPHS

I am a party to this action. The matters stated in the foregoing document are true of my own knowledge except as to those
matters which are stated on information and belief, and as to those matters I believe them to be true.

I am an Officer a partner
a of ,
a party to this action, and am authorized to make this verification for and on its behalf, and I make this verification for that reason.
I am informed and believe and on that ground allege that the matters stated in the foregoing document are true. The matters
stated in the foregoing document are true of my own knowledge except as to those matters which are stated on information and
belief, and as to those matters I believe them to be true.

I am one of the attorneys for ,
a party to this action. Such party is absent from the county of aforesaid where such attorneys have their offices, and I make this
verification for and on behalf of that party for that reason. I am informed and believe and on that ground allege that the matters
stated in the foregoing document are true.
Executed on , at , California.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

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TYPE OR PRINT NAME SIGNATURE
PROOF OF SERVICE
1013a (3) CCP Revised 2004
STATE OF CALIFORNIA, COUNTY OF
I am employed in the county of , State of California.
I am over the age of 18 and not a party to the within action; my business address is:

On , I served the foregoing document described as

on in this action by placing the true copies thereof enclosed in sealed envelopes addressed as stated on the attached mailing list: by placing the original a true copy thereof enclosed in sealed envelopes addressed as follows:

BY MAIL
*I deposited such envelope in the mail at , California.
The envelope was mailed with postage thereon fully prepaid.
As follows: I am "readily familiar" with the firm's practice of collection and processing correspondence for mailing. Under
that practice it would be deposited with U.S. postal service on that same day with postage thereon fully prepaid at
California in the ordinary course of business. I am aware that on motion of the
party served, service is presumed invalid if postal cancellation date or postage meter date is more than one day after date of
deposit for mailing in affidavit.
Executed on , at , California.
**(BY PERSONAL SERVICE) I delivered such envelope by hand to the offices of the addressee.
Executed on , at , California.
(State) I declare under penalty of perjury under the laws of the State of California that the above is true and correct.
(Federal) I declare that I am employed in the office of a member of the bar of this court at whose direction the service was
made.

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TYPE OR PRINT NAME SIGNATURE

*(BY MAIL SIGNATURE MUST BE OF PERSON DEPOSITING ENVELOPE IN
MAIL SLOT, BOX, OR BAG)

**(FOR PERSONAL SERVICE SIGNATURE MUST BE THAT OF MESSENGER)

NONJC-015 (Rev. 01/01/2011) VERIFICATION/PROOF OF SERVICE 1: SAMPLE CLIENT